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西班牙肌萎缩侧索硬化症相关的临床和社会人口学因素:一项初步研究。

Clinical and Sociodemographic Factors Related to Amyotrophic Lateral Sclerosis in Spain: A Pilot Study.

作者信息

Proaño Belén, Cuerda-Ballester María, Daroqui-Pajares Noelia, Del Moral-López Noemí, Seguí-Sala Fiorella, Martí-Serer Laura, Calisaya Zambrana Carlen Khrisley, Benlloch María, de la Rubia Ortí Jose Enrique

机构信息

Doctoral Degree School, Health Sciences, Catholic University of Valencia San Vicente Mártir, 46001 Valencia, Spain.

Departament of Nursing, Catholic University of Valencia San Vicente Mártir, 46001 Valencia, Spain.

出版信息

J Clin Med. 2024 Sep 28;13(19):5800. doi: 10.3390/jcm13195800.

Abstract

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease of unknow etiology. Male sex is a well stablished risk factor, but other factors such as early and adult life expositions show contradictory evidence. Aim: to explore the link of clinical, sociodemographic, and occupational factors with ALS patients in Spain and the impact of these factors in functionality. A cross-sectional study was conducted with ALS patients and healthy controls. Registered variables were smoking, arterial hypertension, diabetes mellitus type 2, previous cancer to reproductive organs or breast, occupational exposure, and early life exposures. Functionality in ALS patients was compared according to each exposure. The ALS group consisted of 59 participants and the control group of 90 participants. ALS patients showed a significant association with previous cancer ( = 0.011), occupational exposure ( < 0.001), and older siblings ( = 0.029). ALS patients presented significant differences in BMI according to hypertension and older-sibling factors. Moreover, respiratory function was affected in patients with previous cancer ( = 0.031). Occupational exposure and previous cancer to reproductive organs or breast could be linked to ALS patients. In addition, hypertension and previous cancer could affect their BMI and respiratory function. Other factors such as longer smoking periods and exposition to older siblings could also characterize ALS patients.

摘要

肌萎缩侧索硬化症(ALS)是一种病因不明的神经退行性疾病。男性是一个已明确的风险因素,但其他因素,如早年和成年期的暴露情况,证据相互矛盾。目的:探讨西班牙ALS患者的临床、社会人口统计学和职业因素之间的联系,以及这些因素对功能的影响。对ALS患者和健康对照进行了一项横断面研究。记录的变量包括吸烟、动脉高血压、2型糖尿病、既往生殖器官或乳腺癌、职业暴露和早年暴露情况。根据每种暴露情况比较ALS患者的功能。ALS组由59名参与者组成,对照组由90名参与者组成。ALS患者与既往癌症(P = 0.011)、职业暴露(P < 0.001)和年长兄弟姐妹(P = 0.029)之间存在显著关联。根据高血压和年长兄弟姐妹因素,ALS患者的体重指数存在显著差异。此外,既往患癌患者的呼吸功能受到影响(P = 0.031)。职业暴露以及既往生殖器官或乳腺癌可能与ALS患者有关。此外,高血压和既往癌症可能会影响他们的体重指数和呼吸功能。其他因素,如吸烟时间较长和与年长兄弟姐妹接触,也可能是ALS患者的特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb51/11476538/eb354eade689/jcm-13-05800-g001.jpg

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