Impacts of environmental tobacco smoke on the onset and progression of multiple sclerosis: a systematic review

Impacts of environmental tobacco smoke on the onset and progression of multiple sclerosis: a systematic review

Unlike cigarette smoking, environmental tobacco smoke (ETS) has not been as well described as an environmental risk for Multiple sclerosis (MS) nor as a risk factor for disease progression.  We systematically reviewed the association between ETS and the risk of onset and/or progression of MS.  We sy...

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Bibliographic Details
Published in:Arquivos de neuro-psiquiatria Vol. 82; no. 3; pp. 1 - 10
Main Authors: Schlindwein, Marco Antônio Machado, de Moura Campos, Marcelo Henrique, Breis, Leticia Caroline, Chara, Beatriz Sordi, Scherer, Clara Sasse, Caminski, Vitória Augusta Piva, Matta, André, Gonçalves, Marcus Vinicius Magno
Format: Journal Article
Language:English
Published: Germany Arquivos de Neuro-Psiquiatria 01-03-2024
Academia Brasileira de Neurologia - ABNEURO
Academia Brasileira de Neurologia (ABNEURO)
Subjects:
Cigarette smoking
Disease Progression
Esclerose Múltipla
Meta-analysis
Multiple Sclerosis
NEUROSCIENCES
Observational studies
Passive smoking
Poluição por Fumaça de Tabaco
Progressão da Doença
PSYCHIATRY
Reviews
Revisão Sistemática
Risk factors
Smoking
Systematic Review
Tobacco smoke
Tobacco Smoke Pollution
Multiple Sclerosis
Revisão Sistemática
Systematic Review
Tobacco Smoke Pollution
Esclerose Múltipla
Progressão da Doença
Poluição por Fumaça de Tabaco
Disease Progression
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Description
Summary:Unlike cigarette smoking, environmental tobacco smoke (ETS) has not been as well described as an environmental risk for Multiple sclerosis (MS) nor as a risk factor for disease progression.  We systematically reviewed the association between ETS and the risk of onset and/or progression of MS.  We systematically screened MedLine/PubMed, Science Direct, LILACs, and SciELO searching for publications between January 1st, 2010, and July 5, 2021, with the following keywords: "multiple sclerosis and smoking"; "multiple sclerosis and passive smoking"; "multiple sclerosis and secondhand smoking".  Fifteen articles were included in this review, which consisted of systematic reviews with meta-analysis (N = 2), systematic reviews (N = 2), and observational studies (N = 11). Both meta-analyses reported an impact of ETS on MS onset among secondhand smokers. One of the systematic reviews selected two observational studies showing the association between ETS and MS development, and one study that did not find a significant association between ETS and the risk of MS development. The other systematic review identified selected eight articles showing a relationship between ETS and MS. Seven observational studies reported higher odds of MS onset when associated with ETS. Four observational studies did not show a relationship between ETS and MS onset or progression.  Most articles showed a positive association between ETS exposure and the risk of developing MS. On the other hand, an association between ETS and a higher risk for MS progression could not be established.
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ISSN:0004-282X
1678-4227
1678-4227
DOI:10.1055/s-0044-1779271