14 october 2021

Parkinson’s Disease Risk and Alcohol Intake: A Systematic Review and Dose-Response Meta-Analysis of Prospective Studies

BACKGROUND: The association between Parkinson's disease (PD) risk and alcohol intake is a controversial topic.

OBJECTIVES: To systematically assess the association between PD risk and alcohol intake.

METHODS: PubMed and Embase databases were searched for eligible studies with prospective design on PD risk and alcohol intake. A meta-analysis with a random-effects model and dose-response analysis was performed. Relative risk ratios (RRs) with 95% CIs were calculated.

RESULTS: Eleven prospective studies were included. Overall, a higher intake of alcohol was inversely associated with PD risk (RR: 0.81, 95% CI: 0.70-0.95, I (2) = 73.7%). Significant differences existed between the specific types of alcoholic beverages and geographic area. Specifically, a significant association existed for beer (RR: 0.78, 95% CI: 0.65-0.94, I (2) = 0.0%) and studies conducted in Asia (RR: 0.66, 95% CI: 0.55-0.80, I (2) = 37.3%). Dose-response analysis indicated a nonlinear relationship between PD risk and alcohol exposure. No evidence for publication bias was detected.

CONCLUSIONS: In summary, our meta-analysis suggests that alcohol consumption was associated with a decreased risk of PD, with a nearly U-shaped association. Future studies are warranted to clarify the question of a specific type of alcoholic beverage-dependent association, geographic area effect, and possible threshold effects regarding both the adverse and beneficial effects of alcohol.

Additional Info

  • Authors

    Wang X.; He J.; Shao C.; Wang P.; Tang H.; Wu N.
  • Issue

    Front Nutr . 2021 Oct 14;8:709846.
  • Published Date

    14 october 2021