Evidence map›Paper›PMID 39803328›Full record

ArticleTherapeutic advances in neurological disorders2025

An overlap-weighted analysis on the association of constipation symptoms with disease progression and survival in amyotrophic lateral sclerosis: a nested case-control study.

Tongyang Niu, Peize Wang, Xiaomeng Zhou, Tingting Liu, Qi Liu, Rui Li, Haitao Yang, Hui Dong, Yaling Liu

Abstract read
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Article in Therapeutic advances in neurological disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Tongyang NiuDepartment of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China.ORCID https://orcid.org/0000-0003-1613-4962
Peize WangTongzhou Huoxian Community Health Service Center, Beijing, China.ORCID https://orcid.org/0009-0008-2728-7159
Xiaomeng ZhouDepartment of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China.ORCID https://orcid.org/0009-0002-8597-2783
Tingting LiuDepartment of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China.ORCID https://orcid.org/0009-0000-8098-8220
Qi LiuDepartment of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China.ORCID https://orcid.org/0000-0002-2526-4868
Rui LiDepartment of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China.ORCID https://orcid.org/0000-0002-2093-5351
Haitao YangDivision of Health Statistics, School of Public Health, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang, Hebei 050000, P.R. China.ORCID https://orcid.org/0000-0003-4374-0909
Hui DongDepartment of Neurology, The Second Hospital of Hebei Medical University, 215 Heping West Road, Shijiazhuang, Hebei 050000, P.R. China.ORCID https://orcid.org/0009-0008-4171-9034
Yaling LiuDepartment of Neurology, The Second Hospital of Hebei Medical University, 215 Heping West Road, Shijiazhuang, Hebei 050000, P.R. China.ORCID https://orcid.org/0009-0003-7442-3225

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Amyotrophic lateral sclerosis (ALS) is a rapidly progressing and rare neurodegenerative disease. Therefore, evaluating the risk factors affecting the survival of patients with ALS is crucial. Constipation, a common but overlooked symptom of ALS, can be effectively managed. It is currently unknown whether constipation contributes to the progression and survival of ALS. Objectives: This study aimed to investigate the association between constipation and ALS development and survival using a novel overlap-weighted (OW) method to enhance the robustness and reliability of results. Design: This prospective matching nested case-control (NCC) study was conducted within an ongoing ALS cohort at the Second Hospital of Hebei Medical University. Baseline data were collected from patients meeting the inclusion and exclusion criteria, with constipation as the exposure factor. A 9-month follow-up was conducted, with death as the endpoint event. Methods: We primarily used the OW method in NCC studies to examine the association between constipation and ALS development and survival. Weighted Cox proportional hazards model was used to assess risk factors associated with overall survival. Survival differences between the two groups were analyzed using Kaplan-Meier's plots and log-rank tests. Finally, the bioinformatic analysis explored common pathways between ALS and constipation. Results: Among the 190 patients included, the prevalence of constipation was 50%. Patients with ALS constipation exhibited faster disease progression ( Conclusion: Constipation in individuals with ALS is associated with faster disease progression and reduced survival rates, potentially through the peroxisome proliferator-activated receptor pathway.

Indexed as

amyotrophic lateral sclerosisconstipationnested case-control studyoverlap-weightingsurvival

Identifiers

PMID39803328
PMCPMC11719447

What Socratic holds

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