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<title>Identifying comorbidities and lifestyle factors contributing to the cognitive profile of early Parkinson’s disease</title>
<creator>Martínez-Horta, Saul</creator>
<creator>Berj-Kasem, Helena</creator>
<creator>Horta-Barba, Andrea</creator>
<creator>Pascual Sedano, Berta</creator>
<creator>Santos García, Diego</creator>
<creator>Deus-Fonticoba, Teresa de</creator>
<creator>Jesús, Silvia</creator>
<creator>Aguilar, Miquel</creator>
<creator>Planellás, Lluis L.</creator>
<creator>García Caldentey, Juan</creator>
<creator>Caballol, Núria</creator>
<creator>Vives Pastor, Bárbara</creator>
<creator>Hernández Vara, Jorge</creator>
<creator>Cabo López, Iria</creator>
<creator>López Manzanares, Lydia</creator>
<creator>González Aramburu, Isabel</creator>
<creator>Ávila Rivera, María A.</creator>
<creator>Catalán, María José</creator>
<creator>López Díaz, Luis M.</creator>
<creator>Puente, Víctor</creator>
<creator>García Moreno, José Manuel</creator>
<creator>Borrue, Carmen</creator>
<creator>Solano Vila, Berta</creator>
<creator>Álvarez Saúco, María</creator>
<creator>Vela Desojo, Lydia</creator>
<creator>Escalante Arroyo, Sonia</creator>
<creator>Cubo Delgado, Esther</creator>
<creator>Carrillo Padilla, Francisco</creator>
<creator>Martínez Castrillo, Juan Carlos</creator>
<creator>Sánchez Alonso, Pilar</creator>
<creator>Alonso Losada, María Gema</creator>
<creator>López Ariztegui, Nuria</creator>
<creator>Gastón, Itziar</creator>
<creator>Blázquez Estrada, Marta</creator>
<creator>Seijo, Manuel</creator>
<creator>Ruíz Martínez, Javier</creator>
<creator>Valero, Caridad</creator>
<creator>Kurtis, Mónica M.</creator>
<creator>Fabregues, Oriol de</creator>
<creator>González Ardura, Jessica</creator>
<creator>Prieto Jurczynska, Cristina</creator>
<creator>Martínez Martín, Pablo</creator>
<creator>Mir, Pablo</creator>
<creator>Kulisevsky Bojarsky, Jaume</creator>
<creator>COPPADIS Study Group</creator>
<subject>Parkinson’s disease</subject>
<subject>PD-MCI</subject>
<subject>Cognition</subject>
<subject>Lifestyle</subject>
<subject>Coppadis</subject>
<description>Background: Identifying modifable risk factors for cognitive impairment in the early stages of Parkinson’s disease&#xd;
(PD) and estimating their impact on cognitive status may help prevent dementia (PDD) and the design of cognitive&#xd;
trials.&#xd;
Methods: Using a standard approach for the assessment of global cognition in PD and controlling for the efects of&#xd;
age, education and disease duration, we explored the associations between cognitive status, comorbidities, meta‑&#xd;
bolic variables and lifestyle variables in 533 PD participants from the COPPADIS study.&#xd;
Results: Among the overall sample, 21% of participants were classifed as PD-MCI (n=114) and 4% as PDD (n=26).&#xd;
The prevalence of hypertension, diabetes and dyslipidemia was signifcantly higher in cognitively impaired patients&#xd;
while no between-group diferences were found for smoking, alcohol intake or use of supplementary vitamins. Bet‑&#xd;
ter cognitive scores were signifcantly associated with regular physical exercise (p&lt;0.05) and cognitive stimulation&#xd;
(&lt;0.01). Cognitive performance was negatively associated with interleukin 2 (Il2) (p&lt;0.05), Il6 (p&lt;0.05), iron (p&lt;0.05),&#xd;
and homocysteine (p&lt;0.005) levels, and positively associated with vitamin B12 levels (p&lt;0.005).&#xd;
Conclusions: We extend previous fndings regarding the positive and negative infuence of various comorbidities&#xd;
and lifestyle factors on cognitive status in early PD patients, and reinforce the need to identify and treat potentially</description>
<date>2024-03-12</date>
<date>2024-03-12</date>
<date>2021-12</date>
<type>info:eu-repo/semantics/article</type>
<identifier>http://hdl.handle.net/10259/8809</identifier>
<identifier>10.1186/s12883-021-02485-1</identifier>
<identifier>1471-2377</identifier>
<language>eng</language>
<relation>BMC Neurology. 2021, V. 21, n. 1</relation>
<relation>https://doi.org/10.1186/s12883-021-02485-1</relation>
<rights>http://creativecommons.org/licenses/by/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Atribución 4.0 Internacional</rights>
<publisher>Springer Nature</publisher>
</thesis></metadata></record></GetRecord></OAI-PMH>