From: Disease-modifying effects of metabolic perturbations in ALS/FTLD
Metabolic condition | Evidence supporting a beneficial effect on risk/prognosis of ALS | Evidence not supporting a beneficial effect on risk/ prognosis of ALS | Citation, sample size (n) |
---|---|---|---|
Dyslipidemia | Increased survival in ALS by 12.5 months | N/A | Dupuis et al. [47] (n = 369 ALS, n = 286 controls) |
Increased survival in ALS by 14 months | Dorst et al. [44] (n = 488 ALS) | ||
Increased survival in ALS by 5.8 months | Huang et al. [70] (n = 413 ALS) | ||
Delay in ALS onset by almost 6 years | Hollinger et al. [67] (n = 1439 ALS) | ||
N/A | Increased survival in ALS confounded by BMI | Paganoni et al. [124] (n = 427 ALS) | |
Increased survival in ALS confounded by age and BMI | Rafiq et al. [140] (n = 512 ALS) | ||
Increased survival in ALS not significant | Dedic et al. [35] (n = 82 ALS) | ||
T2DM | Delay in ALS onset by 4 years | N/A | |
Decreased risk of ALS in non-insulin dependent T2DM | Mariosa et al. [105] (n = 5108 ALS, n = 25,540 controls) | ||
Decreased prevalence of T2DM in ALS | Paganoni et al. [125] | ||
Decreased prevalence of T2DM in ALS | Mitchell et al. [111] (n = 1288 ALS, n = 7561 controls) | ||
Decreased risk of ALS in people with DM | D’Ovidio et al. [32] (n = 727,977) | ||
N/A | No association between T2DM and ALS risk | Sun et al. [165] (n = 615,492 diabetics, n = 614,835 controls) | |
Increased mortality in ALS patients with high baseline HbA1c | Wei et al. [182] (n = 450 ALS) | ||
High BMI | Increase in BMI slowed functional decline in ALS | N/A | |
High BMI slowed progression and decreased mortality in ALS | Gallo et al. [56] (n = 518,108 over-all) Reich-Slotky et al. [141] (n = 150 ALS) | ||
Cardiovascular diseases | Decreased risk of FTLD | N/A | Kalkonde et al. [80] (n = 63 FTD, n = 491 non-FTD dementias) |