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A Scoping Review of Modifiable Risk Factors in Pediatric Onset Multiple Sclerosis: Building for the Future

Julie Pétrin1, Max Fiander2, Prenitha Mercy Ignatius Arokia Doss3

  • 1Department of Rehabilitation Sciences, School of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George St, Kingston, ON K7L 3N6, Canada. julie.petrin@queensu.ca.

Children (Basel, Switzerland)
|October 31, 2018
PubMed

Insights

Lifestyle factors like diet, exercise, and sleep impact pediatric multiple sclerosis (MS). Higher vitamin D, vegetable intake, and physical activity may reduce disease burden in pediatric MS (POMS).

Area of Science:

  • Neurology
  • Pediatrics
  • Public Health

Background:

  • Limited knowledge exists regarding modifiable lifestyle factors in pediatric multiple sclerosis (MS).
  • Understanding these factors is crucial for managing pediatric MS (POMS).

Purpose of the Study:

  • To conduct a scoping review on modifiable lifestyle factors and pediatric MS.
  • To synthesize current evidence on diet, obesity, physical activity, and sleep in pediatric MS.

Main Methods:

  • Scoping review following Arksey and O'Malley framework.
  • Searched four databases for pediatric MS and lifestyle factors (inception to May 2018).
  • Included quantitative and qualitative primary articles in English.

Main Results:

  • 25 articles focused on diet, obesity, physical activity, and sleep.
  • These factors were associated with POMS risk and disease activity.
  • Vitamin D, vegetable intake, and physical activity linked to reduced relapse rates; obesity linked to increased POMS risk.

Conclusions:

  • Obesity, higher vitamin D, and physical activity may associate with lower disease burden in POMS.
  • Current studies are observational.
  • Longitudinal and experimental designs are needed to clarify the role of lifestyle factors in pediatric MS.

Keywords:
lifestylemodifiablemultiple sclerosispediatricrisk factorsscoping reviewwellbeing

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