Association of Serum Lipid Levels with Parkinson’s Disease: A Case-Control Study

Muhammad Rezeul Huq, M. Hannan, M. Habib, Md Rafiqul Islam, Md Bahadur Ali Miah, A. Ahmed, Imran Sarker, Md. Zahidul Islam, A. Agarwalla, M. Hasan, Md. Shofikul Islam
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Abstract

Background: Parkinson’s disease (PD) is a common neurodegenerative disorder. Many hypotheses have been put forward for PD pathogenesis including role of lipid metabolism. Methods: This case control study was carried out in the department of neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from April 2018 to September 2019. A total of 90 persons were enrolled as study population after satisfying inclusion and exclusion criteria. Among them, 42 PD patients were grouped as cases and 48 healthy persons were controls. Results: We have compared the mean (±SD) value (mg/dl) of serum lipid variables among the cases and the controls. Serum total cholesterol in PD patients was found lower than that of control group (176.88 ± 41.12 vs 209.27 ± 43.69 mg/dl) which was statistically significant (p = 0.001) and mean (±SD) value (mg/dl) of serum LDL-C in PD patients was also found significantly lower than that of control group (107 .44 ± 39.04 vs 127.40 ± 37.83 mg/dl, p = 0.017). Serum TG levels were also significantly lower among PD patients than that of controls (152.40 ±77.86 vs 206.71 ±94.76 mg/dl, p = 0.04). Serum high-density lipoprotein cholesterol (HDL-C) levels were statistically similar among cases and controls (39.81 ± 9.79 vs 39.33 ±12.21 mg/dl, p = 0.840). Conclusion: There is an association between low serum TC, LDL-C and TG levels with PD. Further prospective studies are necessary to confirm the association. Bangladesh Journal of Neuroscience 2018; Vol. 34 (2): 66-71
血脂水平与帕金森病的关系:一项病例对照研究
背景:帕金森病(PD)是一种常见的神经退行性疾病。关于帕金森病的发病机制,人们提出了许多假说,包括脂质代谢的作用。方法:本病例对照研究于2018年4月至2019年9月在达卡Bangabandhu Sheikh Mujib医科大学(BSMMU)神经内科进行。在满足纳入和排除标准后,共入组90人作为研究人群。其中42例帕金森病患者为病例,48例健康人为对照组。结果:我们比较了病例与对照组血脂变量的平均值(±SD)值(mg/dl)。PD患者血清总胆固醇低于对照组(176.88±41.12 vs 209.27±43.69 mg/dl),差异有统计学意义(p = 0.001); PD患者血清LDL-C均值(±SD)值(107.44±39.04 vs 127.40±37.83 mg/dl, p = 0.017)显著低于对照组(107.44±39.04 vs 127.40±37.83 mg/dl)。PD患者血清TG水平也显著低于对照组(152.40±77.86 vs 206.71±94.76 mg/dl, p = 0.04)。患者血清高密度脂蛋白胆固醇(HDL-C)水平与对照组(39.81±9.79 vs 39.33±12.21 mg/dl, p = 0.840)有统计学差异。结论:血清低TC、低LDL-C、低TG与PD有相关性。需要进一步的前瞻性研究来证实这种关联。孟加拉国神经科学杂志2018;Vol. 34 (2): 66-71
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