Health
Parkinson’s disease risk is linked to gut health, researchers say
Gut health has been linked to a common neurological disorder in a new study.
Those who have sustained damage to the upper lining of their gastrointestinal (GI) tract are 76% more likely to develop Parkinson’s disease, according to research led by Beth Israel Deaconess Medical Center (BIDMC) in Boston.
The findings were published in JAMA Network Open on Sept. 5.
THE EFFECTS OF PARKINSON’S DISEASE ON THE BRAIN AND COMMON WAYS THOSE IMPACTED SUBDUE SYMPTOMS
The study included 9,350 patients (averaging 52 years of age) who underwent an upper endoscopy — a procedure that examines the esophagus, stomach and first portion of the small intestine — between 2000 and 2005 within the Mass General Brigham system.
Gut health has been linked to a common neurological disorder in a new study. (iStock)
Those who had “mucosal damage” were shown to have an elevated risk, the researchers found.
Parkinson’s disease was diagnosed an average of 14.2 years after the damage was detected, the study showed.
Mucosa, also called the mucous membrane, is the “soft tissue that lines the body’s canals and organs in the digestive, respiratory and reproductive systems,” according to Cleveland Clinic.
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“When asked, many of my patients with Parkinson’s disease will say, ‘Come to think of it, yeah, I started to get bad constipation or nausea, years before anyone diagnosed me with Parkinson’s,’” lead study author Trisha Pasricha, MD, a gastroenterologist at Massachusetts General Hospital and an instructor of medicine at Harvard Medical School, told Fox News Digital.
“We now know that gut symptoms like these herald a future diagnosis of Parkinson’s disease.”
The study included 9,350 patients who underwent an upper endoscopy, a procedure that examines the esophagus, stomach and first portion of the small intestine. (iStock)
Dr. Earnest Lee Murray, a board-certified neurologist at Jackson-Madison County General Hospital in Jackson, Tennessee, was not involved in the study, but confirmed that gastrointestinal dysfunction is very common in patients with Parkinson’s.
“Motor symptoms, such as stiffness, tremors and difficulty walking, are the stereotypical features of Parkinson’s,” Murray said.
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“However, there are several non-motor symptoms that are often seen, the most common being gastrointestinal dysfunction, especially constipation and difficulty swallowing.”
These gastrointestinal symptoms can appear years before the motor symptoms, the neurologist added.
Patients who had “mucosal damage” were shown to have an elevated risk, the researchers found. (iStock)
“Given the prominence of early gastrointestinal issues in Parkinson’s, there has been a theory suggesting that the pathology that causes Parkinson’s can originate in the GI tract and travel to the brain via the vagus nerve,” Murray said.
“This study gives additional evidence to the ‘gut-first’ theory.”
Causes and prevention of upper GI damage
Many factors can cause damage to the mucosal lining, Pasricha said.
“Those include taking NSAIDs like ibuprofen, drinking alcohol, stress or bacteria like H. pylori,” she said.
“Our study only examined people whose stomach symptoms were so severe that they sought an upper endoscopy to investigate the etiology, but we all experience small amounts of damage to our gut lining throughout our lives for various reasons.”
Gastrointestinal symptoms can appear years before the motor symptoms, such as tremors and stiffness, a neurologist said. (iStock)
It is not clear how those frequent, smaller amounts of damage impact the risk of Parkinson’s, the doctor noted.
“Nonetheless, I advise my patients — regardless of their risk of any neurological disease — that minimizing NSAIDs, reducing stress and cutting down on alcohol will only help their gut health,” she added.
As Murray noted, Parkinson’s is caused by a depletion of the neurotransmitter dopamine — which leads to slowed muscle movements, stiffness and tremors — and is also involved in the integrity of the GI tract.
Parkinson’s is caused by a depletion of the neurotransmitter dopamine — which leads to slowed muscle movements, stiffness and tremors — and is also involved in the integrity of the GI tract, a neurologist said. (iStock)
“As the study authors point out, we don’t know if the injury to the GI tissue triggers a depletion in dopamine or if the destruction of the GI tissue is the earliest sign of an issue with dopamine that eventually leads to more stereotypical Parkinson’s symptoms,” he told Fox News Digital.
Potential study limitations
While the study reveals a “strong link” between injury to the upper gastrointestinal tract and later development of Parkinson’s disease, Pasricha noted that the mechanisms leading to this effect are not yet known.
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The study did not include cases of Parkinson’s that were diagnosed outside the Mass General Brigham system, the researchers noted.
“The brain-gut connection is really a two-way street.”
Due to the small sample sizes in the study — and the risk of “confounding variables” that could introduce a measure of bias — the research team called for additional studies to confirm the association.
“The brain-gut connection is really a two-way street,” said Pasricha.
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“The gut can exert an enormous influence on the brain in ways we are still only beginning to understand — but when we do, we might be able to open new avenues for early intervention and treatment strategies for many diseases.”
The study was funded by grants from the National Institute on Aging, the American Gastroenterological Association and Harvard University.
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Health
Alzheimer’s prevention breakthrough found in decades-old seizure drug
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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.
The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.
Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)
“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release.
“Our new results uncovered new biology while also opening doors for new drug targets.”
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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted.
“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)
That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.
In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.
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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.
The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.
“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)
“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.
Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.
Limitations and caveats
The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.
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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.
Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.
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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”
“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”
The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.
It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.
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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.
Fox News Digital reached out to the drug manufacturer and the researchers for comment.
Health
Seniors over 80 who eat specific diet may be less likely to reach 100 years old
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Older adults who avoid meat in their golden years may be less likely to reach age 100 than their meat-eating counterparts, new research suggests.
Researchers tracked more than 5,000 adults aged 80 or older who were enrolled in the Chinese Longitudinal Healthy Longevity Survey.
Between 1998 and 2018, data showed that those who did not eat meat were less likely to reach their 100th birthday than those who consumed animal products regularly.
The findings seem to contradict previous studies that have linked vegetarianism and plant-based diets to lower risks of heart disease, stroke, diabetes and obesity.
Most evidence supporting the benefits of plant-based diets comes from studies tracking younger populations, the researchers noted.
The findings contrast with previous research praising plant-based diets for their positive influence on heart health. (iStock)
The study, published in The American Journal of Clinical Nutrition, points to losses in muscle mass and bone density with age, shifts that can increase the risk of malnutrition and frailty in the “oldest old.”
As people enter their 80s and 90s, the nutritional priority often shifts from preventing long-term chronic diseases to maintaining day-to-day physical function, experts say.
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“The headline ‘vegetarians over 80 less likely to reach 100’ sounds surprising, because it contrasts with decades of data linking plant‑forward diets to lower chronic disease risk earlier in life,” Erin Palinski-Wade, a New Jersey-based registered dietitian, told Fox News Digital.
“However, once you see that this research is limited to adults over the age of 80 who are also underweight — and that this link disappears with the consumption of eggs, dairy and fish — the results are less surprising.”
While diets earlier in life tend to emphasize avoiding long-term disease, older age necessitates nutrients and weight maintenance, experts say. (iStock)
In those over 80, restricting animal proteins may be less likely to promote longevity, according to Palinski-Wade, who was not involved in the study.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies, the nutritionist said.
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In addition to a higher tendency to be underweight, older populations also face a greater risk of bone fractures due to lower calcium and protein intake.
Potential limitations
The lower rate of vegetarians reaching 100 was only observed in participants identified as underweight, the researchers noted. No such association was found in people who maintained a healthy weight.
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Because being underweight is already linked to greater frailty and mortality risk, the researchers noted that body weight may partly explain the findings, making it difficult to determine whether diet itself played a direct role.
Those incorporating animal-sourced products other than meat were just as likely to live to 100. (iStock)
Additionally, the shortened lifespans were not found in people who continued to eat non-meat animal products, such as fish, dairy and eggs.
Older adults with these more flexible diets were just as likely to live to 100 as those eating meat, as these foods may provide the nutrients necessary for maintaining muscle and bone health, the researchers noted.
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“This is an observational study, so it can only show associations, and does not prove that avoiding meat directly reduces the odds of reaching 100,” Palinski-Wade added.
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The researchers suggested that including small amounts of animal-sourced foods could help older seniors maintain essential nutrients and avoid the muscle loss often seen in those who stick strictly to plants.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies. (iStock)
Palinski-Wade offered some guidance for those looking to optimize nutrition later in life.
“For adults in their 80s and beyond, especially anyone losing weight or muscle, the priority should be maintaining a healthy weight and meeting protein and micronutrient needs — even if that means adding or increasing fish, eggs, dairy or well‑planned, fortified plant proteins and supplements.”
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Strict vegan or very low‑protein patterns at that age should be carefully monitored by a dietitian or clinician, with attention to B12, vitamin D, calcium and total protein, according to Palinski-Wade.
“Younger and healthier adults can still confidently use plant‑forward or vegetarian patterns to lower long‑term chronic disease risk,” she added.
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