Evidence map›Paper›PMID 40796951›Full record

ArticleJournal of neurology2025

Early-life and adult body mass index in relation to MS disability progression.

Lars Alfredsson, Jie Guo, Eva Johansson, Tomas Olsson, Anna Karin Hedström

Abstract read
In one paragraph

Article in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. Is Obesity a Modifiable Risk Factor in Multiple Sclerosis? Mechanistic Insights into Neuroinflammation and Oxidative Damage.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
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

5 authors.

Lars AlfredssonInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Jie GuoDepartment of Nutrition and Health, China Agricultural University, Beijing, China.
Eva JohanssonDepartment of Clinical Neuroscience, Karolinska Institutet, Visionsvägen 18, L8, 171 76, Stockholm, Sweden.
Tomas OlssonDepartment of Clinical Neuroscience, Karolinska Institutet, Visionsvägen 18, L8, 171 76, Stockholm, Sweden.
Anna Karin HedströmDepartment of Clinical Neuroscience, Karolinska Institutet, Visionsvägen 18, L8, 171 76, Stockholm, Sweden. anna.hedstrom@ki.se.ORCID http://orcid.org/0000-0002-6612-4749

Funding

Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2015-00195Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2019-00697Swedish Brain Foundation FO2020-0077Swedish Brain Foundation FO2024-0344Vetenskapsrådet 2016-02349Vetenskapsrådet 2020-01998
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe influence of body weight across the life course on multiple sclerosis (MS) progression remains incompletely understood. While excess body mass at diagnosis is associated with disability progression, it is unclear how early-life and adult BMI jointly affect long-term outcomes. We aimed to investigate the separate and combined effects of BMI at age 20 and at diagnosis on MS progression.

methodsWe studied 2940 individuals with relapsing-onset MS from a population-based case-control study with prospective follow-up through the Swedish MS registry. BMI was calculated from self-reported weight at age 20 and at diagnosis. Outcomes included confirmed disability worsening (CDW), and time to reach EDSS 3 and EDSS 4. Cox regression and general linear models were used to examine associations between BMI and MS progression, including interaction terms.

resultsHigh BMI (> 28 kg/m

conclusionsHigh BMI at diagnosis was associated with faster disability progression, particularly when present since early adulthood. These findings underscore the potential benefits of early weight management in MS.

Indexed as

Body Mass IndexDisease ProgressionMultiple SclerosisAdultCohort StudiesFemaleHumansMaleMiddle AgedYoung AdultBody mass indexDisability progressionDisability worseningExpanded disability status scaleMultiple sclerosisObesityWeight loss

Identifiers

PMID40796951
PMCPMC12343650

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Registered trials

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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.