Highlights
- •There is high frequency of MetS and its component in Egyptian MS patients.
- •Metabolic syndrome was not a significant factor affecting disability in MS patients.
- •Disease duration, current medication, BMI and dyslipidemia were the independent factors significantly associated with disability in MS patients.
Abstract
Background
There is limited and inconsistent data on metabolic syndrome (MetS) in multiple sclerosis
(MS) patients. The aim of this study was to estimate the frequency of MetS and its
components in MS patients and to evaluate their association with disease disability
in Egyptian MS patients.
Methods
A cross-section study was carried out on 60 patients (19 males and 41 females) with
relapsing remitting MS. All patients were subjected to full general and neurological
examination, laboratory and radiological investigations. Assessment of disease disability
was performed using Expanded Disability Status Scale (EDSS) and MetS was diagnosed
according to National Cholesterol Education Program Adult Treatment Panel Ш (NCEP-ATP
III).
Results
The frequency of MetS in MS patients was 36.7%. Our findings show that 53.3% of MS
patients had abdominal obesity, 21.7% had hypertension, 38.3% had diabetes mellitus,
43.3% had elevated triglycerides level and 56.7% had dyslipidemia. Linear regression
analysis revealed that body mass index (BMI), dyslipidemia, current medication and disease duration
were significantly associated with disease disability.
Conclusion
High frequency of MetS and its component was observed in MS patients. Disease duration
and current medication as well as some MetS component such as BMI, dyslipidemia, were
significantly associated with disability in MS patients.
Keywords
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Article info
Publication history
Published online: July 02, 2020
Accepted:
June 23,
2020
Received in revised form:
June 9,
2020
Received:
May 2,
2020
Identification
Copyright
© 2020 Elsevier B.V. All rights reserved.