The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Smoking, alcohol, and coffee consumption preceding Parkinson’s disease: A case-control study
Abstract
OBJECTIVE: To study the association of PD with preceding smoking, alcohol, and coffee consumption using a case-control design. METHODS: The authors used the medical records linkage system of the Rochester Epidemiology Project to identify 196 subjects who developed PD in Olmsted County, MN, during the years 1976 to 1995. Each incident case was matched by age (+/-1 year) and sex to a general population control subject. The authors reviewed the complete medical records of cases and control subjects to abstract exposure information. RESULTS: For coffee consumption, the authors found an OR of 0.35 (95% CI = 0.16 to 0.78, p = 0.01), a dose-effect trend (p = 0.003), and a later age at PD onset in cases who drank coffee compared with those who never did (median 72 versus 64 years; p = 0.0002). The inverse association with coffee remained significant after adjustment for education, smoking, and alcohol drinking and was restricted to PD cases with onset at age <72 years and to men. The OR for cigarette smoking was 0.69 (95% CI = 0.45 to 1.08, p = 0.1). The authors found no association between PD and alcohol consumption. Extreme or unusual behaviors such as tobacco chewing or snuff use and a diagnosis of alcoholism were significantly more common in control subjects than cases. CONCLUSIONS: These findings suggest an inverse association between coffee drinking and PD; however, this association does not imply that coffee has a direct protective effect against PD. Alternative explanations for the association should be considered.
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“Caffeine overdose can delay sleep onset, reduce total sleep time, change normal sleep stages, and reduce sleep quality. Caffeine-induced sleep disorder is known as a psychiatric disorder caused by excessive caffeine consumption [120].”
From Effect of Caffeine Consumption on the Risk for Neurological and Psychiatric Disorders: Sex Differences in Human (2020) · cites this paper as [120]
In the citing paper
“Excessive caffeine can cause symptoms ranging from general anxiety to compulsive disorders [120].”
From Effect of Caffeine Consumption on the Risk for Neurological and Psychiatric Disorders: Sex Differences in Human (2020) · cites this paper as [120]
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“Whether alcohol use (i.e. history of alcoholism or heavy alcohol intake) combined or not with cigarette smoking reduces the incidence of PD remains controversial (e.g. Jimenez-Jimenez et al., 1992; Gorell et al., 1999; Benedetti et al., 2000).”
InfluentialCaffeine and Progression of Parkinson Disease
Simon, D. K., Swearingen, C. J., Hauser, R. A., Trugman, J. M., Aminoff, M. J., Singer, C., Truong, D. D., & Tilley, B. C. (2008) · Clinical Neuropharmacology · doi:10.1097/wnf.0b013e31815a3f03 · Cited by 38
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Active and passive smoking and risk of Parkinson’s disease
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The Aging Brain and Neurodegenerative Diseases
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Comparison of Risk Factor Profiles in Incidental Lewy Body Disease and Parkinson Disease
Frigerio, R., Fujishiro, H., Maraganore, D. M., Klos, K. J., DelleDonne, A., Heckman, M. G., Crook, J. E., Josephs, K. A., Parisi, J. E., Boeve, B. F., et al. (2009) · Archives of Neurology · doi:10.1001/archneurol.2009.170 · Cited by 35
“These were abstracted, focusing on specific exposures that had been previously assessed in published case-control or cohort studies of PD in the Olmsted County population.(17-24) We restricted our analyses to risk factors that were defined similarly if not identically between these previous studies of PD and this stud…”
Nicotinamide homeostasis: A xenobiotic pathway that is key to development and degenerative diseases
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Coffee, smoking and aspirin are associated with age at onset in idiopathic Parkinson’s disease
Gabbert, C., König, I. R., Lüth, T., Kolms, B., Kasten, M., Vollstedt, E., Balck, A., Study, F. I., Grünewald, A., Klein, C., et al. (2022) · Journal of Neurology · doi:10.1007/s00415-022-11041-x · Cited by 32
“In terms of AAO, there is evidence that the onset of PD among coffee drinkers is later compared to non-drinkers [11, 15, 16], also indicating a dosage effect [12, 17].”
Chung, S. J., Armasu, S. M., Anderson, K. J., Biernacka, J. M., Lesnick, T. G., Rider, D. N., Cunningham, J. M., Ahlskog, J. E., Frigerio, R., & Maraganore, D. M. (2013) · Parkinsonism & Related Disorders · doi:10.1016/j.parkreldis.2013.02.008 · Cited by 33
“Alcohol drinking was not associated with PD in our previous study using part of this study sample [10].”
BackgroundResultInfluentialLi, Y., Lv, Z., Ye, R., Dai, Y., Yu, L., Liu, P., Han, J., Zhan, Y., Lu, F., Chen, X., et al. (2025) · BMC Public Health · doi:10.1186/s12889-025-23492-8 · Cited by 32
Kenborg, L., Lassen, C. F., Ritz, B. R., Andersen, K. K., Christensen, J., Schernhammer, E. S., Hansen, J., Wermuth, L., Rod, N. H., & Olsen, J. H. (2015) · American Journal of Epidemiology · doi:10.1093/aje/kwu332 · Cited by 34
Moist smokeless tobacco (Snus) use and risk of Parkinson’s disease
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“A prior history of heavy alcohol use or alcoholism was found to occur less frequently in PD patients compared to controls in some studies [13,14], whereas a prospective study found that alcoholism was associated with a slightly lower risk of PD in men only [15].”
ResultYamakawa, G. R., Lengkeek, C., Salberg, S., Spanswick, S. C., & Mychasiuk, R. (2017) · PLoS ONE · doi:10.1371/journal.pone.0187218 · Cited by 32
Population‐based case–control study of cigarette smoking and essential tremor
Benito‐León, J., Louis, E. D., Bermejo‐Pareja, F., & Neurological Disorders in Central Spain (NEDICES) Study Group (2007) · Movement Disorders · doi:10.1002/mds.21810 · Cited by 31
Neuroproteomics as a promising tool in Parkinson’s disease research
Pienaar, I. S., Daniels, W. M. U., & Götz, J. (2008) · Journal of Neural Transmission · doi:10.1007/s00702-008-0070-3 · Cited by 32
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“Regarding alcohol consumption, most studies report either a moderately decreased risk or no change in risk associated with alcohol intake (Benedetti et al., 2000; Paganini-Hill, 2001; Hernan et al., 2004; Wirdefeldt et al., 2011; Campdelacreu, 2012; Noyce et al., 2012; Palacios et al., 2012).”
BackgroundPeripheral Biomarkers of Parkinson’s Disease Progression and Pioglitazone Effects
Simon, D. K., On behalf of the NINDS NET-PD Investigators, Simuni, T., Elm, J. J., Clark, J., Graebner, A. K., Baker, L., Dunlop, S. R., Emborg, M. E., Kamp, C., et al. (2015) · Journal of Parkinson s Disease · doi:10.3233/jpd-150666 · Cited by 30
Alcohol drinking and risk of Parkinson's disease: a case-control study in Japan
Fukuoka Kinki Parkinson's Disease Study Group, Fukushima, W., Miyake, Y., Tanaka, K., Sasaki, S., Kiyohara, C., Tsuboi, Y., Yamada, T., Oeda, T., Miki, T., et al. (2010) · BMC Neurology · doi:10.1186/1471-2377-10-111 · Cited by 30
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Mitchell, E., Chohan, H., Bestwick, J. P., & Noyce, A. J. (2022) · Journal of Parkinson s Disease · doi:10.3233/jpd-223522 · Cited by 29
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“Others found no differences in age of PD onset between ever-smokers and non-smokers [23,24], while only one study showed that the mean age at onset of PD in ever-smoking men was significantly older than in never-smoking men [25].”
ResultVenkatesan, D., Iyer, M., Robert Wilson, S., Lakshmipathy, G., & Vellingiri, B. (2021) · Neuroscience Letters · doi:10.1016/j.neulet.2021.135903 · Cited by 27
Risk factors for possible REM sleep behavior disorders
Zhang, H., Gu, Z., Yao, C. W., Cai, Y., Li, Y., Mao, W., Xu, E., Postuma, R. B., & Chan, P. (2020) · Neurology · doi:10.1212/wnl.0000000000010610 · Cited by 27
Parkinson's disease: the nutrition perspective
Breasail, M. Ó., Smith, M. D., Tenison, E., Henderson, E. J., & Lithander, F. E. (2021) · Proceedings of The Nutrition Society · doi:10.1017/s0029665121003645 · Cited by 32
The Changing Landscape of Parkinson Epidemiologic Research
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“Potential modifiable “protective” factors Smoking Cohort [4, 7] & case-control [5] Strong inverse association, very consistent Reverse causation / personality Moderate with evidence on passive smoking [9–12], twin studies [18, 19], transgenerational exposure [20], secular trend [21] Coffee drinking Cohort [80, 81] & c…”
Parkinson’s Disease Protects Against Smoking?
Allam, M. F., Campbell, M. J., del Castillo, A. S., & Navajas, R. F. (2004) · Behavioural Neurology · doi:10.1155/2004/516302 · Cited by 27
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“Nicotine, through direct effects on receptors, or indirect effects such as inhibition of monoamine oxidase activity or induction of P450 enzymes, is the main suspect [153].”
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Tobacco Use, Oral Health, and Risk of Parkinson's Disease
Liu, Z., Roosaar, A., Axéll, T., & Ye, W. (2016) · American Journal of Epidemiology · doi:10.1093/aje/kww146 · Cited by 25
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Racette, B. A., Good, L. M., Kissel, A. M., Criswell, S. R., & Perlmutter, J. S. (2009) · Neuroepidemiology · doi:10.1159/000229776 · Cited by 24
Novel therapy in Parkinson's disease: adenosine A2Areceptor antagonists
Szabó, N., Kincses, Z. T., & Vécsei, L. (2011) · Expert Opinion on Drug Metabolism & Toxicology · doi:10.1517/17425255.2011.557066 · Cited by 26
“Several case control studies have indicated an inverse relationship between caffeine intake and the risk of PD [133-136], even when corrected for the confounding effect of smoking [137-139].”
BackgroundJones, F. S., Jing, J., Stonehouse, A. H., Stevens, A., & Edelman, G. M. (2008) · Molecular Pharmacology · doi:10.1124/mol.108.046888 · Cited by 24
A review of diagnostic imaging approaches to assessing Parkinson's disease
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Dietary nicotine intake and risk of Parkinson disease: a prospective study
Ma, C., Molsberry, S. A., Li, Y., Schwarzschild, M. A., Ascherio, A., & Gao, X. (2020) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqaa186 · Cited by 22
Nicotinic receptors and cognition in Parkinson?s Disease: the importance of neuronal synchrony
Forgacs, P. B., & Bodis-Wollner, I. G. (2004) · Journal of Neural Transmission · doi:10.1007/s00702-004-0169-0 · Cited by 22
“, 2001), some suggest the opposite (Benedetti et al., 2000).”
BackgroundPavelka, L., Rawal, R., Ghosh, S., Pauly, C., Pauly, L., Hanff, A.-M. R., Kolber, P. L., Jónsdóttir, S. R., McIntyre, D., Azaiz, K., et al. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2023.1330321 · Cited by 22
“Among potential protective factors, smoking (9–11), caffeine intake (12–14) and physical activity (15) are often listed.”
BackgroundGlutathione-Mediated Neuroprotective Effect of Purine Derivatives
Matsumura, N., & Aoyama, K. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms241713067 · Cited by 21
Differential effects of age on human striatal adenosine A1and A2Areceptors
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Smoking, alcohol, and coffee consumption preceding Parkinson’s disease
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Disease-Toxicant Interactions in Parkinson’s Disease Neuropathology
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The role of α-synuclein in the pathophysiology of alcoholism
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Alcohol Intake and Parkinson's Disease Risk in the Million Women Study
Kim, I. Y., Yang, T. O., Heath, A. K., Simpson, R. F., REEVES, G. K., Green, J., Floud, S., Brown, A., Hunter, D. J., Beral, V., et al. (2019) · Movement Disorders · doi:10.1002/mds.27933 · Cited by 18
Adenosine A1receptors measured with11C-MPDX PET in early Parkinson's disease
Mishina, M., Ishii, K., Kimura, Y., Suzuki, M., Kitamura, S., Ishibashi, K., Sakata, M., Oda, K., Kobayashi, S., Kimura, K., et al. (2017) · Synapse · doi:10.1002/syn.21979 · Cited by 21
Gender-dependent effect of coffee consumption on tremor severity in de novo Parkinson’s disease
Cho, B., Choi, S., & Kim, B. C. (2019) · BMC Neurology · doi:10.1186/s12883-019-1427-y · Cited by 19
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Traumatic brain injury preceding clinically diagnosed α-synucleinopathies
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“Fifth, we adjusted for other factors associated with PD such as coffee consumption and smoking.(29,38,39) Sixth, the control group consisted of randomly drawn residents without a confirmed α-synucleinopathy diagnosis from the general population of Olmsted County, thus reducing referral bias.”
MethodThe ever‐stimulating association of smoking and coffee and Parkinson's disease
Marder, K. S., & Logroscino, G. (2002) · Annals of Neurology · doi:10.1002/ana.10315 · Cited by 15
Ragonese, P., D’Amelio, M., Callari, G., Aiello, F., Morgante, L., & Savettieri, G. (2007) · Movement Disorders · doi:10.1002/mds.21728 · Cited by 14
“20–22 According to this hypothesis, people who later develop PD tend to avoid novelty seeking because of a personality trait preexisting to PD.”
Neuroprotection in Parkinson's Disease: A Systematic Review of the Preclinical Data
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“Several epidemiological studies have linked coffee intake with a lower incidence of PD, suggesting neuroprotective properties for caffeine [121-123].”
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“Epidemiological studies have linked caffeine consumption to a reduced risk of Parkinson’s disease [53,54].”
BackgroundNumber of children and risk of Parkinson's disease
Frigerio, R., Breteler, M. M. B., de Lau, L. M. L., Sanft, K. R., Bower, J. H., Ahlskog, J. E., Grossardt, B. R., de Andrade, M., Maraganore, D. M., & Rocca, W. A. (2007) · Movement Disorders · doi:10.1002/mds.21341 · Cited by 12
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Re-examining the Parkinsonian Personality hypothesis: A systematic review
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Multiple catechols in human plasma after drinking caffeinated or decaffeinated coffee
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Parkinson's disease, smoking, and gender
Allam, M. F., del Castillo, A. S., & Navajas, R. F. (2007) · Movement Disorders · doi:10.1002/mds.21623 · Cited by 10
Coffee, Genetic Variants, and Parkinson's Disease: Gene–Environment Interactions
Yamada-Fowler, N., & Söderkvist, P. (2015) · Journal of Caffeine Research · doi:10.1089/jcr.2014.0028 · Cited by 10
Ojeda-López, C., Cervantes‐Arriaga, A., Rodríguez‐Violante, M., & Corona, T. (2012) · Neurological Sciences · doi:10.1007/s10072-012-1180-0 · Cited by 9
“A dose–response relationship has also been reported with both smoking and caffeine, even when adjusting for gender and other sources of bias as the association of smoking in coffee drinkers [2, 3].”
BackgroundNetwork analysis of caffeine use disorder, withdrawal symptoms, and psychiatric symptoms
Davoudi, M., Abdoli, F., Momeni, F., & Habibi, M. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06478-z · Cited by 10
Estrogen-related and other disease diagnoses preceding Parkinson’s disease
Latourelle, J. C. (2010) · Clinical Epidemiology · doi:10.2147/clep.s9621 · Cited by 8
Hasan, S., Mielke, M. M., Ahlskog, J. E., Bower, J. H., Turcano, P., & Savica, R. (2019) · Parkinson s Disease · doi:10.1155/2019/6303945 · Cited by 7
The Role of Coffee in the Therapy of Parkinson ’s Disease
Tran, A., & Zhang, C. Y. (2015) · Journal of Alzheimer’s Disease & Parkinsonism · doi:10.4172/2161-0460.1000203 · Cited by 7
“Studies show that increasing the amount of coffee from less than one cup to several cups a day significantly decreases the chances of developing PD [21-23].”
BackgroundEnvironmental Risk Factors for Parkinson’s Disease
Gorell, J. M., & Rybicki, B. A. (2003) · CRC Press eBooks · doi:10.1201/9780203912164-19 · Cited by 7
Purines in Parkinson’s: Adenosine A2A Receptors and Urate as Targets for Neuroprotection
Bakshi, R., Logan, R., & Schwarzschild, M. A. (2015) · Current topics in neurotoxicity · doi:10.1007/978-3-319-20273-0_6 · Cited by 7
Clinically proven natural products in aid of treating Parkinson's disease: a comprehensive review
Roni, M. A. H., Jami, M. A. B. S., Hoque, S., Hasibuzzaman, M. A., Banu, K. H., Rozina, Ansari, F., Sohel, M., Ashifuzzaman, M., Joy, F.-U.-H., et al. (2024) · Current Medicine · doi:10.1007/s44194-024-00033-w · Cited by 6
“Some evidence for anti-PD activity was also found in some retrospective study reports and articles (Benedetti et al. 2000; Anti Kalda et al. 2006a, b).”
Coffee Consumption Is Associated With Later Age‐at‐Onset of Parkinson's Disease
Kuzovenkova, D., Liu, L., Gan‐Or, Z., & Senkevich, K. A. (2025) · Annals of Clinical and Translational Neurology · doi:10.1002/acn3.70076 · Cited by 6
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Histomorphological Effects of Nicotine on Selected Parts of the Brain of Adult Wistar Rats
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“[22, 23, 24, 25, 26] Nevertheless, biochemical hypothesis of cigarette smoke components, indicated neuroprotection and reduction of enzymatic activity of type B monoamine oxidase in the brain.”
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Sullivan, K. L., Mortimer, J. A., Wang, W., Zesiewicz, T. A., Brownlee, H. J., & Borenstein, A. R. (2014) · Journal of Neurology Research · doi:10.14740/jnr.v4i2-3.281 · Cited by 4
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Goetz, C. G., & Kompoliti, K. (2005) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544873.039 · Cited by 3
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“De manera similar, Benedetti et al aportan otra hipótesis e indican que la inversa asociación con el tabaco no se debería a un efecto protector del mismo, sino más bien a que el hábito tabáquico es un marcador de otros factores de riesgo (asociación secundaria) [40].”
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Unexpected benefits of allergies and cigarette smoking: two examples of paradox in neuroepidemiology
Schwartzbaum, J., Karavodin, L. M., Kapur, N., & Fisher, J. L. (2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511978098.016 · Cited by 2
Caffeine and Neuroprotection in Parkinson’s Disease
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Adenosine Receptor Biology in the Central Nervous System
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Protein Phosphatases in Parkinson’s Disease
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Metadata
- Authors
- Benedetti, M. D., Bower, J. H., Maraganore, D. M., McDonnell, S. K., Peterson, B. J., Ahlskog, J. E., Schaid, D. J., & Rocca, W. A.
- Affiliations
- Mayo Clinic (US)
- Venue
- Neurology
- Published
- 2000-11-14
- Volume
- 55
- Issue
- 9
- Pages
- 1350-1358
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2172189733
- Cited by
- 234
- References
- 34
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 8 · 2021: 10 · 2020: 5 · 2019: 5 · 2018: 9 · 2017: 9 · 2016: 9 · 2015: 6 · 2014: 7 · 2013: 7 · 2012: 10
- FWCI
- 5.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R01NS033978, NS33978)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR030582, AR30582)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Pharmacology (medical) › Coffee research and impacts
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Parkinson's disease, coffee consumption, cigarette smoking, alcohol consumption, risk factors, age of onset, tobacco chewing, snuff use, alcoholism, Rochester Epidemiology Project, Rochester, Minnesota
- MeSH terms
- Adult, Aged, Alcohol Drinking, Coffee, Female, Humans, Male, Middle Aged, Minnesota, Parkinson Disease, Smoking, Case-Control Studies
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