Dietary epidemiology of essential tremor: meat consumption and meat cooking practices.
OBJECTIVE
Harmane [1-methyl-9H-pyrido(3,4-b)indole] is a tremor-producing neurotoxin. Blood harmane concentrations are elevated in essential tremor (ET) patients for unclear reasons. Potential mechanisms include increased dietary harmane intake (especially through well-cooked meat) or genetic-metabolic factors. We tested the hypothesis that meat consumption and level of meat doneness are higher in ET cases than in controls.


METHODS
Detailed data were collected using the Lawrence Livermore National Laboratory Meat Questionnaire.


RESULTS
Total current meat consumption was greater in men with than without ET (135.3 +/- 71.1 vs. 110.6 +/- 80.4 g/day, p = 0.03) but not in women with versus without ET (80.6 +/- 50.0 vs. 79.3 +/- 51.0 g/day, p = 0.76). In an adjusted logistic regression analysis in males, higher total current meat consumption was associated with ET (OR = 1.006, p = 0.04, i.e., with 10 additional g/day of meat, odds of ET increased by 6%). Male cases had higher odds of being in the highest than lowest quartile of total current meat consumption (adjusted OR = 21.36, p = 0.001). Meat doneness level was similar in cases and controls.


CONCLUSIONS
This study provides evidence of a dietary difference between male ET cases and male controls. The etiological ramifications of these results warrant additional investigation.
Louis
Elan D
ED
G.H. Sergievsky Center, New York, NY, USA. edl2@columbia.edu
Keating
Garrett A
GA
Bogen
Kenneth T
KT
Rios
Eileen
E
Pellegrino
Kathryn M
KM
Factor-Litvak
Pam
P
D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003296:Cooking; D004032:Diet / Q000706:statistics & numerical data*; D004034:Diet Surveys; D020329:Essential Tremor / Q000209:etiology / Q000523:psychology*; D005247:Feeding Behavior; D005260:Female; D006247:Harmine / Q000008:administration & dosage / Q000031:analogs & derivatives; D006801:Humans; D008297:Male; D008460:Meat; D008875:Middle Aged; D009498:Neurotoxins / Q000008:administration & dosage
D009498:Neurotoxins; D006247:Harmine; C005010:harman