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<mods:dateAccessioned encoding="iso8601">2024-03-12T12:19:24Z</mods:dateAccessioned>
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<mods:identifier type="uri">http://hdl.handle.net/10259/8809</mods:identifier>
<mods:identifier type="doi">10.1186/s12883-021-02485-1</mods:identifier>
<mods:identifier type="essn">1471-2377</mods:identifier>
<mods:abstract>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</mods:abstract>
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<mods:languageTerm authority="rfc3066">eng</mods:languageTerm>
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<mods:accessCondition type="useAndReproduction">Atribución 4.0 Internacional</mods:accessCondition>
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<mods:topic>Parkinson’s disease</mods:topic>
</mods:subject>
<mods:subject>
<mods:topic>PD-MCI</mods:topic>
</mods:subject>
<mods:subject>
<mods:topic>Cognition</mods:topic>
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<mods:topic>Lifestyle</mods:topic>
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<mods:topic>Coppadis</mods:topic>
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<mods:title>Identifying comorbidities and lifestyle factors contributing to the cognitive profile of early Parkinson’s disease</mods:title>
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