1.Correlation of high glycemic index diets with the occurrence of Parkinson’s disease and involvement of glycation end products: A case-control study
Mina Nasirzadeh ; Mohammad Alizadeh ; Sorayya Kheirouri, ; Aliakbar Taheraghdam
Neurology Asia 2021;26(1):69-76
Objective: This study aimed to determine the correlation of glycemic load (GL) and glycemic index
(GI) with Parkinson’s disease (PD) in terms of the serum levels of methylglyoxal (MGO), oligomeric
α-synuclein (α-syn), and DJ-1. Methods: In this case-control study (40 PD and 40 healthy individuals)
dietary intake of the participants was assessed for a 4-day period (24-hour dietary recall questionnaire
and three-day food record). Serum levels of MGO, oligomeric α-syn, and DJ-1 were measured by
ELISA. Adjusted odds ratios (ORs) for PD were estimated according to quantiles of dietary factors
and serum factors. Results: Serum levels of oligomeric α-syn (p = 0.003) and DJ-1 (p < 0.001) were
significantly higher in the patients compared to the healthy participants. The participants with PD had
higher GI levels (p = 0.02) compared to healthy individuals. A positive correlation emerged between
the risks of PD and GI (OR: 10.05; [95%CI: 1.94, 51.95] for the highest vs. the lowest quintile, p
for trend 0·028). In the patients, level of GI, but not GL, correlated with MGO [β (95% CI): 0.27
(0.02, 1.98); p = 0.04], oligomeric α-syn [β (95% CI): 0.34 (0.01, 0.17); p = 0.03], and DJ-1 [β
(95% CI):0.39 (0.04, 0.30); p = 0.01] positively and significantly. Moreover, serum levels of MGO,
oligomeric α-syn, and DJ-1 were associated with each other significantly and positively (p < 0.05).
Conclusions: It can be concluded that high GI diets are positively correlated with PD, more possibly
by the increased α-syn oligomerization and advanced glycated end products (AGEs) formation.

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