A nutrition education programme was designed specifically to meet the needs of people with multiple sclerosis (MS) and implemented in five self-help group. The programme was evaluated by means of two 7-day weighed food and drink records carried out before and after the programme, by an attitude questionnaire and subjectively by the dietitians and participants.Although the diets of the 48 participants were good before the programme, there were significant improvements in the mean intakes of added sugar, saturated fatty acids, K-3 PUFA, P/S ratio and energy from N-3 PUFA in both males and females. RNIs for all mean intakes of vitamins and minerals were met by males and females both before and after the programme and intakes were generally better than mean values for the British adult population.Seventy-five per cent of the group took food supplements before the programme and 65% after. The diets of those people who took supplements before the programme were better, compared with those who did not, in terms of fibre, vitamin C, saturated fatty acids, N-3 and N-6 PUFAs. The supplemented group also made more significant changes in their diets compared with the unsupplemented group.Attitudes towards diet were found to be positive both before and after the programme. Dietitians and participants subjectively evaluated the programme and their suggested alterations were incorporated into the programme.
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