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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.
Background:
Multiple sclerosis (MS) and asthma are complex multifactorial diseases which adversely impact daily functioning. However, the prevalence of asthma in those with MS is not clear. The objective of this study is to characterize the prevalence of asthma in those with MS, with considerations for age, gender, and race.
Methods:
We conducted a U.S. population-based, cross-sectional study of electronic health record information for 56.6 million Americans available in the IBM® Explorys EPM: Explore database. We evaluated the prevalence of asthma in MS (N = 141,880) and non-MS (N = 56,416,790) cohorts, stratifying by age, gender, and race (All, White Americans, and African Americans).
Results:
The prevalence of asthma was significantly greater among those with MS than the general population across age, gender, and racial subpopulations. Adjusting for age and gender, asthma was three times more common in MS. In the MS cohort, the prevalence of asthma had a U-shaped distribution with respect to age, with the greatest asthma prevalence among the young and the elderly (> 20% prevalence among those <30 or ≥80 years; prevalence range: 15 to 30%); this significantly differed from the fairly uniform distribution observed in the non-MS cohort (prevalence range: 4 to 9%). These patterns were relatively consistent when stratifying by gender and race.
Conclusion:
Asthma is significantly more common in those with MS than in the general population - particularly in the young and elderly - irrespective of gender and race. The results add to the growing MS comorbidity literature, and emphasizes the need for comorbidity management as a part of comprehensive MS patient care.
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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