Evidence map›Paper›PMID 38166701›Full record

ArticleBMC neurology2024

Association of time spent outdoors with the risk of Parkinson's disease: a prospective cohort study of 329,359 participants.

Ling Hu, Yisen Shi, Xinyang Zou, Zhaohui Lai, Fabin Lin, Guoen Cai, Xianghong Liu

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Ling Hu *Department of Neurology, Ganzhou People's Hospital, No.16 Meiguan Road, Zhanggong District, Ganzhou City, 341000, Jiangxi, China.
Yisen Shi *Department of Neurology, Union Hospital, Fujian Institute of Geriatrics, Fujian Medical University, Fuzhou, 350001, China.
Xinyang ZouDepartment of Neurology, Union Hospital, Fujian Institute of Geriatrics, Fujian Medical University, Fuzhou, 350001, China.
Zhaohui LaiDepartment of Neurology, Ganzhou People's Hospital, No.16 Meiguan Road, Zhanggong District, Ganzhou City, 341000, Jiangxi, China.
Fabin LinDepartment of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China. fabinlin@hotmail.com.
Guoen CaiDepartment of Neurology, Union Hospital, Fujian Institute of Geriatrics, Fujian Medical University, Fuzhou, 350001, China. cgessmu@fjmu.edu.cn.
Xianghong LiuDepartment of Neurology, Ganzhou People's Hospital, No.16 Meiguan Road, Zhanggong District, Ganzhou City, 341000, Jiangxi, China. lxh7176@126.com.
Ganzhou People's Hospital · CNFujian Medical University · CNUnion Hospital · CN

Funding

Jiangxi Province Ganzhou City Science and Technology Award for 2022 National Regional Medical Center Joint Projects 2022-YB1296
6 · The paper itself

Abstract

backgroundStudies on the association between time spent outdoors and the development of Parkinson's disease (PD) are lacking, and whether this relationship differs in different subgroups (age, sex) remains unclear.

objectiveWe here examined the association between time spent outdoors and the incidence of PD in different seasons.

methodsThis study included 329,359 participants from the UK Biobank. Data regarding hours spent outdoors during a typical day were obtained through questionnaires. Cox proportional hazard regression models were used to estimate hazard ratios (HRs) for the association between exposure to outdoors duration and PD incidence. Restricted cubic spline was used to explore the potential nonlinear relationship between time spent outdoors and PD risk. To explore the potential mechanisms of time spent outdoors effecting the risk of PD incidence, their association with serum vitamin D was further analysed separately.

resultsDuring a median follow-up of 13.57 years, 2,238 participants developed PD. In summer, time spent outdoors > 5.0 h/day was associated with a reduced PD risk compared with ≤ 2.0 h/day (HR = 0.84, 95% CI, 0.74-0.95). In winter too, time spent outdoors > 2.0 h/day was also associated with a reduced PD risk compared with ≤ 1.0 h/day (HR = 0.85, 95% CI, 0.76-0.94). For annual average time spent outdoors, participants who went outdoors for more than 3.5 h/day had a reduced PD risk than those who went outdoors for ≤ 1.5 h/day (HR = 0.85, 95% CI, 0.75-0.96). Additionally, sex and age differences were observed in the association between time spent outdoors and the PD risk. Moreover, Time spent outdoors was observed to be positively associated with serum vitamin D levels. Compared with serum vitamin D-deficient participants, the risk of PD was reduced by 15% in the sufficient participants.

conclusionIn the total population, higher time spent outdoors was linked to a reduced PD risk. However, this association may vary among different age or sex groups.

Indexed as

Parkinson DiseaseHumansIncidenceProportional Hazards ModelsProspective StudiesVitamin DVitamin DAgeParkinson’s diseaseSexTime spent outdoorsVitamin D

Identifiers

PMID38166701
PMCPMC10759452
OpenAlexW4390497051

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.