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Original article| Volume 44, 102336, September 2020

Metabolic syndrome components and disease disability in egyptian multiple sclerosis patients

      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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