Cardiovascular comorbidities in amyotrophic lateral sclerosis

Mariana Pereira, Marta Gromicho*, Ana Henriques, Ana Catarina Pronto-Laborinho, Julian Grosskreutz, Magdalena Kuźma-Kozakiewicz, Susanne Petri, Hilmi Uysal, Michael Swash, Mamede de Carvalho

*Corresponding author for this work
3 Citations (Scopus)

Abstract

Background: The role of cardiovascular risk factors in amyotrophic lateral sclerosis (ALS) is controversial. A favourable profile has been found in ALS patients, but previous studies have not specifically considered the profile in different disease phenotypes. Methods: Demographic data, smoking habits, lifetime exercise, and medical history including diabetes mellitus, arterial hypertension, hypercholesterolemia, hypertriglyceridemia, stroke, and cardiac events, were analysed in ALS patients and in controls with other neurological disorders, utilising a standardized questionnaire applied by the same neurologist. In ALS patients the results were analysed according to their different phenotypes. Univariate analyses and multinomial logistic models were applied to estimate the odds ratios (ORs) and confidence intervals (CIs) for covariates, to test potential modifiers and their effects. Results: 500 consecutively assessed adult ALS patients (mean age 65.6, 47% women, and 136 bulbar-onset) and 327 age and gender-matched controls were studied. Patients with spinal-onset ALS took more exercise (p = 0.012), reported less hypertension (p = 0.002) and had fewer cardiac events (p = 0.012). Multinomial regression analysis showed that men without hypertension have a higher risk of having spinal-onset ALS (p < 0.001) while female with hypertension have a higher risk of having bulbar-onset ALS (p = 0.033). Conclusions: Risk-factors in ALS can be influenced by gender and phenotype. This study suggests that men with spinal ALS are healthier, exercise more and have lower rate of hypertension, but females with bulbar-onset ALS are more prone to hypertension. The complex interplay between exercise, diet and comorbidities with ALS phenotype requires further investigation.

Original languageEnglish
Article number117292
JournalJournal of the Neurological Sciences
Volume421
ISSN0022-510X
DOIs
Publication statusPublished - 15.02.2021

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)
  • Centers: Center for Neuromuscular Diseases

Fingerprint

Dive into the research topics of 'Cardiovascular comorbidities in amyotrophic lateral sclerosis'. Together they form a unique fingerprint.

Cite this