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NEUROLOGY 1987;37:226
© 1987 American Academy of Neurology

A case-control study of smoking habits, dementia, and other illnesses in idiopathic Parkinson's disease

A. H. Rajput, FRCP(C), Kenneth P. Offord, MS, C. Mary Beard, RN, MPH and L. T. Kurland, MD, DrPH

Department of Clinical Neurological Sciences (Dr. Rajput). University of Saskatchewan, Saskatoon, Saskatchewan, Canada; and the Department of Medical Statistics and Epidemiology (Mr. Offord, Ms. Beard, and Dr. Kurland), Mayo Clinic, Rochester, MN.

From 1967 to 1979, 118 incident cases of idiopathic Parkinson's disease (IPD) and 236 age- and sex-matched controls from Rochester, MN, were identified. Medical records on patients and controls for 40 years preceding the diagnosis of IPD were reviewed. The relative risk (RR) for ever-smoked and IPD was not significantly different from unity (RR = 0.7, 95% confidence interval = 0.4 to 1.2). The mean age at diagnosis of IPD was significantly younger (p = 0.007) in the ever-smokers (68.8 years) compared with never-smokers (73.8 years), although this needs to be interpreted cautiously. It is concluded that smoking had no effect on the development of IPD. Within 5 years after the index date, a new diagnosis of dementia was made more often in cases than in controls (p = 0.01). Relative risk of IPD significantly increased when prior diagnosis of psychoneurosis and psychosomatic illness had been made.

Address correspondence and reprint requests to Dr. Rajput, Department of Clinical Neurological Sciences, University Hospital, Saskatoon, Saskatchewan S7N 0X0 Canada.

Supported in part by Grants AM-30582 and NS-17750 from the National Institutes of Health, Public Health Service, Bethesda, MD.

Received October 18, 1983. Accepted for publication June 6, 1986.




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