Association between functional gastrointestinal disorders and Parkinson’s disease in a prospective cohort study

Abstract The influence of functional gastrointestinal disorders (FGIDs) on the onset of Parkinson’s disease (PD) remains unclear. Therefore, in this study, we examined the effect of FGIDs and their subtypes on the PD onset. In Cox proportional hazards model, FGIDs significantly increased the risk of...

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Main Authors: Yixiang Lin, Haoling Xu, Jiayi Zheng, Tianxin Lin, Minhui Wang, Tingting Huang, Fabin Lin, Qinyong Ye, Guoen Cai
Format: Article
Language:English
Published: Nature Portfolio 2025-06-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-025-01000-4
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author Yixiang Lin
Haoling Xu
Jiayi Zheng
Tianxin Lin
Minhui Wang
Tingting Huang
Fabin Lin
Qinyong Ye
Guoen Cai
author_facet Yixiang Lin
Haoling Xu
Jiayi Zheng
Tianxin Lin
Minhui Wang
Tingting Huang
Fabin Lin
Qinyong Ye
Guoen Cai
author_sort Yixiang Lin
collection DOAJ
description Abstract The influence of functional gastrointestinal disorders (FGIDs) on the onset of Parkinson’s disease (PD) remains unclear. Therefore, in this study, we examined the effect of FGIDs and their subtypes on the PD onset. In Cox proportional hazards model, FGIDs significantly increased the risk of PD incidence [hazard ratio (HR) = 1.74, 95% confidence interval (CI) = 1.30–2.33]. Similar results were also observed for functional dyspepsia (HR = 1.71, 95% CI = 1.17–2.52) and other functional intestinal disorders (other FIDs) (HR = 1.67, 95% CI = 1.00–2.78). Mediation analyses revealed that mental health scores mediated 10.00% and 8.32% of the association between FGIDs and functional dyspepsia and PD development. This cohort study discovered that FGIDs increase the risk of developing PD. Similar effects can also be observed in functional dyspepsia and other FIDs and mental health mediates part of the effect of FGIDs and functional dyspepsia on PD.
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institution Kabale University
issn 2373-8057
language English
publishDate 2025-06-01
publisher Nature Portfolio
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series npj Parkinson's Disease
spelling doaj-art-ca0e98829f004d3d84b1d128b43b86d62025-08-20T03:26:42ZengNature Portfolionpj Parkinson's Disease2373-80572025-06-011111810.1038/s41531-025-01000-4Association between functional gastrointestinal disorders and Parkinson’s disease in a prospective cohort studyYixiang Lin0Haoling Xu1Jiayi Zheng2Tianxin Lin3Minhui Wang4Tingting Huang5Fabin Lin6Qinyong Ye7Guoen Cai8Department of Neurology, Center for Cognitive Neurology, Institute of Clinical Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Center for Cognitive Neurology, Institute of Clinical Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Center for Cognitive Neurology, Institute of Clinical Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Center for Cognitive Neurology, Institute of Clinical Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Center for Cognitive Neurology, Institute of Clinical Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Center for Cognitive Neurology, Institute of Clinical Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Center for Cognitive Neurology, Institute of Clinical Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Center for Cognitive Neurology, Institute of Clinical Neurology, Fujian Medical University Union HospitalDepartment of Neurology, Center for Cognitive Neurology, Institute of Clinical Neurology, Fujian Medical University Union HospitalAbstract The influence of functional gastrointestinal disorders (FGIDs) on the onset of Parkinson’s disease (PD) remains unclear. Therefore, in this study, we examined the effect of FGIDs and their subtypes on the PD onset. In Cox proportional hazards model, FGIDs significantly increased the risk of PD incidence [hazard ratio (HR) = 1.74, 95% confidence interval (CI) = 1.30–2.33]. Similar results were also observed for functional dyspepsia (HR = 1.71, 95% CI = 1.17–2.52) and other functional intestinal disorders (other FIDs) (HR = 1.67, 95% CI = 1.00–2.78). Mediation analyses revealed that mental health scores mediated 10.00% and 8.32% of the association between FGIDs and functional dyspepsia and PD development. This cohort study discovered that FGIDs increase the risk of developing PD. Similar effects can also be observed in functional dyspepsia and other FIDs and mental health mediates part of the effect of FGIDs and functional dyspepsia on PD.https://doi.org/10.1038/s41531-025-01000-4
spellingShingle Yixiang Lin
Haoling Xu
Jiayi Zheng
Tianxin Lin
Minhui Wang
Tingting Huang
Fabin Lin
Qinyong Ye
Guoen Cai
Association between functional gastrointestinal disorders and Parkinson’s disease in a prospective cohort study
npj Parkinson's Disease
title Association between functional gastrointestinal disorders and Parkinson’s disease in a prospective cohort study
title_full Association between functional gastrointestinal disorders and Parkinson’s disease in a prospective cohort study
title_fullStr Association between functional gastrointestinal disorders and Parkinson’s disease in a prospective cohort study
title_full_unstemmed Association between functional gastrointestinal disorders and Parkinson’s disease in a prospective cohort study
title_short Association between functional gastrointestinal disorders and Parkinson’s disease in a prospective cohort study
title_sort association between functional gastrointestinal disorders and parkinson s disease in a prospective cohort study
url https://doi.org/10.1038/s41531-025-01000-4
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