{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T13:47:51Z","timestamp":1792417671597,"version":"4.4.0"},"reference-count":53,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000864","name":"Michael J. Fox Foundation for Parkinson's Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000864","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008211","name":"Association France Parkinson","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008211","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR\u201010\u2010COHO\u20100006"],"award-info":[{"award-number":["ANR\u201010\u2010COHO\u20100006"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014636","name":"Minist\u00e8re de l'\u00c9ducation et de l'Enseignement sup\u00e9rieur","doi-asserted-by":"publisher","award":["2102918823"],"award-info":[{"award-number":["2102918823"]}],"id":[{"id":"10.13039\/501100014636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014636","name":"Minist\u00e8re de l'\u00c9ducation et de l'Enseignement sup\u00e9rieur","doi-asserted-by":"publisher","award":["2103236497"],"award-info":[{"award-number":["2103236497"]}],"id":[{"id":"10.13039\/501100014636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014636","name":"Minist\u00e8re de l'\u00c9ducation et de l'Enseignement sup\u00e9rieur","doi-asserted-by":"publisher","award":["2103586016"],"award-info":[{"award-number":["2103586016"]}],"id":[{"id":"10.13039\/501100014636","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disorders"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Previous studies on calcium channel blockers (\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      ) and Parkinson's disease (\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      ) risk reached conflicting conclusions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      We examined the relationship between\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      in the\n                      <jats:styled-content style=\"fixed-case\">E3N<\/jats:styled-content>\n                      cohort of French women followed for 15\u2009years (2004\u20132018), while taking into account the potential for reverse causation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      New users of\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      were identified using drug reimbursement databases. We validated incident\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      using several data sources. We described trajectories of\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      use using mixed logistic models within a nested case\u2013control study. We used Cox proportional hazards models for time\u2010varying variables to estimate the association between\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      (overall, amlodipine, non\u2010amlodipine dihydropyridines [\n                      <jats:styled-content style=\"fixed-case\">DiCCBs<\/jats:styled-content>\n                      ], non\u2010dihydropyridines [non\u2010\n                      <jats:styled-content style=\"fixed-case\">DiCCBs<\/jats:styled-content>\n                      ]) and\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      . Main analyses used a 5\u2010year lag; sensitivity analyses without a lag were performed for comparison.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 82,605 women, 603 developed\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      and 13,022 used\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      . Women who started non\u2010\n                      <jats:styled-content style=\"fixed-case\">DiCCBs<\/jats:styled-content>\n                      had higher\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      risk than never users (hazard ratio [\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      ]\u2009=\u20091.56; 95% confidence interval [95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ]\u2009=\u20090.99\u20132.46;\n                      <jats:italic>P<\/jats:italic>\n                      \u2010trend \u2264 0.02). Among non\u2010\n                      <jats:styled-content style=\"fixed-case\">DiCCBs<\/jats:styled-content>\n                      , diltiazem was associated with\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      \u2009=\u20092.20 [95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u2009=\u20091.19\u20134.04]). There were no significant associations for\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      overall, amlodipine, and non\u2010amlodipine\n                      <jats:styled-content style=\"fixed-case\">DiCCBs<\/jats:styled-content>\n                      . In analyses without a lag, amlodipine (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      \u2009=\u20091.45 [95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u2009=\u20091.13\u20131.87]) and diltiazem (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      \u2009=\u20091.63 [95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u2009=\u20091.02\u20132.60]) were associated with\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      . Results are consistent with trajectories of\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      prescriptions in\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      patients and controls.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      Overall,\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      were not associated with\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      but women who started using diltiazem had higher\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      incidence in lagged analyses. Diltiazem and amlodipine were associated with\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      in analyses without a lag. These findings are consistent with case reports of parkinsonism induced by specific\n                      <jats:styled-content style=\"fixed-case\">CCBs<\/jats:styled-content>\n                      and warrant further studies and surveillance. \u00a9 2026 The Author(s).\n                      <jats:italic>Movement Disorders<\/jats:italic>\n                      published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mds.70336","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:49:45Z","timestamp":1777517385000},"page":"2071-2085","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Revisiting the Association Between Calcium Channel Blockers and Parkinson's Disease in the\n                    <scp>E3N<\/scp>\n                    Cohort"],"prefix":"10.1002","volume":"41","author":[{"given":"Emilie","family":"Moutard","sequence":"first","affiliation":[{"name":"Inserm, Gustave Roussy, Centre de recherche en \u00e9pid\u00e9miologie et sant\u00e9 des populations (CESP) Universit\u00e9 Paris\u2010Saclay (UVSQ)  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8380-3439","authenticated-orcid":false,"given":"Agn\u00e8s","family":"Fournier","sequence":"additional","affiliation":[{"name":"Inserm, Gustave Roussy, Centre de recherche en \u00e9pid\u00e9miologie et sant\u00e9 des populations (CESP) Universit\u00e9 Paris\u2010Saclay (UVSQ)  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3018-5507","authenticated-orcid":false,"given":"\u00c9meline","family":"Courtois","sequence":"additional","affiliation":[{"name":"Inserm, Centre de recherche en \u00e9pid\u00e9miologie et sant\u00e9 des populations (CESP) Universit\u00e9 Paris\u2010Saclay (UVSQ)  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1899-8502","authenticated-orcid":false,"given":"Fanny","family":"Artaud","sequence":"additional","affiliation":[{"name":"Inserm, Gustave Roussy, Centre de recherche en \u00e9pid\u00e9miologie et sant\u00e9 des populations (CESP) Universit\u00e9 Paris\u2010Saclay (UVSQ)  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4942-7753","authenticated-orcid":false,"given":"Pascale","family":"Tubert\u2010Bitter","sequence":"additional","affiliation":[{"name":"Inserm, Centre de recherche en \u00e9pid\u00e9miologie et sant\u00e9 des populations (CESP) Universit\u00e9 Paris\u2010Saclay (UVSQ)  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9727-3459","authenticated-orcid":false,"given":"Emmanuel","family":"Roze","sequence":"additional","affiliation":[{"name":"AP\u2010HP, H\u00f4pital Piti\u00e9\u2010Salp\u00eatri\u00e8re, D\u00e9partement de Neurologie Sorbonne Universit\u00e9, Paris, France; INSERM U1127, CNRS 7225, Institut du Cerveau  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0468-6858","authenticated-orcid":false,"given":"Isma\u00efl","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Inserm, Centre de recherche en \u00e9pid\u00e9miologie et sant\u00e9 des populations (CESP) Universit\u00e9 Paris\u2010Saclay (UVSQ)  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2651-2795","authenticated-orcid":false,"given":"Anne C.M.","family":"Thi\u00e9baut","sequence":"additional","affiliation":[{"name":"Inserm, Centre de recherche en \u00e9pid\u00e9miologie et sant\u00e9 des populations (CESP) Universit\u00e9 Paris\u2010Saclay (UVSQ)  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9724-5490","authenticated-orcid":false,"given":"Alexis","family":"Elbaz","sequence":"additional","affiliation":[{"name":"Inserm, Gustave Roussy, Centre de recherche en \u00e9pid\u00e9miologie et sant\u00e9 des populations (CESP) Universit\u00e9 Paris\u2010Saclay (UVSQ)  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4627-0658","authenticated-orcid":false,"given":"Thi Thu Ha","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Inserm, Gustave Roussy, Centre de recherche en \u00e9pid\u00e9miologie et sant\u00e9 des populations (CESP) Universit\u00e9 Paris\u2010Saclay (UVSQ)  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejphar.2018.04.023"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(07)70246-6"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40263-016-0393-9"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003445"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005344-200308000-00001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1291\/hypres.29.49"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0024-3205(97)00881-3"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2006.08.011"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000303818.38960.44"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000235641"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23191"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.21937"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwr362"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0098961"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2021.117412"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/5780809"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.22616"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyu184"},{"key":"e_1_2_9_20_1","unstructured":"WHO Collaborating Centre for Drug Statistics Methodology.https:\/\/atcddd.fhi.no\/ddd\/definition_and_general_considera\/[online]. Accessed 20\/09\/2024."},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-022-00851-y"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.52.6.1214"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2015.12.008"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000184520.21744.a2"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awac440"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000207424"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000201468"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41531-022-00433-5"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.2082"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000005678"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.29349"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/1877718X251330993"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwg231"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2023.05.004"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2022.0003"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjmed-2023-000783"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwv269"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prdoa.2020.100061"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.30075"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237495"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.2147\/TCRM.S360268"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00228-016-2181-3"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.10185"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870100120"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(89)80491-7"},{"key":"e_1_2_9_46_1","first-page":"1335","article-title":"Parkinson syndrome, a possible adverse effect of calcium inhibitors","volume":"85","author":"Malaterre HR","year":"1992","journal-title":"Arch Mal Coeur Vaiss"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23828"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.1994.tb04434.x"},{"key":"e_1_2_9_49_1","first-page":"57","article-title":"Parkinson syndrome from diltiazem","volume":"56","author":"Remblier C","year":"2001","journal-title":"Therapie"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)80195-8"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002826-199306000-00011"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002826-199510000-00004"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwv254"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.5083"}],"container-title":["Movement Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mds.70336","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/mds.70336","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mds.70336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:25:32Z","timestamp":1787797532000},"score":1,"resource":{"primary":{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/10.1002\/mds.70336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,29]]},"references-count":53,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/mds.70336"],"URL":"https:\/\/doi.org\/10.1002\/mds.70336","archive":["Portico"],"relation":{},"ISSN":["0885-3185","1531-8257"],"issn-type":[{"value":"0885-3185","type":"print"},{"value":"1531-8257","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,29]]},"assertion":[{"value":"2025-11-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}