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ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Associations of child and adolescent obesity with the risk of neuroinflammatory diseases: analysis of data from a global health-care database.

Hsun-Hua Lee, Tien-Chun Yang, Cheng-Chih Chung, Chien-Tai Hong, Ying-Hsuan Tai

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Hsun-Hua Lee *Department of Neurology, Shuang Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd., Zhonghe District, New Taipei City, 23561, Taiwan.
Tien-Chun Yang *Department of Anatomy and Cell Biology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Cheng-Chih ChungDepartment of Neurology, Shuang Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd., Zhonghe District, New Taipei City, 23561, Taiwan.
Chien-Tai Hong *Department of Neurology, Shuang Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd., Zhonghe District, New Taipei City, 23561, Taiwan. ct.hong@tmu.edu.tw.
Ying-Hsuan Tai *Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd., Zhonghe District, New Taipei City, 23561, Taiwan. 18045@s.tmu.edu.tw.

Funding

Taipei Medical University-Shuang Ho Hospital, Ministry of Health and Welfare 112TMU-SHH-06
6 · The paper itself

Abstract

introductionThe prevalence of child and adolescent obesity has increased globally. Research has associated obesity-induced immune dysregulation with neurological autoimmune diseases. This study investigated whether obesity-driven inflammation and immunomodulation increase the risk of neuroinflammatory diseases in children and adolescents.

methodsThis retrospective cohort study collected deidentified data from individuals aged 6-18 years from the TriNetX platform. The study cohort was stratified by body mass index (BMI). The outcome measure was the incidence of neuroinflammatory diseases. Covariate-adjusted cox proportional-hazards models were used to assess neuroinflammatory disease risk across the BMI groups.

resultsChildren and adolescents with obesity (BMI: 85th-95th percentile range) and those with severe obesity (BMI: 95th-100th percentile range) had 1.76- and 1.90-fold higher risks of multiple sclerosis (MS), respectively, than did their normal-weight peers. Subgroup analysis revealed that girls and adolescents (age: 12-18 years) were particularly susceptible to MS. The risk of acute disseminated demyelination was elevated in children with obesity but not in those with severe obesity. Notably, no significant association was observed between obesity and myasthenia gravis, inflammatory polyneuropathy, or inflammatory myositis.

conclusionOur findings associate child and adolescent obesity with MS; the associations are likely mediated by systemic inflammation and immune dysregulation. The absence of significant associations between child and adolescent obesity and other neuroinflammatory diseases suggests disease-specific mechanisms, underscoring the need for targeted interventions to mitigate the neurological effects of obesity. Overall, child and adolescent obesity significantly modulate immune function, increasing the risk of certain autoimmune neurological diseases, particularly MS. Early interventions are crucial for reducing long-term health risks.

Indexed as

Multiple SclerosisNeuroinflammatory DiseasesPediatric ObesityAdolescentBody Mass IndexChildCohort StudiesDatabases, FactualFemaleGlobal HealthHumansMaleRetrospective StudiesRisk FactorsAdolescent obesityChild obesityChronic inflammationImmune dysregulationMultiple sclerosisNeuroinflammatory disease

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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.