Parkinson's disease mortality and ELF-MF exposure

Bron: www.ncbi.nlm.nih.gov/pubmed/25713156?dopt=Abstract .
Occup Environ Med. 2015 Feb 23. pii: oemed-2014-102209. doi: 10.1136/oemed-2014-102209. (Epub ahead of print)

Occupational exposures and Parkinson's disease mortality in a prospective Dutch cohort.
Brouwer M1, Koeman T1, van den Brandt PA2, Kromhout H1, Schouten LJ2, Peters S3, Huss A1, Vermeulen R4.
1Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
2Department of Epidemiology, GROW School of Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.
3Department of Occupational Respiratory Epidemiology, School of Population Health, University of Western Australia, Perth, Western Australia, Australia.
4Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands Julius Centre for Public Health Sciences and Primary Care, Utrecht University Medical Centre, Utrecht, The Netherlands.

Abstract

OBJECTIVES:
We investigated the association between six occupational exposures (ie, pesticides, solvents, metals, diesel motor emissions (DME), extremely low frequency magnetic fields (ELF-MF) and electric shocks) and Parkinson's disease (PD) mortality in a large population-based prospective cohort study.

METHODS:
The Netherlands Cohort Study on diet and cancer enrolled 58 279 men and 62 573 women aged 55-69 years in 1986. Participants were followed up for cause-specific mortality over 17.3 years, until December 2003, resulting in 402 male and 207 female PD deaths. Following a case-cohort design, a subcohort of 5 000 participants was randomly sampled from the complete cohort. Information on occupational history and potential confounders was collected at baseline. Job-exposure matrices were applied to assign occupational exposures. Associations with PD mortality were evaluated using Cox regression.

RESULTS:
Among men, elevated HRs were observed for exposure to pesticides (eg, ever high exposed, HR 1.27, 95% CI 0.86 to 1.88) and ever high exposed to ELF-MF (HR 1.54, 95% CI 1.00 to 2.36). No association with exposure duration or trend in cumulative exposure was observed for any of the occupational exposures. Results among women were unstable due to small numbers of high-exposed women.

CONCLUSIONS:
Associations with PD mortality were observed for occupational exposure to pesticides and ELF-MF. However, the weight given to these findings is limited by the absence of a monotonic trend with either duration or cumulative exposure. No associations were found between PD mortality and occupational exposure to solvents, metals, DME or electric shocks.

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KEYWORDS:
Occupational exposure; Parkinson's Disease; Prospective cohort study



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