Dietary epidemiology of essential tremor: meat consumption and meat cooking practices

Neuroepidemiology. 2008;30(3):161-6. doi: 10.1159/000122333. Epub 2008 Apr 2.

Abstract

Background/aim: 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.

Conclusion: This study provides evidence of a dietary difference between male ET cases and male controls. The etiological ramifications of these results warrant additional investigation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Cooking*
  • Diet / statistics & numerical data*
  • Diet Surveys
  • Essential Tremor / etiology
  • Essential Tremor / psychology*
  • Feeding Behavior*
  • Female
  • Harmine / administration & dosage
  • Harmine / analogs & derivatives
  • Humans
  • Male
  • Meat*
  • Middle Aged
  • Neurotoxins / administration & dosage

Substances

  • Neurotoxins
  • Harmine
  • harman