Systematic review and meta-analysis of six observational studies (344,580 participants) reports a modest association between PPI use and increased Parkinson's disease risk (pooled OR 1.14, 95% CI 1.07–1.22) but rates the evidence as low certainty due to heterogeneity and confounding.
While not providing mechanisms, the epidemiological signal—if validated—could point to gut-mediated, nutrient or metabolic contributors to PD and warrants prospective, mechanistic studies to assess causality and inform safer PPI use in at-risk populations.