Abstract
Abstract
Background
Some studies have looked at the age at menarche and risk of Multiple Sclerosis (MS).We aimed to conduct a systematic review and meta-analysis to estimate a pooled odds ratio of developing MS by increasing age at menarche.
Methods
We searched PubMed, Scopus, EMBASE, CINAHL, Web of Science, Ovid, google scholar and gray literature (references of references, congress abstracts) up to 10th April 2019.
Results
The literature search found 312 articles. After eliminating duplicates, reviews, case reports and trials, 18 articles remained. Three articles were ultimately included in the final analysis. Two studies were from Iran, and one from Canada. The pooled odds ratio (OR) for increasing 1 year of age at menarche was 0.88 (95% CI:0.82-0.94), with no significant heterogeneity (I2 = 49%, p = 0.1). Mean age at menarche was significantly different between case and control groups (mean difference = − 0.22, 95% CI = -0.42,-0.02).
Conclusion
The result of this systematic review showed that the risk of MS decreases by increasing age at menarche.
Publisher
Springer Science and Business Media LLC
Subject
Neurology (clinical),General Medicine
Reference26 articles.
1. Ghajarzadeh M, Jalilian R, Eskandari G, Ali Sahraian M, Reza AA. Validity and reliability of Persian version of modified fatigue impact Scale (MFIS) questionnaire in Iranian patients with multiple sclerosis. Disabil Rehabil. 2013;35(18):1509–12.
2. Ghajarzadeh M, Jalilian R, Eskandari G, Sahraian MA, Azimi A, Mohammadifar M. Fatigue in multiple sclerosis: relationship with disease duration, physical disability, disease pattern, age and sex. Acta Neurol Belg. 2013;113(4):411–4.
3. Noseworthy J, Lucchinetti C, Rodriguez M, Weinshenker BG. Multiple sclerosis. New Eng J Med. 2000;343:938–52.
4. Eskandari G, Ghajarzadeh M, Yekaninejad MS, Sahraian MA, Gorji R, Rajaei F, et al. Comparison of serum vitamin D level in multiple sclerosis patients, their siblings, and healthy controls. Iran J Neurol. 2015;14(2):81.
5. Ghajarzadeh M, Keshtkar AA, Azimi A, Sahraian MA, Mohammadifar M, Ramagopalan SV. The effect of vitamin D supplements on clinical and Para-clinical outcomes in patients with multiple sclerosis: protocol for a systematic review. JMIR Res Protoc. 2019;8(4):e12045.
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