(Press-News.org) Amsterdam, NL, July 2, 2012 – Growing evidence suggests that Parkinson's disease (PD) often starts with non-motor symptoms that precede diagnosis by several years. In the first study to examine patterns in the quality of life of Parkinson' disease patients prior to diagnosis, researchers have documented declines in physical and mental health, pain, and emotional health beginning several years before the onset of the disease and continuing thereafter. Their results are reported in the latest issue of Journal of Parkinson's Disease.
"We observed a decline in physical function in PD patients relative to their healthy counterparts beginning three years prior to diagnosis in men and seven and a half years prior to diagnosis in women," says lead investigator Natalia Palacios, PhD, Department of Nutrition, Harvard School of Public Health. "The decline continues at a rate that is five to seven times faster than the average yearly decline caused by normal aging in individuals without the disease."
The study included 51,350 male health professionals enrolled in the Health Professionals Follow Up Study (HPFS) and 121,701 female registered nurses enrolled in the Nurses' Health Study (NHS). In both ongoing studies, participants fill out biannual questionnaires about a variety of lifestyle characteristics and document the occurrence of major chronic disease. In the NHS study, questionnaires measured health-related quality of life in eight areas: physical functioning, role limitations due to physical problems, role limitations due to emotional problems, vitality, bodily pain, social functioning, mental health, and general health perceptions. In the HPFS, only physical functioning was assessed.
Researchers identified 454 men and 414 women with PD in the two cohorts. At 7.5 years prior to diagnosis, physical function among PD cases, in both men and women, was comparable to that in the overall cohort. A decline began approximately 3 years prior to diagnosis in men and approximately 7.5 years prior to diagnosis in women. Physical function continued to decline thereafter at a rate of 1.43 and 2.35 points per year in men and women, respectively. In comparison, the average yearly decline in individuals without PD was 0.23 in men and 0.42 in women. Other measures of quality of life, available only in women, declined in a similar pattern.
Dr. Palacios notes that a strength of the study is the availability of prospective data on both PD patients and a healthy comparison group, and the ability to chart the deterioration in functioning and quality of life over the whole study follow-up, which included many years prior to diagnosis.
"This result provides support to the notion that the pathological process leading to PD may start several years before PD diagnosis," says Dr. Palacios. "Our hope is that, with future research, biological markers of the disease process may be recognizable in this preclinical phase."
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(Embargoed) CHAPEL HILL, NC – New research led by a medical geneticist at the University of North Carolina School of Medicine points to an increased risk of autism spectrum disorders (ASDs) among individuals whose parents or siblings have been diagnosed with schizophrenia or bipolar disorder.
The findings were based on a case-control study using population registers in Sweden and Israel, and the degree to which these three disorders share a basis in causation "has important implications for clinicians, researchers and those affected by the disorders," according to a report ...
Research led by St. Jude Children's Research Hospital scientists has identified a possible new approach to defeating bacterial infections by targeting an innate immune system component in a bid to invigorate the immune response.
In this study, researchers demonstrated that the primary function of one of the innate immune molecules is to suppress inflammation, which in turn dampens the immune response to infections and other threats. Investigators showed the protein works by inhibiting two pathways that control production of specialized molecules that fight infections. ...
After more than 10 years of gathering and analyzing data produced by the U.S. Department of Energy's Tevatron collider, scientists from the CDF and DZero collaborations have found their strongest indication to date for the long-sought Higgs particle. Squeezing the last bit of information out of 500 trillion collisions produced by the Tevatron for each experiment since March 2001, the final analysis of the data does not settle the question of whether the Higgs particle exists, but gets closer to an answer. The Tevatron scientists unveiled their latest results on July 2, ...
The use of an electronic medical record (EMR) for reviewing portal images dramatically improves compliance with timeliness and record keeping, according to a study in the July issue of the Journal of the American College of Radiology. Portal images are used to verify the positioning of patients during daily radiation treatments to improve the accuracy of the radiation field placement, to reduce exposure to normal tissue and to deliver accurate dose to tumor volumes.
"The benefits of the implementation and utilization of an EMR have been well documented. Other studies ...
A report from the American Psychiatric Association (APA) Task Force on Treatment of Gender Identity Disorder (GID) recommends the development of clinical practice guidelines for psychiatrists caring for patients who are transgender. The report also encourages the development of position statements regarding the health care and civil rights of people who are gender variant or transitioning gender. The task force report is available online in Springer's journal Archives of Sexual Behavior¹.
The task force was charged with reviewing the scientific literature regarding gender ...
COLUMBUS, Ohio - A new study reveals a simple strategy that people can use to minimize how angry and aggressive they get when they are provoked by others.
When someone makes you angry, try to pretend you're viewing the scene at a distance - in other words, you are an observer rather than a participant in this stressful situation. Then, from that distanced perspective, try to understand your feelings.
Researchers call this strategy "self-distancing."
In one study, college students who believed a lab partner was berating them for not following directions responded less ...
Now that the summer season is in full swing, many of us will be hosting picnics and barbecues and socializing outside. Chances are, we'll also have some unwanted guests in the form of mosquitoes.
Mosquitoes seem to have an uncanny ability to locate us and Zainulabeuddin Syed, a mosquito biologist with the University of Notre Dame's Eck Institute for Global Health, has gone a long way toward to determining how they do it.
In short, it's because of the way we smell.
Zain studies olfaction in mosquitoes and other insects and he points out that mosquitoes have an extraordinary ...
Reston, Va. (July 2, 2012) – Research published in the July issue of The Journal of Nuclear Medicine shows imaging progesterone receptor (PR) status also may be able to identify responders and nonresponders to endocrine therapy at an early stage. Estrogen receptor-α (ERα) status is an important factor in determining the most appropriate treatment for breast cancer patients, especially for those who are ERα+ and likely to respond well to hormone-based, or endocrine, therapies.
Prominent professor and research chemist Michael J. Welch, PhD, who passed away ...
WACO, Texas (July 2, 2012) - Methamphetamine abuse leads to an increase in child abuse and neglect, which causes an increase in foster care admissions, according to a study from Baylor University.
The study, published online in the journal Economic Inquiry, found that a 1 percent increase in meth use led to a 1.5 percent increase in foster care admissions. It is the first study to provide evidence for meth abuse's causal effect on foster home admissions.
Follow this link to read the entire study: http://onlinelibrary.wiley.com/doi/10.1111/j.1465-7295.2012.00481.x/full
"Our ...
(Boston) – A study conducted at Boston University School of Medicine (BUSM) demonstrates an effective combination therapy for breast cancer cells in vitro. The findings, published in the July 2012 issue of Anticancer Research, raise the possibility of using this type of combination therapy for different forms of breast cancer, including those that develop resistance to chemotherapy and other treatments.
The study was led by researchers at the Boston University Cancer Center. Sibaji Sarkar, PhD, adjunct instructor of medicine at BUSM, is the study's corresponding author. ...