Longitudinal assessment of the association between pesticide exposure and lifestyle with Parkinson’s disease motor severity

Abstract Longitudinal investigations on the relationship between lifestyle exposures and motor severity are lacking. In this longitudinal study, we included patients with idiopathic Parkinson’s disease (iPD) (N = 5139) and LRRK2-related PD (N = 81) from PPMI-Online and Fox Insight. Motor aspects wer...

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Main Authors: Theresa Lüth, Amke Caliebe, Carolin Gabbert, Sebastian Sendel, Björn-Hergen Laabs, Inke R. König, Christine Klein, Joanne Trinh
Format: Article
Language:English
Published: Nature Portfolio 2025-06-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-025-01010-2
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author Theresa Lüth
Amke Caliebe
Carolin Gabbert
Sebastian Sendel
Björn-Hergen Laabs
Inke R. König
Christine Klein
Joanne Trinh
author_facet Theresa Lüth
Amke Caliebe
Carolin Gabbert
Sebastian Sendel
Björn-Hergen Laabs
Inke R. König
Christine Klein
Joanne Trinh
author_sort Theresa Lüth
collection DOAJ
description Abstract Longitudinal investigations on the relationship between lifestyle exposures and motor severity are lacking. In this longitudinal study, we included patients with idiopathic Parkinson’s disease (iPD) (N = 5139) and LRRK2-related PD (N = 81) from PPMI-Online and Fox Insight. Motor aspects were followed for up to five years. We investigated the association between environmental exposure, lifestyle factors and motor aspect severity over time by applying linear mixed effects models. In LRRK2-PD, black tea consumption was associated with less severe motor aspects (β = −0.51, p = 0.028). In patients with iPD, pesticide exposure was associated with more severe motor aspects over time in PPMI-Online (β = 0.23, p = 3.56 × 10− 9). Lastly, caffeinated soda was associated with more severe motor aspects in patients with iPD from PPMI-Online (β = 0.15, p = 3.84 × 10−8) and Fox Insight (β = 0.09, p = 0.031). We suggest that pesticide exposure and lifestyle factors may affect motor severity in patients with LRRK2-PD and iPD, demonstrating the impact on patients even after disease onset.
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spelling doaj-art-8007b6fbd05945789f7edede431fc4542025-08-20T03:21:02ZengNature Portfolionpj Parkinson's Disease2373-80572025-06-0111111310.1038/s41531-025-01010-2Longitudinal assessment of the association between pesticide exposure and lifestyle with Parkinson’s disease motor severityTheresa Lüth0Amke Caliebe1Carolin Gabbert2Sebastian Sendel3Björn-Hergen Laabs4Inke R. König5Christine Klein6Joanne Trinh7Institute of Neurogenetics, University of LübeckInstitute of Medical Informatics and Statistics, Kiel University and University Hospital Schleswig-HolsteinInstitute of Neurogenetics, University of LübeckInstitute of Medical Informatics and Statistics, Kiel University and University Hospital Schleswig-HolsteinInstitute of Medical Biometry and Statistics, University of LübeckInstitute of Medical Biometry and Statistics, University of LübeckInstitute of Neurogenetics, University of LübeckInstitute of Neurogenetics, University of LübeckAbstract Longitudinal investigations on the relationship between lifestyle exposures and motor severity are lacking. In this longitudinal study, we included patients with idiopathic Parkinson’s disease (iPD) (N = 5139) and LRRK2-related PD (N = 81) from PPMI-Online and Fox Insight. Motor aspects were followed for up to five years. We investigated the association between environmental exposure, lifestyle factors and motor aspect severity over time by applying linear mixed effects models. In LRRK2-PD, black tea consumption was associated with less severe motor aspects (β = −0.51, p = 0.028). In patients with iPD, pesticide exposure was associated with more severe motor aspects over time in PPMI-Online (β = 0.23, p = 3.56 × 10− 9). Lastly, caffeinated soda was associated with more severe motor aspects in patients with iPD from PPMI-Online (β = 0.15, p = 3.84 × 10−8) and Fox Insight (β = 0.09, p = 0.031). We suggest that pesticide exposure and lifestyle factors may affect motor severity in patients with LRRK2-PD and iPD, demonstrating the impact on patients even after disease onset.https://doi.org/10.1038/s41531-025-01010-2
spellingShingle Theresa Lüth
Amke Caliebe
Carolin Gabbert
Sebastian Sendel
Björn-Hergen Laabs
Inke R. König
Christine Klein
Joanne Trinh
Longitudinal assessment of the association between pesticide exposure and lifestyle with Parkinson’s disease motor severity
npj Parkinson's Disease
title Longitudinal assessment of the association between pesticide exposure and lifestyle with Parkinson’s disease motor severity
title_full Longitudinal assessment of the association between pesticide exposure and lifestyle with Parkinson’s disease motor severity
title_fullStr Longitudinal assessment of the association between pesticide exposure and lifestyle with Parkinson’s disease motor severity
title_full_unstemmed Longitudinal assessment of the association between pesticide exposure and lifestyle with Parkinson’s disease motor severity
title_short Longitudinal assessment of the association between pesticide exposure and lifestyle with Parkinson’s disease motor severity
title_sort longitudinal assessment of the association between pesticide exposure and lifestyle with parkinson s disease motor severity
url https://doi.org/10.1038/s41531-025-01010-2
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