Nutrition in multiple sclerosis

Habek, Mario; Hojsak, Iva; Brinar, Vesna

doi:10.1016/j.clineuro.2010.03.029

Cited by 42 publications

(43 citation statements)

References 63 publications

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“…Diet is an important modifiable risk factor for the disease and hence presents an opportunity to limit the burden of the disease [20]. In line with the results of our study, vitamin D has been consistently associated with a reduced risk of MS [21,22]. Since epidemiological studies revealed the relationship between the MS prevalence and latitude, several studies have associated sunlight exposure [23], serum levels of vitamin D [24] and dietary vitamin D [25,26] with MS. Munger et al [26] in Nurses' Health Study (NHS) and the NHS II reported a 40% reduced risk of MS among women in the highest quintile of vitamin D intake compared with the lowest quintile [26].…”

Section: Discussionsupporting

confidence: 78%

Nutrient Patterns and Risk of Multiple Sclerosis: A Case-Control Study

Akhoondan

2014

J Neurol Res

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Section: Discussionsupporting

confidence: 78%

Nutrient Patterns and Risk of Multiple Sclerosis: A Case-Control Study

Akhoondan

2014

J Neurol Res

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“…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. 16 In summary, many Physical, Relationships, Energy, and Cognitive/Mental conditions can individually or interactively affect the health and functioning of people with MS. Thus, it is important for health-care providers to obtain a full picture of the MS patient's health status and functional level by partnering with the patient to optimize his or her health.…”

Section: Discussionmentioning

confidence: 99%

“…15 Conversely, malnutrition is associated with impairment of the immune system and adversely affects mental function. 16 The economic costs of MS increase with disease severity; although direct medical costs (health-care providers, drugs, assistive devices, therapy) are high in the early stages of the disease, they are outweighed by indirect costs (work loss, impact on family and friends) at later disease stages. 17 Direct and indirect costs of MS vary across different countries because of substantial differences in the availability of services and resource use patterns.…”

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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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“…Studies revealed different risk levels depending on climate, age and gender (6). Nutritional status and dietary habits in MS patients have not been extensively studied or reported, however individual findings suggest that many patients suffer from various forms of malnutrition (5). The assessment of nutritional status is essential for a diagnosis of nutritional compromise and for the required multidisciplinary management.…”

Section: Introductionmentioning

confidence: 99%

Determination of Nutritional Status Via Food Frequency Consumption (FFQ) and Serum Proteins and Anemia Parameters in Multiple Sclerosis (MS) Patients

Akbulut

Orhan²,

Gürkaş³

et al. 2014

GMJ

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Objectives: The study was aimed to determine the nutritional status, serum proteins (total protein, albumin, prealbumin) and some anemia parameters (haemoglobin, iron, vitamin B12, homocysteine) of the Multiple Sclerosis (MS) patients. Methods: It was conducted on 63 MS patients (41 female, 22 male) who have applied to Ankara Numune Education and Research Hospital, Department of Neurology, Turkey. Some anthropometric and biochemical measurements were taken from the study group. Nutritional status was assessed by food frequency consumption results. Results: The Relapsing/Remitting Multiple Sclerosis (RRMS) was mostly seen in both genders (90.5%). The mean age was found 34.9±8.59 (20-56) years in the study group. The mean body mass index (BMI) was found as 25.2±4.86 kg/m 2 . While the mean albumin (p=0.021), prealbumin (p=0.005), homocystein (p=0.007), haemoglobin (p<0.001) levels were found to be significantly high; the vitamin B12 measurement (p=0.025) was low in males. The consumption of cheese, red meat, white bread, sugar and carbonated drinks decreased after the diagnosis period in females (p>0.05). There was no change in the consumption of egg, chicken, legumes, vegetable, fruit, margarine, butter and olive oil. Most of the two groups have consumed fish rarely before and after the diagnosis of MS. Conclusion: It was concluded that nutritional status of MS patients improved after diagnosis and serum proteins which also indicate that adequate and balanced nutrition were in desired levels.

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Nutrition in multiple sclerosis

Cited by 42 publications

References 63 publications

Nutrient Patterns and Risk of Multiple Sclerosis: A Case-Control Study

Nutrient Patterns and Risk of Multiple Sclerosis: A Case-Control Study

Monitoring My Multiple Sclerosis

Determination of Nutritional Status Via Food Frequency Consumption (FFQ) and Serum Proteins and Anemia Parameters in Multiple Sclerosis (MS) Patients

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