J 2022

Beta-adrenergic drugs and risk of Parkinson’s disease: A systematic review and meta-analysis

SINGH, Ambrish; Mohammad Salman HUSSAIN; Sreelatha AKKALA; Jitka KLUGAROVÁ; Andrea POKORNÁ et. al.

Základní údaje

Originální název

Beta-adrenergic drugs and risk of Parkinson’s disease: A systematic review and meta-analysis

Autoři

SINGH, Ambrish; Mohammad Salman HUSSAIN; Sreelatha AKKALA; Jitka KLUGAROVÁ; Andrea POKORNÁ; Miloslav KLUGAR; E. Haydn WALTERS; Ingrid HOPPER; Julie A. CAMPBELL; Bruce TAYLOR a Benny ANTONY

Vydání

AGEING RESEARCH REVIEWS, CLARE, ELSEVIER IRELAND LTD, 2022, 1568-1637

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30230 Other clinical medicine subjects

Stát vydavatele

Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 13.100

Kód RIV

RIV/00216224:14110/22:00127142

Organizační jednotka

Lékařská fakulta

UT WoS

000841188700006

EID Scopus

2-s2.0-85133352138

Klíčová slova anglicky

Beta-adrenoceptors; Beta-blockers; Beta -antagonist; Beta-agonist; Propranolol; Salbutamol; Parkinson ?s disease

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 14. 11. 2022 08:37, Mgr. Tereza Miškechová

Anotace

V originále

Background: Parkinson's Disease (PD) is a neurodegenerative disorder manifested by rest tremor, rigidity, bradykinesia, and postural instability. Recent pharmaco-epidemiological studies evaluating beta-adrenergic drug use and risk of PD have reported conflicting findings. Objectives: This systematic review and meta-analyses evaluate the association between beta-adrenergic (agonists and antagonists) drugs' use and PD. Methods: An electronic literature search of eight databases was performed from inception to July 2021 to identify pharmaco-epidemiological studies (case-control and cohort) reporting the risk of PD in beta-adrenergic users compared to non-users. We used the generic inverse variance method and RevMan (5.3.5) to estimate pooled adjusted risk ratios (aRRs) of PD using a random-effects model. Results: Of 3168 records, 15 studies (10 case-control; five cohort) with 6508,877 participants, including 87,011 PD cases, were included. In the pooled analysis (n = 10) including any beta-antagonist users, compared with nonusers, the aRR for PD was 1.19 (CI: 1.05,1.35); for any beta-agonist users (n = 8) aRR for PD was 0.87 (CI: 0.78,0.97). Propranolol users had a significantly increased risk of PD (aRR:1.91; CI:1.20,3.06), whereas salbutamol use was associated with reduced risk of PD (aRR:0.95; CI:0.92,0.99). Significant heterogeneity (I2 >87%) was observed, but the majority (n = 13) of the studies were of high quality, based on the JBI tool. Conclusions: Beta-antagonist use was associated with a modestly increased risk of PD, whereas beta-agonist use was associated with a modest decreased risk of PD. Future epidemiological studies should address the issues of protopathic bias and indirect association using appropriate epidemiological methods.

Návaznosti

EF18_053/0016952, projekt VaV
Název: Postdoc2MUNI
LTC20031, projekt VaV
Název: Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic, INTER-COST