The sex ratio in amyotrophic lateral sclerosis: A population based study.

Replicable risk factors for ALS include increasing age, family history and being male. The male: female ratio has been reported as being between 1 and 3. We tested the hypothesis that the sex ratio changes with age in a population register covering the south-east of England. The sex ratio before and...

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Autors principals: Manjaly, Z, Scott, K, Abhinav, K, Wijesekera, L, Ganesalingam, J, Goldstein, L, Janssen, A, Dougherty, A, Willey, E, Stanton, B, Turner, M, Ampong, M, Sakel, M, Orrell, R, Howard, R, Shaw, C, Leigh, P, Al-Chalabi, A
Format: Journal article
Idioma:English
Publicat: 2010
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author Manjaly, Z
Scott, K
Abhinav, K
Wijesekera, L
Ganesalingam, J
Goldstein, L
Janssen, A
Dougherty, A
Willey, E
Stanton, B
Turner, M
Ampong, M
Sakel, M
Orrell, R
Howard, R
Shaw, C
Leigh, P
Al-Chalabi, A
author_facet Manjaly, Z
Scott, K
Abhinav, K
Wijesekera, L
Ganesalingam, J
Goldstein, L
Janssen, A
Dougherty, A
Willey, E
Stanton, B
Turner, M
Ampong, M
Sakel, M
Orrell, R
Howard, R
Shaw, C
Leigh, P
Al-Chalabi, A
author_sort Manjaly, Z
collection OXFORD
description Replicable risk factors for ALS include increasing age, family history and being male. The male: female ratio has been reported as being between 1 and 3. We tested the hypothesis that the sex ratio changes with age in a population register covering the south-east of England. The sex ratio before and after the age of 51 years was compared using a Z-test for proportions. Kendall's tau was used to assess the relationship between age group and sex ratio using incidence and prevalence data. Publicly available data from Italian and Irish population registers were compared with results. There was a significant difference in the proportion of females with ALS between those in the younger group (30.11%) and those in the older group (43.66%) (p = 0.013). The adjusted male: female ratio dropped from 2.5 in the younger group to 1.4 in the older group using prevalence data (Kendall's tau = -0.73, p = 0.039). Similar ratios were found in the Italian but not the Irish registry. We concluded that sex ratios in ALS may change with age. Over-representation of younger patients in clinic registers may explain the variation in sex ratios between studies. Menopause may also play a role.
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spelling oxford-uuid:07f15113-d5a9-45ba-badd-c0f0d5ceae2a2022-03-26T09:10:15ZThe sex ratio in amyotrophic lateral sclerosis: A population based study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:07f15113-d5a9-45ba-badd-c0f0d5ceae2aEnglishSymplectic Elements at Oxford2010Manjaly, ZScott, KAbhinav, KWijesekera, LGanesalingam, JGoldstein, LJanssen, ADougherty, AWilley, EStanton, BTurner, MAmpong, MSakel, MOrrell, RHoward, RShaw, CLeigh, PAl-Chalabi, AReplicable risk factors for ALS include increasing age, family history and being male. The male: female ratio has been reported as being between 1 and 3. We tested the hypothesis that the sex ratio changes with age in a population register covering the south-east of England. The sex ratio before and after the age of 51 years was compared using a Z-test for proportions. Kendall's tau was used to assess the relationship between age group and sex ratio using incidence and prevalence data. Publicly available data from Italian and Irish population registers were compared with results. There was a significant difference in the proportion of females with ALS between those in the younger group (30.11%) and those in the older group (43.66%) (p = 0.013). The adjusted male: female ratio dropped from 2.5 in the younger group to 1.4 in the older group using prevalence data (Kendall's tau = -0.73, p = 0.039). Similar ratios were found in the Italian but not the Irish registry. We concluded that sex ratios in ALS may change with age. Over-representation of younger patients in clinic registers may explain the variation in sex ratios between studies. Menopause may also play a role.
spellingShingle Manjaly, Z
Scott, K
Abhinav, K
Wijesekera, L
Ganesalingam, J
Goldstein, L
Janssen, A
Dougherty, A
Willey, E
Stanton, B
Turner, M
Ampong, M
Sakel, M
Orrell, R
Howard, R
Shaw, C
Leigh, P
Al-Chalabi, A
The sex ratio in amyotrophic lateral sclerosis: A population based study.
title The sex ratio in amyotrophic lateral sclerosis: A population based study.
title_full The sex ratio in amyotrophic lateral sclerosis: A population based study.
title_fullStr The sex ratio in amyotrophic lateral sclerosis: A population based study.
title_full_unstemmed The sex ratio in amyotrophic lateral sclerosis: A population based study.
title_short The sex ratio in amyotrophic lateral sclerosis: A population based study.
title_sort sex ratio in amyotrophic lateral sclerosis a population based study
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