Unveiling Parkinson’s: Exploring Incidence and Modifiable Risk Factors in Korean Population

Published on February 14, 2023

Imagine unraveling a mysterious puzzle to reveal the secrets behind Parkinson’s disease (PD). In a nationwide cohort of over 900,000 participants in Korea, scientists embarked on a scientific journey to investigate the incidence of PD and its modifiable risk factors. By analyzing data from the Korean National Health Insurance Service, they closely followed participants who were initially free from PD and dementia. The incidence of PD steadily rose over time, reaching 1.34 cases per 1,000 person-years in 2018. Moreover, the risk of developing PD increased with age, peaking at 80 years. The study also shed light on several modifiable risk factors linked to PD, including hypertension, diabetes, dyslipidemia, stroke, heart disease, depression, osteoporosis, and obesity. These findings offer valuable insights into preventing PD and provide a foundation for shaping future healthcare strategies.

IntroductionWe aimed to investigate the incidence of Parkinson’s disease (PD) by age and year for each sex as well as the modifiable risk factors for PD. Using data from the Korean National Health Insurance Service, 938,635 PD and dementia-free participants aged ≥40 years who underwent general health examinations were followed to December 2019.MethodsWe analyzed the PD incidence rates according to age, year and sex. To investigate the modifiable risk factors for PD, we used the Cox regression model. Additionally, we calculated the population-attributable fraction to measure the impact of the risk factors on PD.ResultsDuring follow-up, 9,924 of the 938,635 (1.1%) participants developed PD. The incidence of PD increased continuously from 2007 to 2018, reaching 1.34 per 1,000 person-years in 2018. The incidence of PD also increases with age, up to 80 y. Presence of hypertension (SHR = 1.09, 95% CI 1.05 to 1.14), diabetes (SHR = 1.24, 95% CI 1.17 to 1.31), dyslipidemia (SHR = 1.12, 95% CI 1.07 to 1.18), ischemic stroke (SHR = 1.26, 95% CI 1.17 to 1.36), hemorrhagic stroke (SHR = 1.26, 95% CI 1.08 to 1.47), ischemic heart disease (SHR = 1.09, 95% CI 1.02 to 1.17), depression (SHR = 1.61, 95% CI 1.53 to 1.69), osteoporosis (SHR = 1.24, 95% CI 1.18 to 1.30), and obesity (SHR = 1.06, 95% CI 1.01 to 1.10) were independently associated with a higher risk for PD.DiscussionOur results highlight the effect of modifiable risk factors for PD in the Korean population, which will help establish health care policies to prevent the development of PD.

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