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A case-control study of dietary salt intake in pediatric-onset multiple sclerosis
Jamie McDonald1, Jennifer Graves1, Amy Waldman2
1UCSF Regional Pediatric MS Center, San Francisco, CA, United States.
Insights
This study found no significant link between dietary salt intake and the risk of developing pediatric-onset multiple sclerosis (MS). These findings suggest salt consumption may not be a major factor in childhood MS susceptibility.
Area of Science:
- Pediatric Neurology
- Immunology
- Dietary Science
Background:
- High salt intake is linked to pro-inflammatory immune responses.
- In adults with relapsing-remitting multiple sclerosis (MS), increased salt intake correlates with heightened clinical and MRI activity.
- The role of salt in pediatric-onset MS remains unclear.
Purpose of the Study:
- To investigate the association between dietary salt intake and the risk of pediatric-onset MS.
- To determine if sodium consumption influences susceptibility to MS in children.
Main Methods:
- A multicenter, case-control study involving 170 pediatric-MS cases and 331 controls (under 22 years old).
- Dietary sodium intake was assessed using the validated Block Kids Food Screener.
- Logistic regression models adjusted for age, gender, ethnicity, BMI, and socioeconomic status were employed.
Main Results:
- No significant difference in mean sodium intake was observed between pediatric-MS cases (2044mg/d) and controls (2030mg/d).
- The proportion of participants consuming excess sodium was similar in both cases (65%) and controls (69%).
- No increased odds of higher sodium intake were found in cases compared to controls.
Conclusions:
- Dietary salt intake does not appear to be strongly associated with the risk of pediatric-onset MS.
- These findings indicate that salt intake may not be a significant factor in MS susceptibility among children.
Background:
High salt intake may be associated with pro-inflammatory changes in the immune response, and increased clinical and MRI activity in adults with relapsing-remitting multiple sclerosis.
Objective:
We sought to determine if dietary salt intake is associated with pediatric-onset MS risk in a multicenter, case-control study.
Methods:
Pediatric-onset CIS/MS cases within four years of onset and controls less than 22 years old recruited from 14 pediatric-MS centers were studied. Dietary sodium intake was assessed using the validated Block Kids Food Screener (NutritionQuest). Sodium intake, excess sodium, and sodium terciles were compared between cases and controls. Logistic regression models were adjusted for age, gender, ethnicity, body mass index, and socioeconomic status.
Results:
Among 170 cases (mean age=15.2±3.5) and 331 controls (mean age=14.0±3.7), no significant difference in unadjusted mean sodium intake was found between cases (2044mg/d) and controls (2030mg/d, p=0.99). The proportion of subjects consuming excess sodium, based on the adequate intake for age and gender, was similar between cases and controls (65% versus 69%, p=0.34). There were no increased odds of higher sodium intake among cases as compared to controls (for each 100mg/d increase in sodium, OR=1.00, 95% CI 0.98, 1.02; p=0.93, for excess sodium intake, OR=1.05, 95% CI 0.67, 1.64; p=0.84).
Conclusions:
Our results show no strong association between dietary salt intake and pediatric-onset MS risk, suggesting that salt intake may not play a prominent role in susceptibility to MS in children.
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