What follows are clinically useful insights on MS culled from 3 presentations at the 7th Joint ECTRIMS-ACTRIMS conference on multiple sclerosis.
I. DIETARY HABITS PUT PATIENTS AT RISK FOR DEMYELINATING EVENT
At the time of MS onset, patients tend to have unhealthy dietary habits.
A case-control study of dietary habits and nutritional status included 60 MS patients with a first demyelinating event who were compared with a similar number of age- and sex-matched healthy controls. Under supervision by a registered dietitian, participants completed 7-days of food recall and food frequency questionnaires for 24-hours food recall. They also had anthropometric evaluations and blood tests for nutritional status.
After 18 months of observation, a conditional logistic regression model found that low vitamin D intake, high intake of rapid absorption carbohydrates, and high omega 6/omega 3 ratio were all independently associated with a risk of diagnosis of a first demyelinating event.
Some known risk factors for MS include low vitamin D and low polyunsaturated fatty acids intake. This new research found high intake of rapid absorption carbohydrates and high omega 6/omega 3 ratio, which have generally been proposed as pro-inflammatory, may also play a role in MS. Results suggest the need for a dietitian consultation in MS clinics.
Dietary habits, nutritional status and risk of a diagnosis of a first demyelinating event: a single center incident case-control study
ECTRIMS Online Library. Cavalla P. Oct 27, 2017; 200658
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