Associations between diet quality and depression, anxiety, and fatigue in multiple sclerosis

Saul, Alice; Taylor, BV; Blizzard, Leigh; Simpson‐Yap, Steve; Oddy, WH; Probst, Yasmine; Black, LJ; Ponsonby, Anne–Louise; Broadley, SA; Lechner-Scott, J.; Mei, Ingrid van der

doi:10.1016/j.msard.2022.103910

Cited by 14 publications

(9 citation statements)

References 44 publications

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“…A diet quality score may be needed to differentiate between the varied intakes of plwMS at a food group level. Two diet quality scores that were developed for the general population were also used in a study with a sample of plwMS finding limited consistency between the tools [ 45 ]. The relationships examined in relation to MS symptoms of fatigue, anxiety and depression were inconsistent for the tools across the time points.…”

Section: Discussionmentioning

confidence: 99%

Using Online 24-h Dietary Methodology to Validate the Psychometric Properties of a Dietary Scoring Tool with an International Sample of Adults Living with Multiple Sclerosis

et al. 2022

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Understanding the dietary characteristics of people living with multiple sclerosis (plwMS) may assist in the planning of nutrition interventions for multiple sclerosis; yet dietary assessment methods in existing studies are not well established. The aim of this study was to validate the psychometric properties (construct validity and internal consistency) of the Dietary Habits Questionnaire (DHQ) against repeated online 24-h recall dietary assessments. The DHQ is a 24-item tool that is scored using ten dietary sub-scores. Total DHQ scores can range from 20–100 and are considered indicative of the quality of dietary intake with higher scores reflecting increased quality. People living with a relapsing-remitting MS phenotype who had completed a modified DHQ were recruited from the international Health Outcomes and Lifestyle In a Sample of people with Multiple sclerosis (HOLISM) cohort. Repeated 24-h recall via the online Automated Self-administered Assessment-24 (ASA-24) tool were modelled to reflect usual dietary intakes using the Multiple Source Method. DHQ scores of eight sub-scores: three key nutrients, three food groups and two food preparation practices, were calculated and statistically compared with ASA-24 usual intake data. Principal component analysis of the ASA-24 data was undertaken to understand dietary patterns of the sample. Of the 105 participants, valid 24-h recall data were available for 96 plwMS (n = 66 1 day, n = 30 ≥ 2 day). The median total DHQ score was 84.50 (IQR: 77.04, 91.83) points. The highest absolute correlations were between the DHQ scores and ASA-24 data for cereal (r = 0.395, p < 0.001), fruit and vegetables (r = 0.436, p < 0.001), and total dietary fiber (r = 0.482, p < 0.001). Five dietary patterns emerged from the data explaining 42.12% variance and reflecting exposure of plwMS to the influence of ‘MS diets’. The DHQ appears to be appropriate for screening participants with relapsing-remitting MS. Evidence-based dietary models focusing on food are required to monitor the quality of an overall dietary pattern and set priorities for the planning nutrition interventions for plwMS.

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Section: Discussionmentioning

confidence: 99%

Using Online 24-h Dietary Methodology to Validate the Psychometric Properties of a Dietary Scoring Tool with an International Sample of Adults Living with Multiple Sclerosis

et al. 2022

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“…The Australian Recommended Food Score (ARFS) assesses dietary variety as the indicator of diet quality [95], and the Australian Healthy Eating Index (Aust-HEI) includes measures of dietary variety, healthy food choices, and consumption of fruits, vegetables, fats, and discretionary foods [96]. Inverse associations have been found in previous studies between depression and DGI [27], ARFS [22, 24], and Aust-HEI [26] diet quality scores and between anxiety and ARFS [22, 97] and Aust-HEI [26] diet quality scores. Further information about each of the indices and the scoring methods can be found in a prior publication [90].…”

Section: Methodsmentioning

confidence: 99%

Salt-Taste Polymorphism <i>TRPV1</i>-rs8065080 Is Associated with Increased Likelihood of Depression in an Elderly Cohort

Ferraris,

Scarlett,

Veysey

et al. 2023

Lifestyle Genomics

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Introduction: Despite the prevalence of depression and anxiety worldwide, their aetiologies remain unclear, and they can be difficult to diagnose and treat. Changes in salt-taste perception have been found in both conditions. Single nucleotide polymorphisms (SNPs) in the salt-taste-related gene TRPV1, have been associated with alterations to salt-taste perception, preference, and sodium consumption. Diet quality is a known modifier of depression and anxiety and recently, sodium intake has been studied in mental health. However, the relationships between salt-taste genetics, depression, anxiety, and these dietary factors are yet to be elucidated. Methods: Data from the well-characterised cross-sectional Retirement Health and Lifestyle Study (n = 536, ≥65y) were used to explore the relationships between the salt-taste SNP TRPV1-rs8065080, levels of depression and anxiety (Hospital Anxiety and Depression Scale, HADS), estimated sodium intake and diet quality in this secondary analysis. Standard least squares regression and nominal logistic regression modelling were used to compare continuous and categorical variables respectively, with analyses stratified by sex. Results: Presence of the TRPV1-rs8065080 variant allele (C) was found to increase the likelihood of having depression (HADS) in the total population, and in males. The associations remained significant after adjusting for sodium intake, three diet quality indices and demographic variables, suggesting that TRPV1-rs8065080 genotype is driving the association with depression. Discussion/Conclusion: Future studies should explore extra-oral functions of the SNP and salt-taste receptors in the brain, and the roles of neurotransmitters common to both depression and salt-taste to improve the management of this increasingly prevalent and difficult to treat condition.

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“…A cross-sectional study among 2063 adults with MS revealed a link between higher adherence to Australian dietary guidelines for cardiovascular disease and lower relapse risk, disability, disease activity, and higher quality of life (QoL) [135] . Healthier diet scores also associated with better mental, physical, and total QoL, improved cognitive function, lower depression, anxiety, and pain scores, and fewer cognition, vision, and bowel symptoms [136–138] .…”

Section: Human Ms Dietary Studiesmentioning

confidence: 99%

Overview of diet and autoimmune demyelinating optic neuritis: a narrative review

Plafker¹,

Titcomb²,

Zyla-Jackson³

et al. 2023

Immunometabolism

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This review summarizes the cellular and molecular underpinnings of autoimmune demyelinating optic neuritis (ADON), a common sequela of multiple sclerosis and other demyelinating diseases. We further present nutritional interventions tested for people with multiple sclerosis focusing on strategies that have shown efficacy or associations with disease course and clinical outcomes. We then close by discuss the potential dietary guidance for preventing and/or ameliorating ADON.

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Associations between diet quality and depression, anxiety, and fatigue in multiple sclerosis

Cited by 14 publications

References 44 publications

Using Online 24-h Dietary Methodology to Validate the Psychometric Properties of a Dietary Scoring Tool with an International Sample of Adults Living with Multiple Sclerosis

Using Online 24-h Dietary Methodology to Validate the Psychometric Properties of a Dietary Scoring Tool with an International Sample of Adults Living with Multiple Sclerosis

Salt-Taste Polymorphism <i>TRPV1</i>-rs8065080 Is Associated with Increased Likelihood of Depression in an Elderly Cohort

Overview of diet and autoimmune demyelinating optic neuritis: a narrative review

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