http://www.cnr.it/ontology/cnr/individuo/prodotto/ID38312
Pesticide exposure might be a strong risk factor for Parkinson's disease. (Articolo in rivista)
- Type
- Label
- Pesticide exposure might be a strong risk factor for Parkinson's disease. (Articolo in rivista) (literal)
- Anno
- 2008-01-01T00:00:00+01:00 (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
- 10.1002/ana.21049 (literal)
- Alternative label
Baldereschi M, Inzitari M, Vanni P, Di Carlo A, Inzitari D. (2008)
Pesticide exposure might be a strong risk factor for Parkinson's disease.
in Annals of neurology
(literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
- Baldereschi M, Inzitari M, Vanni P, Di Carlo A, Inzitari D. (literal)
- Pagina inizio
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- http://onlinelibrary.wiley.com/journal (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
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- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroFascicolo
- Note
- ISI Web of Science (WOS) (literal)
- PubMe (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
- Italian Natl Res Council, Inst Neurosci Italian Longitudinal Study Aging, Rome, Italy
Azienda Osped Univ Careggi, Unit Gerontaol & Geriatrics, Dept Crit Care Med & Surg, Florence, Italy
Univ Florence, Dept Neurol & Psychiat Sci, I-50121 Florence, Italy (literal)
- Titolo
- Pesticide exposure might be a strong risk factor for Parkinson's disease. (literal)
- Abstract
- We have read with great interest the recent article by Dr
Ascherio and coworkers.1 From a large prospective investigation,
their results strongly support the hypothesis that exposure
to pesticides increases the risk for Parkinson's disease
(PD).
Given that farmers not exposed to pesticides were not at an increased risk for PD, the high proportion of farmers
(76%) included in the study sample has indicated the direct
effect of pesticides. However, the PD case-finding procedure
has some major pitfalls: self-reported occurrence of PD is
likely to lead to a considerable amount of underrecognized
and underreported cases of the disease. In fact, the incidence
rates that Ascherio and coworkers1 reported were somewhat
lower than those previously reported in a population-based
study with direct screening of each sampled individual and
the clinical confirmation of those who screened positive.2
The authors are concerned about a possible selective underreporting
of PD among the nonexposed individuals, with a
consequent spurious positive association. On the other hand,
in view of the strong and already reported association between
pesticides and PD, we think the overlooked PD cases
in the exposed population might outnumber those in the
nonexposed population. Thus, the risk for PD might be underestimated.
In fact, an ecological, population-based, crosssectional
study could provide a higher risk ratio.3
We suggest that the results that Dr Ascherio and coworkers
acquired through a self-reported mail questionnaire might
not reflect accurately the magnitude of the risk or the
amount of the disease that can be prevented. (literal)
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