Dietary Practices of People With Multiple Sclerosis

Goodman, Susan M.; Gulick, Elsie E.

doi:10.7224/1537-2073-10.2.47

Cited by 7 publications

(4 citation statements)

References 33 publications

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“…Restrictive diets, particularly those which eliminate entire food groups or those that contain strict limitations on dietary components such as red meat or saturated fats, have the potential to result in vitamin and mineral deficiencies ( 22 , 23 ). With restrictive diets, health consequences—including exacerbation of fatigue ( 24 )—may arise if there is no appropriate dietary compensation ( 25 ). MS Australia does not support a special dietary protocol for MS; rather, it recommends a diet that is high in vegetables, fruits, legumes, and whole grains; moderate in dairy intake; low in saturated fat; and includes oily fish for long chain omega-3 fatty acids ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

“…Higher consumption of fruits and vegetables may reduce the risk of coronary heart disease and stroke, and may protect against weight gain and some cancers ( 27 ). Weight gain is common in people with MS ( 24 ) and adopting a healthier diet, such as increasing fruit and vegetable consumption, may help to prevent caloric excess and associated weight gain, which may exacerbate symptoms of MS ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

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Reported Changes in Dietary Behavior Following a First Clinical Diagnosis of Central Nervous System Demyelination

et al. 2018

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Background/objectivesAlthough the current evidence is insufficient to recommend a special diet for people with multiple sclerosis (MS), dietary advice for people with MS is prolific online and in the media. This study aimed to describe dietary changes made in the year following a first clinical diagnosis of central nervous system demyelination (FCD), a common precursor to MS.Subjects/methodsWe used follow-up data from the Ausimmune Study, a multicentre matched case-control study examining the environmental risk factors for a FCD. A total of 244 cases (60 male, 184 female) completed a 1-year follow-up interview, which included a question about dietary changes. We described the number and proportion (%) of participants who reported making dietary changes and the type of change made. We investigated independent predictors of making a dietary change using a multivariable logistic regression model.ResultsA total of 38% (n = 92) of participants at the 1-year follow-up reported making at least one dietary change over the last year. There were no statistically significant independent associations between any participant characteristic and odds of making a dietary change. Of those who made at least one dietary change, the most common changes were increasing fruit and/or vegetable intake (27%, n = 25) and following a low-fat diet (25%, n = 23).ConclusionA considerable proportion of the study population reported making at least one dietary change in the year following a FCD, with the majority of changes being toward a healthier diet. Further research is warranted to investigate the reasons behind any dietary changes adopted by people with a FCD or with MS, and whether making a dietary change has benefits for the progression of demyelinating diseases, e.g., to a diagnosis of MS, as well as for general health and well-being.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reported Changes in Dietary Behavior Following a First Clinical Diagnosis of Central Nervous System Demyelination

et al. 2018

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“…48 Adequate dietary intake is essential for optimal health in all individuals. 15 Unfortunately, overweight is prevalent among people with MS, 49 as is malnutrition. 50 Malnutrition is associated with impairment of the immune system, and it affects mental function and respiratory muscle strength as well as increasing the risk of specific nutrient deficiencies.…”

Section: Discussionmentioning

confidence: 99%

Monitoring My Multiple Sclerosis

Gulick¹,

Namey²,

Halper³

2011

International Journal of MS Care

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Optimal health of people with multiple sclerosis (MS) can be promoted by patients' sharing of health information gained through periodic self-monitoring with their health-care providers. The purpose of this study was to develop a valid and reliable self-administered scale to obtain information about MS patients' health status and the impact of the disease on their daily lives. We named this scale "Monitoring My Multiple Sclerosis" (MMMS) Analysis of variance demonstrated that the total scale and the Physical subscale, but not the Relationships subscale, showed significantly worse functioning for patients with either moderate or severe disability as measured by the PDDS than for patients with mild disability (P < .001). The Cognitive/Mental subscale showed significantly worse functioning for patients with moderate disability than for patients with mild disability (P < .05). However, the Energy subscale showed significantly worse functioning among moderately disabled patients than among severely disabled patients (P < .01). Independent t tests demonstrated that patients classified as having secondary progressive multiple sclerosis had significantly worse scores on the total MMMS (P < .05) and the Physical subscale (P < .001) than those classified as having relapsing-remitting multiple sclerosis. The MMMS demonstrated satisfactory reliability and validity and is recommended for use by MS patients and their health-care providers as a mechanism to promote the sharing of health information, to the benefit of both patients and providers. Int J MS Care. 2011;13:137-145.. Multiple sclerosis (MS) is a chronic and progressive inflammatory autoimmune disease of the central nervous system (CNS), with onset usually occurring during young adulthood. 1 The disease is initially characterized by relapsing-remitting symptoms in most patients and may later take a progressive course. 2,3 The symptoms and signs of MS reflect the CNS area of neural impairment. 1 Neural impairment in the cerebrum affects cognition; cerebellum impairment affects balance and produces tremors; brainstem impairment is associated with diplopia, vertigo, and impaired speech and swallowing; and spinal cord impairment causes weakness, stiffness, painful spasms, bladder dysfunction, sexual dysfunction, and constipation. These symptoms are reflected in accumulating disabilities experienced by the person with MS that affect physical, social, and cognitive/mental functioning.Currently there is no cure for MS, although there are many partially effective treatments and interventions that focus on symptom management. Because of the great variability in symptoms and disabling conditions experienced by MS patients, ongoing monitoring of physical, social, and cognitive/mental functioning is important to determine both appropriate counseling and treatment and the effectiveness of such interventions. Self-monitoring by MS patients who then share health-related information with their health-care providers holds promise for controlling or alleviating symptoms, resulting in ...

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“…Diet-related health issues may aggravate disease complications (Esposito et al, 2018). Although the role of nutrition in the pathogenesis of MS is still debated, the relationship between MS and inadequate dietary intake and food groups has been reported in several studies (Bagheri et al, 2014;Goodman and Gulick, 2008). According to the literature, a diet might contribute to the development of MS.…”

Section: Introductionmentioning

confidence: 99%

Dietary patterns and risk of multiple sclerosis: Results of a double-center case-control study in Iran

et al. 2022

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Background: It has been suggested that nutrition might contribute to multiple sclerosis etiology (MS). Aim: This case-control study aimed to determine the role of food habits and dietary patterns in preventing or developing MS in a multicenter study in Iran (Tehran and Shiraz). Methods: In this study, food intake of (106 patients with relapsing/remitting MS (RRMS) and 72 healthy controls in Tehran) and (75 patients with relapsing/remitting MS (RRMS) and 72 healthy controls in Shiraz) were collected using a validated semi-quantitative food frequency questionnaire. Dietary patterns were extracted using factor analysis. The association between dietary patterns and the risk of MS was analyzed by Logistic regression. Results: Two major dietary patterns were extracted: the “healthy” and the “unhealthy” patterns. After adjustment for potential confounders, in Tehran city, subjects in the highest tertile of the unhealthy dietary pattern score had greater odds of having MS, compared with those in the lowest tertile (OR: 2.16; 95% CI: [1.95–2.41]; p for trend = 0.01). In Shiraz city, subjects in the highest tertile of the unhealthy dietary pattern score had greater odds with MS than those in the lowest tertile (OR: 3.08; 95% CI: [1.27-7.38]; p for trend = 0.01). However, in both groups, no significant association was found between healthy dietary pattern and MS risk. Conclusions: Adherence to unhealthy dietary pattern may increase the risk of MS in Iran. The results can be used for developing interventions that aim to promote healthy eating for preventing MS.

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Dietary Practices of People With Multiple Sclerosis

Cited by 7 publications

References 33 publications

Reported Changes in Dietary Behavior Following a First Clinical Diagnosis of Central Nervous System Demyelination

Reported Changes in Dietary Behavior Following a First Clinical Diagnosis of Central Nervous System Demyelination

Monitoring My Multiple Sclerosis

Dietary patterns and risk of multiple sclerosis: Results of a double-center case-control study in Iran

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