Evidence map›Paper›PMID 32728476›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Breastfeeding is associated with reduced risk of multiple sclerosis in males, predominantly among HLA-DRB1*15:01 carriers.

A K Hedström, C Adams, X Shao, C Schaefer, T Olsson, L F Barcellos, L Alfredsson

Open access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Risk Factors from Pregnancy to Adulthood in Multiple Sclerosis Outcome.International journal of molecular sciences · 2022
    Review
  4. What Can We Learn from Sex Differences in MS?Journal of personalized medicine · 2021
    Article
  5. Season of birth is associated with multiple sclerosis and disease severity.Multiple sclerosis journal - experimental, translational and clinical · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

A K HedströmDepartment of Clinical Neuroscience, Karolinska Institutet, Sweden.ORCID https://orcid.org/0000-0002-6612-4749
C AdamsGenetic Epidemiology and Genomics Lab, School of Public Health, University of California, USA.
X ShaoGenetic Epidemiology and Genomics Lab, Division of Epidemiology, School of Public Health, University of California, USA.
C SchaeferKaiser Permanente Division of Research, USA.
T OlssonNeuroimmunology Unit, Department of Clinical Neuroscience and Center for Molecular Medicine, Karolinska Institutet at Karolinska University Hospital, Sweden.
L F BarcellosGenetic Epidemiology and Genomics Lab, Division of Epidemiology, School of Public Health, University of California, USA.
L AlfredssonInstitute of Environmental Medicine, Karolinska Institutet, Sweden.
Kaiser Permanente · USKarolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreastfeeding as an infant appears protective against later development of some autoimmune diseases, but research into its influence on multiple sclerosis (MS) risk has yielded inconclusive results.

objectiveWe investigated the possible impact of breastfeeding on MS risk.

methodsWe used two population-based case-control studies comprising 3670 cases and 6737 matched controls. Logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI) for association between MS and exposure to prolonged breastfeeding (4 months or longer) versus reduced breastfeeding (less than 4 months). A meta-analysis of case-control studies that assessed the impact of breastfeeding on MS risk among women and men was conducted.

resultsProlonged breastfeeding was associated with reduced MS risk among men (OR 0.7, 95% CI 0.5-0.9) but not among women (OR 0.9, 95% CI 0.8-1.1). Among men, a synergistic effect was observed between

conclusionsFindings from the current study add to accumulating evidence that breastfeeding may be a modifiable protective factor for reducing the risk of MS in offspring. When possible, mothers should be supported to breastfeed their infants; however, the mechanism of a sex-specific biologic effect of breastfeeding on MS risk is unclear.

Indexed as

breastfeedingcase–control studyepidemiologyhuman leukocyte antigeninteractionMultiple sclerosis

Identifiers

PMID32728476
PMCPMC7364805
OpenAlexW3029462523

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.