Research: WENS and COLLEAGUES,

Listed in Issue 222

Abstract

WENS and COLLEAGUES, (1)REVAL Rehabilitation Research Centre, Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium reviewed the literature linking Multiple Sclerosis (MS) to cardiovascular disease (CVD) risks and to the risk factors constituting the metabolic syndrome

Background

Despite many epidemiological studies examining comorbidity in people with multiple sclerosis (pMS), there are conflicting opinions on whether pMS are at more or less risk of cardiovascular disease (CVD) and the metabolic syndrome compared with the general population.

Methodology

As pMS can now expect longer survival, this as an important question both at an individual and public health level. This study aimed to systematically review the literature linking MS to CVD risks and to the risk factors constituting the metabolic syndrome. This systematic review is based on a comprehensive literature search of six databases (Swemed+, Pubmed, Embase, Cochrane, PEDro and CINAHL). In total 34 studies were identified. Despite the high number of identified papers, only limited and inconsistent data exist on the risk factors of the metabolic syndrome and MS.

Results

Overall, the data suggest an increased CVD risk in pMS. From the existing studies it is not clear whether the increased risk of CVD is related to an increased risk of obesity or changes in body composition, hypertension, dyslipidemia or type II diabetes in pMS.

Conclusion

These date indicate the need for future research in the field, if we are to advise pMS adequately in avoiding preventable comorbidity.

References

Wens I(1), Dalgas U, Stenager E, Eijnde BO. Risk factors related to cardiovascular diseases and the metabolic syndrome in multiple sclerosis - a systematic review. Mult Scler. 19(12):1556-64. doi: 10.1177/1352458513504252. Oct 2013. Epub Sep 18 2013.

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