Association between anemia and multiple sclerosis

Eur Neurol. 2015;73(3-4):233-237. doi: 10.1159/000381212. Epub 2015 Mar 21.

Abstract

Background/aims: The relationship between multiple sclerosis (MS) and anemia has not been clarified sufficiently. In this retrospective, cross-sectional, case-control study we evaluated in MS patients: (1) prevalence of anemia relative to sex- and age-matched controls; (2) relationships between patients' demographic, clinical and drug-related characteristics and anemia; (3) effect of anemia on the risk of developing MS.

Methods: 187 consecutive MS patients (51 males, mean age (±SD) 44.5 ± 10.7 years) and 200 controls (56 males, mean age 45.5 ± 12 years) were included in the study. Anemia was defined as hemoglobin <12 g/dl for females and <13 g/dl for males.

Results: There was a significant difference in the prevalence of anemia between MS patients and controls (35 (18.7%) and 19 (9.5%), respectively, p = 0.009). We did not find any association between patients' characteristics and anemia. The occurrence of anemia increased more than twice the risk of developing MS (odds ratio: 2.19, 95% confidence interval 1.19-4.0).

Conclusion: Our study showed a consistent association between anemia and MS.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anemia / complications*
  • Anemia / epidemiology*
  • Case-Control Studies
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis / epidemiology*
  • Odds Ratio
  • Prevalence
  • Retrospective Studies
  • Risk