Comorbidity and obesity can delay detection of MS

Obesity and other health problems delay the diagnosis of MS and are associated with increased disability at diagnosis, research shows.

Researchers examined data from 8,983 patients in a US and Canadian MS disease registry.

Patients with obesity or a range of other comorbidities, including diabetes, hypertension, rheumatoid arthritis, inflammatory bowel disease and depression were more likely to have experienced a delay in diagnosis of their MS.

Obese patients were 38 per cent more likely to have moderate than mild disease at diagnosis and patients with vascular disease were 51 per cent more likely to be moderately affected.

The researchers say that further work is needed to establish whether a failure to recognise symptoms in patients with comorbidities or an interaction between the disease processes causes this link.

'Practitioners treating patients with chronic diseases should not attribute new neurological signs or symptoms to existing conditions without careful consideration, but this must be balanced against over-investigation,' the researchers said.

tom.moberly@haymarket.com

Comment below and tell us what you think

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in


Just published

BMA Scotland GP committee chair Dr Andrew Buist

General practice in Scotland 'in serious trouble', warns BMA Scotland GP chair

General practice in Scotland has reached a tipping point, with demand far outstripping...

Hospital entrance

NHS England issues warning over norovirus and rising winter pressures

Almost three times as many people were in hospital with norovirus last week compared...

BMA Northern Ireland GP committee chair Dr Alan Stout

Northern Ireland GPs face deepest-ever crisis as practices hand back contracts

Northern Ireland's GP leader has warned that general practice in the region is facing...

GP consulting room

GP appointments hit record high of over 34m in October

GP practices delivered a record 34.3m appointments in October this year excluding...

GP consultation

New contract that enforces continuity would make GPs and patients safer, says watchdog

A new GP contract that makes continuity of care an 'essential requirement' for practices...

GP receptionist on the phone

Some practices to receive funding to upgrade digital phone systems

GP practices whose digital phone systems do not meet new NHS England standards will...