Here is a summary of the key points from the article:
- The study examined the association between waist circumference and risk of Parkinson's disease using a large cohort of 6,925,646 South Koreans aged 40 years and older.
- Participants underwent health screening in 2009 and were followed until 2018 for diagnosis of Parkinson's disease. During the follow-up period, 33,300 new cases of Parkinson's disease were identified.
- Higher waist circumference was associated with a higher risk of Parkinson's disease in a dose-dependent manner. The highest waist circumference group had a 16% higher risk of Parkinson's disease compared to the reference group.
- The presence of abdominal obesity, defined as waist circumference ≥ 90 cm for males and ≥ 85 cm for females, was also associated with a 10% increased risk of Parkinson's disease.
- The associations between waist circumference, abdominal obesity and Parkinson's disease risk remained even after adjusting for BMI and other potential confounders.
- Subgroup analysis showed that abdominal obesity was associated with increased Parkinson's disease risk regardless of age, smoking status, BMI level, presence of hypertension or diabetes.
- The study concludes that higher waist circumference and abdominal obesity reflects an increased risk of Parkinson's disease, even among non-obese individuals. Abdominal obesity may play a role in Parkinson's disease development through factors like insulin resistance and visceral adipose tissue.
In summary, the study provides evidence that central adiposity, as measured by waist circumference, is associated with increased risk of Parkinson's disease, independent of general obesity. This suggests abdominal fat accumulation may be a risk factor for Parkinson's disease.