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Am J Epidemiol 2003; 157:409-414.
Copyright © 2003 by Johns Hopkins Bloomberg School of Public Health


ORIGINAL CONTRIBUTIONS

Neurodegenerative Diseases and Exposure to Pesticides in the Elderly

Isabelle Baldi1,, Pierre Lebailly2, Brahim Mohammed-Brahim1, Luc Letenneur3, Jean-François Dartigues3 and Patrick Brochard1

1 Laboratoire Santé Travail Environnement, Institut de Santé Publique d’Epidémiologie et de Développement, Université Victor Segalen Bordeaux 2, Bordeaux, France.
2 Groupe Régional d’Etudes sur le Cancer, Centre François Baclesse, Université de Caen, Caen, France.
3 INSERM U330, Université Victor Segalen Bordeaux 2, Bordeaux, France.

The authors investigated the hypothesis that exposure to pesticides could be related to central nervous system disorders in a prospective cohort study of 1,507 French elderly (1992–1998). Lower cognitive performance was observed in subjects who had been occupationally exposed to pesticides. In men, the relative risks of developing Parkinson’s disease and Alzheimer’s disease for occupational exposure assessed by a job exposure matrix were 5.63 (95% confidence interval: 1.47, 21.58) and 2.39 (95% confidence interval: 1.02, 5.63), respectively, after confounding factors were taken into account. No association was found with having a primary job in agriculture or with environmental pesticide exposure, nor was an association found in women. These results suggest the presence of neurologic impairments in elderly persons who were exposed occupationally to pesticides.

aged; Alzheimer disease; nervous system diseases; occupational exposure; Parkinson disease; pesticides

Abbreviations: Abbreviations: CI, confidence interval; MMSE, Mini-Mental State Examination.


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