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Obesity and Risk of Pediatric-Onset Multiple Sclerosis (POMS): a Systematic Review and Meta-Analysis
Sanaz Mehrabani1, Narges Ebrahimi2, Mohsen Rastkar3,4
1Associate Professor of Pediatrics Gastroenterology, Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Childhood obesity significantly increases the risk of developing multiple sclerosis (MS) in children. This meta-analysis confirms a substantially higher pooled odds ratio for MS among obese children, highlighting a critical public health concern.
Area of Science:
- Pediatrics
- Neurology
- Public Health
Background:
- Childhood obesity is a growing global health issue.
- Existing literature suggests a link between childhood obesity and increased risk of multiple sclerosis (MS), but findings are inconsistent.
- A systematic review and meta-analysis were needed to quantify this association.
Purpose of the Study:
- To systematically review and meta-analyze existing studies.
- To quantify the pooled risk of developing multiple sclerosis (MS) in children with obesity.
Main Methods:
- A comprehensive literature search was conducted across major databases (PubMed, Scopus, EMBASE, Web of Science, Google Scholar) and gray literature up to May 1, 2023.
- Two independent researchers screened and selected studies.
- Four studies meeting eligibility criteria were included in the meta-analysis, involving 17,812 cases and 660,757 controls.
Main Results:
- The pooled odds ratio (OR) for developing MS in children with obesity was 1.67 (95% CI 1.25-2.24).
- Individual study ORs ranged from 1.26 to 3.79.
- Significant heterogeneity was observed (I2=84.2%, p<0.001).
Conclusions:
- The findings indicate a significantly elevated risk of developing multiple sclerosis (MS) in children who are obese.
- This highlights the importance of addressing childhood obesity to potentially mitigate MS risk.
Related Concept Videos
Multiple Sclerosis l: Introduction
Obesity
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