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Type 2 diabetes mellitus augments Parkinson's disease risk or the other way around: Facts, challenges and future possibilities.

Ageing research reviews
November 1, 2022
Mohd Faizan et al. (3 authors)
Journal ArticleReviewResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to review the literature on the relationship between high-fat diet, insulin resistance, and their potential role in augmenting Parkinson's disease risk.

Results Summary

The abstract suggests that high-fat diet and insulin resistance may contribute to Parkinson's disease by affecting sugar metabolism, oxidative stress, α-synuclein aggregation, inflammation, and mitochondrial function, though some studies contradict this link.

Population

General adult population, with specific focus on individuals with type 2 diabetes mellitus and those over 60 years of age.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
type 2 diabetes mellitus
increase
PD risk
adult population
-
augments
#1
hyperglycemia
increase
Parkinsonian feature
case controls possessing T2DM
-
corroborates the role
#2
insulin resistance
increase
PD risk
-
-
increased
#3
high fat diet
increase
sugar metabolism, oxidative stress, α-synuclein aggregation and accumulation, inflammatory response and mitochondrial function
PD models and sporadic PD
-
further connect
#4
anti-diabetic drugs
decrease
Parkinsonian symptoms
-
-
ameliorative effect
#5
anti-PD medications
no change
-
T2DM patients
-
vague outcome
#6
Abstract

About 10% of the adult population is living with type 2 diabetes mellitus (T2DM) and 1% of the population over 60 years of age is suffering from Parkinson's disease (PD). A school of thought firmly believes that T2DM, an age-related disease, augments PD risk. Such relationship is reflected from the severity of PD symptoms in drug naive subjects possessing T2DM. Onset of Parkinsonian feature in case controls possessing T2DM corroborates the role of hyperglycemia in PD. A few cohort, meta-analysis and animal studies have shown an increased PD risk owing to insulin resistance. High fat diet and role of insulin signaling in the regulation of sugar metabolism, oxidative stress, α-synuclein aggregation and accumulation, inflammatory response and mitochondrial function in PD models and sporadic PD further connect the two. Although little is reported about the implication of PD in hyperglycemia and T2DM, a few studies have also contradicted. Ameliorative effect of anti-diabetic drugs on Parkinsonian symptoms and vague outcome of anti-PD medications in T2DM patients also suggest a link. The article reviews the literature supporting augmented risk of one by the other, analysis of proof of the concept, facts, challenges, future possibilities and standpoint on the subject.

Medical Subject Headings (MeSH)
AnimalsDiabetes Mellitus, Type 2HumansHyperglycemiaInsulinParkinson Diseasealpha-Synuclein
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations10
Citations/Year3.3
Relative Citation Ratio1.31
NIH Percentile60.3%
Research Impact Scores
APT Score0.25
Weight Score1.27
Normalized Score0.61
Related Supplements
Type 2 diabetes mellitus augments Parkinson's disease risk o... | Panacea Index