Gender and MS

If it's on your mind and it has to do with multiple sclerosis in any way, post it here.

Gender and MS

Postby bromley » Mon Oct 20, 2008 1:18 am

The European Charcot Foundation is holding its annual symposium next month which is focusing on gender. The programme is as follows:

http://www.charcot-ms.eu/Programme-page ... d2-128.htm

There have been several recent MS studies e.g. Denmark and France showing that MS is increasing among women. The following study coveres south east Wales. The final paragraph is interesting. Not sure what woman have been doing differently over the last few decades?


Increasing prevalence and incidence of Multiple Sclerosis in South East Wales 20 October 2008

Epidemiological studies of multiple sclerosis suggest a trend of increasing disease prevalence in susceptible populations. The reasons for this are unclear and may be the results of methodological differences between studies, incomplete ascertainment or advances in technologies that allow the increased identification of early or mild disease. In addition, direct comparison of cross-sectional prevalence estimates performed in different epochs in ethnically and geographically distinct populations may be inappropriate.


Using detailed phenotypic information and standardised methodology we have resurveyed a geographically defined Welsh population after a significant interval, establishing contemporary prevalence rates and examining demographic and clinical data to determine causes of changing disease frequency.

Disease prevalence rose 45% from 101 to 146 per 100,000 population over 20 years. The greatest increase was observed in females between the ages of 45 and 54. No significant increase in disease frequency was observed in the male population overall, or within specific age groups. There was no demographic evidence for a pattern of earlier age at onset or diagnosis to explain increased disease frequency or decrease in mean age of the prevalent population. In addition we failed to identify a pattern of recognition of patients with less severe disability. Although there was a modest 13% increase of 2.2 years in mean disease duration, and 8 new previously prevalent patients were identified, the main cause of rising disease frequency was related to a 2.8 fold increase in disease incidence for females over 23 years from 2.65 to 7.30/100,000/year increasing sex ratio of incident patients from 1.8 to 4.3 F:M.

Recent change in disease incidence and prevalence in this population is likely to be the result of environmental factors that have been operative in the last few decades in females alone and infers avoidable risk factors. Modelling of current overall incidence suggests a further increase in prevalence to 260 per 100,000 population within the next 20-40 years. Further studies are needed in order to identify recent changes in sex specific environment and lifestyle that confer susceptibility.

Claire L Hirst 1, Gillian Ingram 1, Trevor P Pickersgill 1, Robert J Swingler 2, D A S Compston 3 and Neil P Robertson 1

1 University Hospital of Wales, United Kingdom
2 Ninewells Hospital & Medical School, United Kingdom
3 Addenbrooke's Hospital, United Kingdom

Source: JNNP Online © 2008 by the BMJ Publishing Group Ltd. (20/10/08)
User avatar
bromley
Family Elder
 
Posts: 1887
Joined: Fri Sep 10, 2004 2:00 pm

Advertisement

Postby gwa » Mon Oct 20, 2008 6:47 am

So many women have been misdiagnosed as anxious or hysterical for eons, so better diagnosis and less incorrect assumptions by physicians may also play a role here.

gwa
User avatar
gwa
Family Elder
 
Posts: 846
Joined: Thu Dec 01, 2005 3:00 pm

Re: Gender and MS

Postby cheerleader » Mon Oct 20, 2008 10:21 am

bromley wrote: The greatest increase was observed in females between the ages of 45 and 54.


Because of the higher age where increased diagnosis occurred, I agree w/gwa. Probably attributable to better diagnosis techniques. Before MRI, most of these gals would probably be sent home from the docs with a dx of menopausal symptoms.
AC
Husband dx RRMS 3/07
dx dual jugular vein stenosis (CCSVI) 4/09
http://ccsviinms.blogspot.com
User avatar
cheerleader
Family Elder
 
Posts: 5069
Joined: Mon Sep 10, 2007 2:00 pm
Location: southern California

Postby SarahLonglands » Mon Oct 20, 2008 3:00 pm

The slightly younger one agrees with the above posts...........Sarah :wink:
An Itinerary in Light and Shadow Completed Dr Charles Stratton / Dr David Wheldon abx regime for aggressive secondary progressive MS in June 2007, after four years. Still improving with no relapses since starting. Can't run but can paint all day.
SarahLonglands
Family Elder
 
Posts: 2126
Joined: Thu Jun 17, 2004 2:00 pm
Location: Bedfordshire UK


Return to General Discussion

 


  • Related topics
    Replies
    Views
    Last post

Who is online

Users browsing this forum: No registered users


Contact us | Terms of Service