04:51pm Thursday 23 November 2017

Restless legs syndrome: French-Canadian families at higher risk

Crédit photo: IStock

According to a large-scale study published in the Archives of Neurology, siblings of people affected by restless legs syndrome are three and a half times more likely to develop the disease.

The investigation, which builds on previous research that suggested the ailment is clustered in families, is the work of scientists from the Université de Montréal, Sainte-Justine University Hospital Research Center, University of Montreal Hospital Research Center, Hôpital du Sacré-Cœur de Montréal, Montreal Heart Institute, Douglas Mental Health University Institute and McGill University.

“Until now, there has been a lack of large-scale, systematic and clinical studies precisely measuring the degree of heritability of restless legs syndrome in families – information that is critical if we are to advance genetic studies and discover the cause of this condition,” says senior author Guy Rouleau, a professor at the Université de Montréal Faculty of Medicine, director of the Sainte-Justine University Hospital Research Center and a scientist at the University of Montreal Hospital Research Center.

The research team studied 671 individuals diagnosed with restless legs syndrome in Quebec, Canada: 192 who were assessed at the Hôpital du Sacré-Cœur de Montréal sleep center and 479 affected family members who responded to diagnostic interviews. In cases where one family member was diagnosed with restless legs syndrome, the condition appeared in 77 percent in other family members who participated in the study. By age 60, siblings of an individual with the condition were about 3.6 times more likely to have restless legs syndrome compared to people without an affected sibling. Offspring of parents with the condition had 1.8 times the risk of developing restless legs syndrome by the age of 40.

“Restless legs syndrome is prevalent in 10 to 15 percent of French-Canadians, yet the neurological disorder is often misdiagnosed. Restless legs syndrome is a chronic disorder with an average of 24 years of suffering, affects people of all ages and usually begins before the age of 30. Most family members who are diagnosed with the disease experience moderate symptoms of restless legs syndrome,” says first author says Lan Xiong, a Université de Montréal researcher. “Our findings indicate that familial restless legs syndrome is more prominent among female relatives, particularly those who also have anemia or iron deficiency conditions, and who have multiple pregnancies.”

The research team suggested that restless legs syndrome clusters in families due to genetic influences, environmental effects or the combination of both. “The cumulative total of family members affected by restless legs syndrome should be of interest to all concerned physicians, geneticists and epidemiologists,” says Dr. Rouleau. “We also recommend that scientists and clinicians further examine how environmental risk factors, combined with genetic predisposition, may contribute to the occurrence of restless legs syndrome in families.”

Partners in research:
This study was funded by the Canadian Institutes of Health Research and the Restless Legs Syndrome Foundation.

About the study:
The article, “Family Study of Restless Legs Syndrome in Quebec, Canada,” published in the Archives of Neurology, was authored by Lan Xiong, Anastasia Levenko, Pascale Thibodeau, Claudia Gaspar  and Guy A. Rouleau of the Université de Montréal; Jacques Y. Montplaisir and Alex Desautels of the Hôpital du Sacré-Cœur de Montréal, Amina Barhdadi and Marie-Pierre Dubé of the Montreal Heart Institute, Gustavo Turecki of the Douglas Mental Health University Institute and McGill University.

On the Web:

Media contact:
Sylvain-Jacques Desjardins
International press attaché
Université de Montréal
Telephone: 514-343-7593

Email: sylvain-jacques.desjardins@umontreal.ca


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