Summary. There is no way to prevent ALS. However, there are interventions available that can slow the progression of the disease, help an individual maintain independence as long as possible, and reduce pain and discomfort that can occur as the disease progresses.
The exact cause of the disease is still not known. A small number of cases are inherited. ALS often begins with muscle twitching and weakness in an arm or leg, trouble swallowing or slurred speech. Eventually ALS affects control of the muscles needed to move, speak, eat and breathe.
Approximately 5,000 people in the U.S. are diagnosed with ALS each year. The incidence of ALS is two per 100,000 people, and it is estimated that at least 16,000 Americans may be living with ALS at any given time. About 90 percent of ALS cases occur without family history.
It's not clear exactly what triggers motor neuron death in ALS, but a number of factors, including genetics, environmental exposures, and lifestyle choices, are thought to contribute to the disease's development.
Biological sex—Males are slightly more likely to develop ALS. However, as people age the difference between the sexes disappears. Race and ethnicity—Caucasians and non-Hispanics are most likely to develop the disease, but ALS affects people of all races and ethnic backgrounds.
ALS is 20% more common in men than women. However, with increasing age, the incidence of ALS is more equal between men and women. About 90% of ALS cases occur without any known family history or genetic cause. The remaining 10% of ALS cases are inherited through a mutated gene with a known connection to the disease.
In Australia, while ALS is uncommon, it certainly isn't rare. Recent statistics show there are more than 2,000 people in the country currently diagnosed with the disease, and a further two are diagnosed each day, or around 730 people each year.
The rates of ALS seem to be increasing slightly, although it's hard to say why; part of the reason is thought to be that people are simply living longer, and that doctors are getting better at diagnosing it.
About 90 to 95 percent of ALS cases are sporadic, which means they are not inherited. An estimated 5 to 10 percent of ALS is familial and caused by mutations in one of several genes. The pattern of inheritance varies depending on the gene involved.
ALS is fatal. The average life expectancy after diagnosis is two to five years, but some patients may live for years or even decades. (The famous physicist Stephen Hawking, for example, lived for more than 50 years after he was diagnosed.) There is no known cure to stop or reverse ALS.
The causes of ALS are unknown at present, but researchers are focusing on several possible theories, including gene mutations, overabundance of the neurotransmitter glutamate (which can be toxic to nerve cells), autoimmune response (in which the body's immune system attacks normal cells) and the gradual accumulation of ...
In conclusion, people with ALS reported no raised levels of potentially stressful premorbid life events or occupational stress, and did not have reduced levels of resilience, or increased levels of anxiety, that would augment the deleterious effects of stressors.
“For this reason, ALS patients should eat foods high in antioxidants and carotenes, as well as high fiber grains, fish, and poultry.” The researchers also found that milk and lunch meats were associated with lower measures of function, or more severe disease. Two different statistical analyses by Dr.
Until now, the role of physical exercise in ALS pathology has been controversial. Some epidemiological studies have suggested that people practicing intense physical activity, like professional soccer or football players, have a higher risk of developing the disease [18,19,20,21].
In the course of the study, the authors came to the conclusion that a vitamin B1 deficiency causes oxidative stress and a disturbance in the concentration of intracellular calcium, which may be one of the reasons for the development of ALS and other neurodegenerative diseases [15].
Conclusions: Our review suggests that increased susceptibility to ALS is significantly and independently associated with 2 factors: professional sports and sports prone to repetitive concussive head and cervical spinal trauma. Their combination resulted in an additive effect, further increasing this association to ALS.
Fortunately, ALS is a rare condition. There are about 2 new cases per 100,000 Americans each year. “This leads to about 5,000 people in the U.S. having ALS at any one time,” says Robert Gordon Kalb, MD.
The lowest prevalence (0.5 ALS cases per 100,000 population) was among persons aged 18–39 years, and the highest (20.2) was among persons aged 70–79 years (Table). As in 2014, the prevalence in males (6.4 ALS cases per 100,000 population) was higher than that in females (4.0).
Where are most cases of ALS? In the U.S., the Midwest currently has the largest number of people with ALS (at 5.5 cases per 100,000 population). Researchers have also found that the prevalence rates of ALS are highest in Uruguay, New Zealand, and the United States.
The current lifetime risk of developing ALS, adjusted for other-cause mortality, was 2.9 per 1000 men and 2.3 per 1000 women, corresponding to 1 in 347 men and 1 in 436 women. The mortality-adjusted lifetime risk of developing ALS during the patient's mean life expectancy was 1.8 per 1000 men and 1.5 per 1000 women.
And one study works backwards, finding that those working in "production" – fields such as manufacturing, welding and chemical operation – who are exposed to hazardous chemicals on the job, may have increased risk of developing ALS.
It is extremely difficult to diagnose ALS. In fact, it's often diagnosed months or even years after symptoms begin, by ruling out other diseases.
Symptoms of ALS
The first symptoms develop gradually and can vary from person to person.