Prevalence of asthma in multiple sclerosis: A United States population-based study

Eddie Hill1, Hesham Abboud2, Farren B S Briggs3

  • 1Neuroimmunological Disorders Gene-Environment Epidemiology Laboratory, Department of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, OH, USA; School of Medicine, Case Western Reserve University, Cleveland, OH, USA.

Abstract

Insights

Asthma is significantly more common in multiple sclerosis (MS) patients than the general population, especially in younger and older adults. This highlights the need for integrated care strategies for MS comorbidities.

Area of Science:

  • Neurology
  • Pulmonology
  • Epidemiology

Background:

  • Multiple sclerosis (MS) and asthma are debilitating multifactorial diseases impacting daily life.
  • The prevalence of asthma in individuals with MS is not well-established.
  • Understanding this comorbidity is crucial for comprehensive patient care.

Purpose of the Study:

  • To determine the prevalence of asthma in a large cohort of patients with multiple sclerosis (MS).
  • To analyze asthma prevalence in MS patients considering age, gender, and race.
  • To compare asthma rates in MS patients versus the general population.

Main Methods:

  • A U.S. population-based, cross-sectional study utilizing electronic health records from 56.6 million individuals.
  • Evaluated asthma prevalence in 141,880 MS patients and 56,416,790 non-MS individuals.
  • Stratified analyses by age, gender, and race (White Americans, African Americans).

Main Results:

  • Asthma prevalence was significantly higher in the MS cohort compared to the general population across all demographics.
  • After adjusting for age and gender, asthma was three times more common in MS patients.
  • MS patients exhibited a U-shaped asthma prevalence by age (highest in <30 and ≥80 years), unlike the non-MS cohort.

Conclusions:

  • Asthma is substantially more prevalent in individuals with MS, particularly the young and elderly.
  • These findings underscore the importance of managing comorbidities in comprehensive MS care.
  • The increased asthma prevalence in MS warrants further investigation into underlying mechanisms and integrated treatment approaches.

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