학술논문

Selected health and lifestyle factors, cytosine‐adenine‐guanine status, and phenoconversion in Huntington's disease
Document Type
article
Source
Movement Disorders. 33(3)
Subject
Biomedical and Clinical Sciences
Neurosciences
Clinical Sciences
Rare Diseases
Prevention
Huntington's Disease
Neurodegenerative
Brain Disorders
Neurological
Good Health and Well Being
Adenine
Adult
Cytosine
Environment
Female
Follow-Up Studies
Guanine
Humans
Huntingtin Protein
Huntington Disease
Life Style
Male
Middle Aged
Motor Activity
Proportional Hazards Models
Trinucleotide Repeat Expansion
Huntington's disease
environment
CAG repeat
phenoconversion
caffeine
Huntington Study Group Prospective Huntington At-Risk Observational Study Investigators
Human Movement and Sports Sciences
Neurology & Neurosurgery
Clinical sciences
Language
Abstract
BACKGROUND:In Huntington's disease, 60% of the variance in onset age is not explained by the huntingtin gene mutation. Huntington's disease onset was earlier in caffeine users. OBJECTIVE:The objective of this study was to assess the relationship of lifestyle factors with motor phenoconversion among persons at risk for Huntington's disease. METHODS:The associations of motor phenoconversion and exposure to selected lifestyle and health factors were examined using Cox proportional hazards analyses adjusted for age, gender, and repeat length. RESULTS:Of 247 participants, 36 (14.6%) phenoconverted. Mean follow-up was 4.2 years. Greater caffeinated soda use was associated with an increased hazard of phenoconversion: moderate use hazard ratio 2.26 (95% confidence interval 0.59-8.71), high use hazard ratio 4.05 (95% confidence interval 1.18-13.96). CONCLUSIONS:Huntington's disease onset was earlier among consumers of caffeinated soda, but not other caffeinated beverages. This finding may be spurious or not related to caffeine. © 2018 International Parkinson and Movement Disorder Society.