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儿童和青少年超重/肥胖与多发性硬化症发病之间的联系。

Link between overweight/obese in children and youngsters and occurrence of multiple sclerosis.

机构信息

Department of Neurology, Rigshospitalet-Glostrup, Nordre Ringvej 57, 2600, Glostrup, Denmark.

University of Copenhagen, Copenhagen, Denmark.

出版信息

J Neurol. 2018 Dec;265(12):2755-2763. doi: 10.1007/s00415-018-8869-9. Epub 2018 Apr 26.

DOI:10.1007/s00415-018-8869-9
PMID:29700643
Abstract

BACKGROUND/AIMS: The prevalence of overweight/obesity is a major problem in the world, and the number of MS cases is increasing. This literature study examines the relationship between overweight/obesity in children and adolescents and later occurrence of MS.

METHOD

This is a complete literature survey. The search database is primarily Pubmed using MeSH terms "multiple sclerosis", "obesity", and "overweight", and text words not to restrict searches.

RESULTS

All included studies show a link between being overweight/obese and the presence of MS among people below 20 years of age. The relation is especially true for young girls. The same relation in boys is not significant.

CONCLUSION

The literature survey convincingly revealed a link between young overweight/obese and occurrence of MS, in particular for girls. There is a need for more and larger studies to investigate the molecular mechanisms that link obesity and MS.

摘要

背景/目的:超重/肥胖的流行是全球的一个主要问题,多发性硬化症(MS)的病例数正在增加。本文献研究探讨了儿童和青少年超重/肥胖与日后发生 MS 的关系。

方法

这是一项完整的文献综述。使用 MeSH 术语“多发性硬化症”、“肥胖”和“超重”以及非限定性搜索的文本词,主要在 Pubmed 数据库中进行搜索。

结果

所有纳入的研究都表明超重/肥胖与 20 岁以下人群中 MS 的发生之间存在关联。这种关联在年轻女孩中尤为明显。男孩中则没有显著的相关性。

结论

文献综述令人信服地揭示了年轻超重/肥胖与 MS 发生之间的联系,特别是对于女孩。需要进行更多更大规模的研究,以探究肥胖与 MS 之间的关联的分子机制。

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本文引用的文献

1
Adipsin Is Associated with Multiple Sclerosis: A Follow-Up Study of Adipokines.脂联素与多发性硬化症相关:脂肪因子的随访研究
Mult Scler Int. 2015;2015:371734. doi: 10.1155/2015/371734. Epub 2015 Nov 8.
2
Body mass index during adolescence, rather than childhood, is critical in determining MS risk.青春期而非儿童期的体重指数对于确定患代谢综合征的风险至关重要。
Mult Scler. 2016 Jun;22(7):878-83. doi: 10.1177/1352458515603798. Epub 2015 Sep 11.
3
Serum leptin levels in treatment-naive patients with clinically isolated syndrome or relapsing-remitting multiple sclerosis.
儿科发病多发性硬化症与肥胖:超重患者疾病特征轮廓的定义。
Nutrients. 2023 Nov 22;15(23):4880. doi: 10.3390/nu15234880.
4
Visceral Adipose Tissue Molecular Networks and Regulatory microRNA in Pediatric Obesity: An In Silico Approach.内脏脂肪组织分子网络和小儿肥胖症中的调控 microRNA:一种计算机模拟方法。
Int J Mol Sci. 2022 Sep 20;23(19):11036. doi: 10.3390/ijms231911036.
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Epstein-Barr Virus and Multiple Sclerosis.EB 病毒与多发性硬化症。
Front Immunol. 2020 Dec 17;11:587078. doi: 10.3389/fimmu.2020.587078. eCollection 2020.
6
The Interaction between Viral and Environmental Risk Factors in the Pathogenesis of Multiple Sclerosis.病毒和环境风险因素在多发性硬化症发病机制中的相互作用。
Int J Mol Sci. 2019 Jan 14;20(2):303. doi: 10.3390/ijms20020303.
未经治疗的临床孤立综合征或复发缓解型多发性硬化症患者的血清瘦素水平。
Autoimmune Dis. 2014;2014:486282. doi: 10.1155/2014/486282. Epub 2014 Nov 19.
4
Higher weight in adolescence and young adulthood is associated with an earlier age at multiple sclerosis onset.青少年期和青年期体重较高与多发性硬化症发病年龄较早有关。
Mult Scler. 2015 Jun;21(7):858-65. doi: 10.1177/1352458514555787. Epub 2014 Nov 12.
5
Obesity during childhood and adolescence increases susceptibility to multiple sclerosis after accounting for established genetic and environmental risk factors.在考虑了既定的遗传和环境风险因素后,儿童期和青少年期肥胖会增加患多发性硬化症的易感性。
Obes Res Clin Pract. 2014 Sep-Oct;8(5):e435-47. doi: 10.1016/j.orcp.2014.01.002. Epub 2014 Mar 6.
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Atlas of Multiple Sclerosis 2013: A growing global problem with widespread inequity.《2013年多发性硬化症图谱:一个全球范围不断扩大且存在广泛不平等现象的问题》
Neurology. 2014 Sep 9;83(11):1022-4. doi: 10.1212/WNL.0000000000000768.
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Body size and the risk of multiple sclerosis in Norway and Italy: the EnvIMS study.挪威和意大利的体型与多发性硬化症风险:EnvIMS研究
Mult Scler. 2015 Apr;21(4):388-95. doi: 10.1177/1352458514546785. Epub 2014 Sep 2.
8
Body mass index and risk of autoimmune diseases: a study within the Danish National Birth Cohort.体重指数与自身免疫性疾病风险:丹麦国家出生队列研究
Int J Epidemiol. 2014 Jun;43(3):843-55. doi: 10.1093/ije/dyu045. Epub 2014 Mar 7.
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Interaction between adolescent obesity and HLA risk genes in the etiology of multiple sclerosis.青少年肥胖与人类白细胞抗原风险基因在多发性硬化症发病机制中的相互作用。
Neurology. 2014 Mar 11;82(10):865-72. doi: 10.1212/WNL.0000000000000203. Epub 2014 Feb 5.
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Increased leptin and A-FABP levels in relapsing and progressive forms of MS.复发型和进展型多发性硬化症患者中瘦素和A-FABP水平升高。
BMC Neurol. 2013 Nov 11;13:172. doi: 10.1186/1471-2377-13-172.