Holz, A.* ; Obi, N.* ; Pischon, T.* ; Schulze, M.B.* ; Ahrens, W.* ; Berger, K.* ; Bohn, B.* ; Brenner, H.* ; Emmel, C.* ; Fischer, B.* ; Greiser, K.H.* ; Harth, V.* ; Holleczek, B.* ; Kaaks, R.* ; Karch, A.* ; Katzke, V.* ; Keil, T.* ; Krist, L.* ; Leitzmann, M.* ; Meinke-Franze, C.* ; Michels, K.B.* ; Nimptsch, K.* ; Peters, A. ; Riedel, O.* ; Schikowski, T.* ; Schipf, S.* ; Schmidt, B.* ; Thierry, S. ; Hellwig, K.* ; Riemann-Lorenz, K.* ; Heesen, C.* ; Becher, H.*
The relation of multiple sclerosis to family history, lifestyle, and health factors in childhood and adolescence findings of a case-control study nested within the German National Cohort (NAKO) study.
Dtsch. Arztebl. Int. 122:21 (2025)
Background: Multiple sclerosis (MS) is a neuroinflammatory disease of presumed autoimmune origin. A combination of genetic susceptibility and exposure to certain environmental and lifestyle factors might trigger the onset of MS. The currently known risk factors include a genetic predisposition, infection with the Epstein-Barr virus (EBV), smoking, and an increased body mass index. Methods: In 2021-22, we carried out a case-control study nested within the German National Cohort (NAKO) to investigate associations of potential risk factors with MS. Results: The subjects included 576 persons with MS (cases) and 895 without MS (controls). Beyond the known risk factors, we observed associations between MS and the cumulative number of common childhood infections (odds ratio (OR) 1.14 per additional infection, 95% confidence interval (CI): [1.03; 1.25]), major stressful life events (SLE) (OR 1.25 per additional event, [1.06; 1.48]), being the firstborn child of a mother aged 30 or older (OR 2.11, [1.08; 4.13]); higher amounts of physical activity in the teenage years were associated with a lower risk of MS (OR 0.82 per unit increase in activity level, [0.71; 0.95]). Conclusion: We confirmed known risk factors for MS and found associations with a number of new ones, e.g., the cumulative number of common child-hood infections. These findings may shed light on the etiology of MS and merit further study.
Impact Factor
Scopus SNIP
Web of Science
Times Cited
Scopus
Cited By
Altmetric
Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Positionspapier
Typ der Hochschulschrift
Herausgeber
Schlagwörter
Hygiene Hypothesis; Risk-factors
Keywords plus
Sprache
englisch
Veröffentlichungsjahr
2025
Prepublished im Jahr
0
HGF-Berichtsjahr
2025
ISSN (print) / ISBN
1866-0452
e-ISSN
1866-0452
ISBN
Bandtitel
Konferenztitel
Konferzenzdatum
Konferenzort
Konferenzband
Quellenangaben
Band: 122,
Heft: 13,
Seiten: ,
Artikelnummer: 21
Supplement: ,
Reihe
Verlag
Dt. Ärzte-Verl.
Verlagsort
Dieselstrabe 2, Postfach 400265, D-50859 Cologne, Germany
Tag d. mündl. Prüfung
0000-00-00
Betreuer
Gutachter
Prüfer
Topic
Hochschule
Hochschulort
Fakultät
Veröffentlichungsdatum
0000-00-00
Anmeldedatum
0000-00-00
Anmelder/Inhaber
weitere Inhaber
Anmeldeland
Priorität
Begutachtungsstatus
Peer reviewed
Institut(e)
Institute of Epidemiology (EPI)
POF Topic(s)
30202 - Environmental Health
Forschungsfeld(er)
Genetics and Epidemiology
PSP-Element(e)
G-504000-010
G-504000-007
Förderungen
Helmholtz Association
Federal states of Germany
Copyright
Erfassungsdatum
2025-10-02