Associations of digestive diseases exposure and lifestyle factors with Parkinson’s disease

Abstract Emerging evidence highlights the importance of gastrointestinal (GI) dysfunction in Parkinson’s disease (PD). While inflammatory bowel disease (IBD) has been linked to PD, the association with other GI conditions remains unclear. This study analyzed data from 501,483 participants, including...

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Main Authors: Kaitai Yang, Ruitian Zeng, Yiling Zheng, Siqi Zhong, Jiani Wang, Xinxi Yu, Huilin Zhong, Xuanjie Chen, Yisen Shi, Fabin Lin, Qinyong Ye, Ning Sun, Guoen Cai
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-025-01098-6
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author Kaitai Yang
Ruitian Zeng
Yiling Zheng
Siqi Zhong
Jiani Wang
Xinxi Yu
Huilin Zhong
Xuanjie Chen
Yisen Shi
Fabin Lin
Qinyong Ye
Ning Sun
Guoen Cai
author_facet Kaitai Yang
Ruitian Zeng
Yiling Zheng
Siqi Zhong
Jiani Wang
Xinxi Yu
Huilin Zhong
Xuanjie Chen
Yisen Shi
Fabin Lin
Qinyong Ye
Ning Sun
Guoen Cai
author_sort Kaitai Yang
collection DOAJ
description Abstract Emerging evidence highlights the importance of gastrointestinal (GI) dysfunction in Parkinson’s disease (PD). While inflammatory bowel disease (IBD) has been linked to PD, the association with other GI conditions remains unclear. This study analyzed data from 501,483 participants, including 907 PD cases. Cox models revealed that digestive diseases were significantly associated with an increased PD risk (HR = 1.43). Eleven digestive diseases were linked to PD, with lifestyle factors such as sleep patterns and diet reducing PD risk. Notably, interactions between Non-alcoholic Fatty Liver Disease (NAFLD) and sleep (P-int = 0.0119), and Crohn’s disease and dietary diversity (P-int = 0.0081) were observed. Population attributable fraction (PAF) analysis indicated that eliminating exposure to gastroesophageal reflux disease (GERD), gastritis and duodenitis, and gallbladder and biliary diseases could reduce PD cases by approximately 8.9%, 7.9%, and 3.8%, respectively. These findings emphasize the role of digestive diseases and lifestyle in PD risk.
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issn 2373-8057
language English
publishDate 2025-08-01
publisher Nature Portfolio
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series npj Parkinson's Disease
spelling doaj-art-c59a14ed73424abe829f031e674f8b2c2025-08-24T11:14:45ZengNature Portfolionpj Parkinson's Disease2373-80572025-08-0111111010.1038/s41531-025-01098-6Associations of digestive diseases exposure and lifestyle factors with Parkinson’s diseaseKaitai Yang0Ruitian Zeng1Yiling Zheng2Siqi Zhong3Jiani Wang4Xinxi Yu5Huilin Zhong6Xuanjie Chen7Yisen Shi8Fabin Lin9Qinyong Ye10Ning Sun11Guoen Cai12Department of Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Fujian Medical University Union HospitalDepartment of Neurosurgery, Fujian Medical University Union HospitalDepartment of Neurology, Fujian Medical University Union HospitalDepartment of Psychiatry, First Hospital of Shanxi Medical UniversityDepartment of Neurology, Fujian Medical University Union HospitalAbstract Emerging evidence highlights the importance of gastrointestinal (GI) dysfunction in Parkinson’s disease (PD). While inflammatory bowel disease (IBD) has been linked to PD, the association with other GI conditions remains unclear. This study analyzed data from 501,483 participants, including 907 PD cases. Cox models revealed that digestive diseases were significantly associated with an increased PD risk (HR = 1.43). Eleven digestive diseases were linked to PD, with lifestyle factors such as sleep patterns and diet reducing PD risk. Notably, interactions between Non-alcoholic Fatty Liver Disease (NAFLD) and sleep (P-int = 0.0119), and Crohn’s disease and dietary diversity (P-int = 0.0081) were observed. Population attributable fraction (PAF) analysis indicated that eliminating exposure to gastroesophageal reflux disease (GERD), gastritis and duodenitis, and gallbladder and biliary diseases could reduce PD cases by approximately 8.9%, 7.9%, and 3.8%, respectively. These findings emphasize the role of digestive diseases and lifestyle in PD risk.https://doi.org/10.1038/s41531-025-01098-6
spellingShingle Kaitai Yang
Ruitian Zeng
Yiling Zheng
Siqi Zhong
Jiani Wang
Xinxi Yu
Huilin Zhong
Xuanjie Chen
Yisen Shi
Fabin Lin
Qinyong Ye
Ning Sun
Guoen Cai
Associations of digestive diseases exposure and lifestyle factors with Parkinson’s disease
npj Parkinson's Disease
title Associations of digestive diseases exposure and lifestyle factors with Parkinson’s disease
title_full Associations of digestive diseases exposure and lifestyle factors with Parkinson’s disease
title_fullStr Associations of digestive diseases exposure and lifestyle factors with Parkinson’s disease
title_full_unstemmed Associations of digestive diseases exposure and lifestyle factors with Parkinson’s disease
title_short Associations of digestive diseases exposure and lifestyle factors with Parkinson’s disease
title_sort associations of digestive diseases exposure and lifestyle factors with parkinson s disease
url https://doi.org/10.1038/s41531-025-01098-6
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