The epidemiology of PD includes many factors that have been identified as risk factors and protective factors, the balance of which, along with genetics, influences a person’s chance of developing PD.1-4 The balance of these risks is often complex,3 and the way in which these various known/hypothesized risk and protective factors interact with genes is a growing field of research.4 Beyond genes, there is increasing interest in how these environmental factors may interact with the complex and changing epigenetics governing how the genes are expressed.4

References:
1.Ascherio A, Schwarzschild MA. The epidemiology of Parkinson’s disease: risk factors and prevention. Lancet Neurol 2016; 15 (12): 1257–1272.

2.Dorsey ER, Bloem BR. Parkinson’s disease is predominantly an environmental disease. J Parkinsons Dis 2024; 14 (3): 451–465.

3.Veronese N, Nova A, Fazia T, et al. Contribution of nutritional, lifestyle, and metabolic risk factors to Parkinson’s disease. Mov Disord 2024; 39 (7): 1203–1212.

4.Elbaz A, Carcaillon L, Kab S, Moisan F. Epidemiology of Parkinson’s disease. Revue Neurologique 2016; 172: 14–26.