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Mediation Analysis Between Brain Age, Disease-Modifying Factors, and Disability and Cognitive Performance in Multiple Sclerosis - PubMed

4 hours ago
  • #Brain Age
  • #Multiple Sclerosis
  • #Mediation Analysis
  • Brain-predicted age difference (brain-PAD) is linked to greater disability and cognitive impairment in people with multiple sclerosis (MS).
  • Smoking, alcohol consumption, and higher BMI at age 18 are associated with increased brain-PAD, while higher physical activity is linked to lower brain-PAD.
  • Brain-PAD mediates the effects of smoking and alcohol on disability measures (EDSS, 9HPT, T25FWT) and cognitive performance.
  • Physical activity shows an indirect beneficial effect on EDSS scores and cognitive performance through brain-PAD.
  • The study suggests lifestyle interventions targeting factors like smoking and physical activity may help mitigate neurodegeneration in MS.