Association of lipid levels with motor and cognitive function and decline in advanced Parkinson's disease in the Mark-PD study
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Association of lipid levels with motor and cognitive function and decline in advanced Parkinson's disease in the Mark-PD study. / Choe, Chi-Un; Petersen, Elina; Lezius, Susanne; Cheng, Bastian; Schulz, Robert; Buhmann, Carsten; Pötter-Nerger, Monika; Daum, Günter; Blankenberg, Stefan; Gerloff, Christian; Schwedhelm, Edzard; Zeller, Tanja.
In: PARKINSONISM RELAT D, Vol. 85, 04.2021, p. 5-10.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Association of lipid levels with motor and cognitive function and decline in advanced Parkinson's disease in the Mark-PD study
AU - Choe, Chi-Un
AU - Petersen, Elina
AU - Lezius, Susanne
AU - Cheng, Bastian
AU - Schulz, Robert
AU - Buhmann, Carsten
AU - Pötter-Nerger, Monika
AU - Daum, Günter
AU - Blankenberg, Stefan
AU - Gerloff, Christian
AU - Schwedhelm, Edzard
AU - Zeller, Tanja
N1 - Copyright © 2021 Elsevier Ltd. All rights reserved.
PY - 2021/4
Y1 - 2021/4
N2 - OBJECTIVES: In prospective cohort studies different blood lipid fractions have been identified as risk factors of Parkinson's disease (PD). However, data relating lipoproteins to disease phenotypes and progression in advanced PD patients are sparse. Therefore, we assessed the most common lipoproteins in a case-control design and evaluated their associations with motor and cognitive function and decline in PD patients.METHODS: Triglycerides, LDL-cholesterol (LDL-C), HDL-cholesterol (HDL-C), apolipoprotein A1 (ApoA1), apolipoprotein B (ApoB), and lipoprotein a (Lp(a)) were analyzed in 294 PD patients of the MARK-PD study cohort and 588 controls matched for age, sex and cardiovascular risk factors. In PD patients, motor (MDS-UPDRS III, Hoehn-Yahr stage) and cognitive function (MoCA) were examined. In a sub-cohort (n = 98 patients), baseline lipid levels were correlated with motor and cognitive disease progression during a follow-up period of 523 ± 199 days.RESULTS: At baseline, HDL-C levels were lower in PD patients compared to matched controls after adjustment. We observed a very weak association of Lp(a) levels with UDPRS III scores. In cross-sectional analyses, no other lipid fraction revealed a significant and consistent association with motor or cognitive function. During follow-up, no lipid fraction level was associated with motor or cognitive progression.CONCLUSION: In advanced PD, there is no strong and consistent association of lipid levels with motor or cognitive function and decline.
AB - OBJECTIVES: In prospective cohort studies different blood lipid fractions have been identified as risk factors of Parkinson's disease (PD). However, data relating lipoproteins to disease phenotypes and progression in advanced PD patients are sparse. Therefore, we assessed the most common lipoproteins in a case-control design and evaluated their associations with motor and cognitive function and decline in PD patients.METHODS: Triglycerides, LDL-cholesterol (LDL-C), HDL-cholesterol (HDL-C), apolipoprotein A1 (ApoA1), apolipoprotein B (ApoB), and lipoprotein a (Lp(a)) were analyzed in 294 PD patients of the MARK-PD study cohort and 588 controls matched for age, sex and cardiovascular risk factors. In PD patients, motor (MDS-UPDRS III, Hoehn-Yahr stage) and cognitive function (MoCA) were examined. In a sub-cohort (n = 98 patients), baseline lipid levels were correlated with motor and cognitive disease progression during a follow-up period of 523 ± 199 days.RESULTS: At baseline, HDL-C levels were lower in PD patients compared to matched controls after adjustment. We observed a very weak association of Lp(a) levels with UDPRS III scores. In cross-sectional analyses, no other lipid fraction revealed a significant and consistent association with motor or cognitive function. During follow-up, no lipid fraction level was associated with motor or cognitive progression.CONCLUSION: In advanced PD, there is no strong and consistent association of lipid levels with motor or cognitive function and decline.
U2 - 10.1016/j.parkreldis.2021.02.007
DO - 10.1016/j.parkreldis.2021.02.007
M3 - SCORING: Journal article
C2 - 33636481
VL - 85
SP - 5
EP - 10
JO - PARKINSONISM RELAT D
JF - PARKINSONISM RELAT D
SN - 1353-8020
ER -