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Arch Neurol. 2008 Oct;65(10):1348-52. doi: 10.1001/archneur.65.10.1348.

Prevalence of vitamin d insufficiency in patients with Parkinson disease and Alzheimer disease.

Author information

  • 1Department of Neurology, Emory University School of Medicine, 1841 Clifton Road NE, Atlanta, GA 30329, USA. mevatt@emory.edu

Abstract

BACKGROUND:

A role for vitamin D deficiency in Parkinson disease (PD) has recently been proposed.

OBJECTIVE:

To compare the prevalence of vitamin D deficiency in a research database cohort of patients with PD with the prevalence in age-matched healthy controls and patients with Alzheimer disease (AD).

DESIGN:

Survey study and blinded comparison of plasma 25-hydroxyvitamin D (25[OH]D) concentrations of stored samples in a clinical research database at Emory University School of Medicine.

SETTING:

Referral center (PD and AD patients), primary care clinics, and community setting (controls).

PARTICIPANTS:

Participants were recruited into the study between May 1992 and March 2007. Every fifth consecutively enrolled PD patient was selected from the clinical research database. Unrelated AD (n = 97) and control (n = 99) participants were randomly selected from the database after matching for age, sex, race, APOE genotype, and geographic location.

MAIN OUTCOME MEASURES:

Prevalence of suboptimal vitamin D and mean 25(OH)D concentrations.

RESULTS:

Significantly more patients with PD (55%) had insufficient vitamin D than did controls (36%) or patients with AD (41%; P = .02, chi(2)test). The mean (SD) 25(OH)D concentration in the PD cohort was significantly lower than in the AD and control cohorts (31.9 [13.6] ng/mL vs 34.8 [15.4] ng/mL and 37.0 [14.5] ng/mL, respectively; P = .03).

CONCLUSIONS:

This report of 25(OH)D concentrations in a predominantly white PD cohort demonstrates a significantly higher prevalence of hypovitaminosis in PD vs both healthy controls and patients with AD. These data support a possible role of vitamin D insufficiency in PD. Further studies are needed to determine the factors contributing to these differences and elucidate the potential role of vitamin D in pathogenesis and clinical course of PD.

PMID:
18852350
[PubMed - indexed for MEDLINE]
PMCID:
PMC2746037
Free PMC Article

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