home icon user icon
Welcome to International Network for Natural Sciences | INNS Pub.
Home My Account
Submit Manuscript
double_slash
breadcumb_bg

Nutritional assessment status of adult patients with multiple sclerosis: A nationally representative survey

Paper Details

Research Paper 12/02/2023
Views (1047) Download (98)
current_issue_feature_image
publication_file

Nutritional assessment status of adult patients with multiple sclerosis: A nationally representative survey

Leena Ahmad, Omar A. Alhaj, Nour A. Elsahoryi, Iman F. Mahmoud, Haitham Jahrami, Abdallah M. Younes, Maha M. Al Rasheed, Nicola L. Bragazzi
Int. J. Biomol. & Biomed.16( 1), 1-12, February 2023.
Certificate: IJBB 2023 [Generate Certificate]
Key: Arab countriesCentral nervous systemDietary assessmentFood frequency questionnaireMultiple sclerosis

Abstract

No previous research has assessed the nongenetic factors, especially the nutrition status of MS patients in Arab countries. Hence, this study aims to assess the nutritional status of MS patients among Arab adults. This study is a nationally representative cross-sectional study using a structured, online self-administered, validated quantitative food frequency questionnaire (FFQ) from 13 Arab countries. All data analyses were performed using STATA 16.0 and R for statistical computing version 4.0.4. A total of 813 participants were surveyed, most of the MS participants were female (68.4%), married (58.5%), non-smoker (72.6%) and 53.3% were diagnosed with MS for up to five years. MS participants did not consume the DRI of both the macro and the micronutrients including the energy requirements, except the dietary intake of the sodium which was insignificantly different from the DRI. Results also showed that most participants rarely consumed the main food items including bread, cereals, and most types of meat. While, more than 50% of the participants consumed fruit, vegetables, all types of chicken, fish, fresh soup, rice, and egg up to 3 times per month. On the other hand, milk and milkshake were consumed rarely; while, tea and herbal teas were the most common beverages. Nutrient deficiencies are very common among MS Arab patients. The finding of this study can establish a base for the development of a nutritional program for MS patients in accordance with the recommended DRI.

VIEWS 220
Cover PDF

Bagur MJ. 2017. Influence of Diet in Multiple Sclerosis: A Systematic Review’, Advances in Nutrition: An International Review Journal 8(3), 463-472. DOI: 10.3945/an.116.014191.

Bell N, Brammer L. 2017. A team approach to supporting the nutritional needs of patients living with multiple sclerosis’, British Journal of Community Nursing 22(3), pp. 124-128. DOI: 10.12968/bjcn.2017.22.3.124.

Bitarafan S. 2014. Dietary intake of nutrients and its correlation with fatigue in multiple sclerosis patients, Iranian journal of neurology 13(1), 28-32.

Burgos R. 2018. ESPEN guideline clinical nutrition in neurology’, Clinical Nutrition 37(1), 354-396. DOI: 10.1016/j.clnu.2017.09.003.

Coles AJ. 2006. The window of therapeutic opportunity in multiple sclerosis, Journal of Neurology 253(1), 98-108. DOI: 10.1007/s00415-005-0934-5.

Dinu M. 2018. Mediterranean diet and multiple health outcomes: an umbrella review of meta-analyses of observational studies and randomised trials, European Journal of Clinical Nutrition 72(1), 30-43. DOI: 10.1038/ejcn.2017.58.

Drehmer E. 2020. The Relation between Eating Habits and Abdominal Fat, Anthropometry, PON1 and IL-6 Levels in Patients with Multiple Sclerosis, Nutrients 12(3), 744. DOI: 10.3390/nu12030744.

El-Salem K. 2006. Multiple sclerosis in Jordan: A clinical and epidemiological study, Journal of Neurology 253(9), 1210-1216. DOI: 10.1007/s00415-006-0203-2.

Esposito S. 2018. The role of diet in multiple sclerosis: A review, Nutritional Neuroscience 21(6), 377-390. DOI: 10.1080/1028415X.2017.1303016.

Ghafari S. 2015. Patients’ experiences of adapting to multiple sclerosis: A qualitative study, Contemporary Nurse 50(1), 36-49. DOI: 10.1080 /10376178.2015.1010252.

Greer JM, McCombe PA. 2011. Role of gender in multiple sclerosis: Clinical effects and potential molecular mechanisms, Journal of Neuroimmunology 234(1-2), 7-18. DOI: 10.1016 /j.jneuroim.2011.03.003.

Guerrero-García JDJ. 2016. Multiple Sclerosis and Obesity: Possible Roles of Adipokines, Mediators of Inflammation, 2016. DOI: 10.1155/2016/4036232.

Harbo HF, Gold R, Tintora M. 2013. Sex and gender issues in multiple sclerosis, Therapeutic Advances in Neurological Disorders 6(4), 237-248. DOI: 10.1177/1756285613488434.

Hedström A. 2015. Shift work influences multiple sclerosis risk, Multiple Sclerosis Journal 21(9), 1195-1199. DOI: 10.1177/1352458514563592.

Hedstrom AK. 2014. ‘Interaction between adolescent obesity and HLA risk genes in the etiology of multiple sclerosis, Neurology 82(10), 865-872. DOI: 10.1212/WNL.0000000000000203.

Hedström AK, Alfredsson L, Olsson T. 2016. ‘Environmental factors and their interactions with risk genotypes in MS susceptibility, Current Opinion in Neurology 29(3), pp. 293-298. DOI: 10.1097/WCO.0000000000000329.

Hedström A, Olsson T, Alfredsson L. 2016. ‘Smoking is a major preventable risk factor for multiple sclerosis, Multiple Sclerosis Journal 22(8), 1021-1026. DOI: 10.1177/1352458515609794.

Hodge JM. 2020. Validation of self-reported height and weight in a large, nationwide cohort of U.S. adults, PLoS ONE 15(4), 1-11. DOI: 10.1371/ journal. pone.0231229.

Hörnell A. 2017. Perspective: An extension of the STROBE statement for observational studies in nutritional epidemiology (STROBE-nut): Explanation and elaboration, Advances in Nutrition 8(5), 652-678. DOI: 10.3945/an.117.015941.

Hudaif HSA, Bwardi NA, Kojan S. 2014. ‘Assessment of multiple sclerosis awareness and knowledge among the Saudi population in Riyadh City, Multiple Sclerosis and Related Disorders 3(6), 758. DOI: 10.1016/j.msard.2014.09.198.

Jahrami H. 2020. ‘Assessing dietary and lifestyle risk behaviours and their associations with disease comorbidities among patients with depression: A case-control study from Bahrain’, Heliyon 6(6), e04323. DOI: 10.1016/j.heliyon.2020.e04323.

Kurtzke JF, Page WF. 1997. ‘Epidemiology of Multiple Sclerosis in US Veterans: VII. Risk Factors for MS’, Neurology 48(1), 204-213. DOI: 10.1212/ WNL.48.1.204.

Landfeldt E. 2018. ‘The long-term impact of multiple sclerosis on the risk of divorce’, Multiple Sclerosis and Related Disorders, 24, 145-150. DOI: 10.1016/j.msard.2018.07.002.

Mehrabani, Golnoush. 2019. ‘Dietetic Plans within the Multiple Sclerosis Community: A Review’, International Journal of Nutrition Sciences 4, 14-22.

van der Mei IAF. 2003. ‘Past exposure to sun, skin phenotype, and risk of multiple sclerosis: case-control study’, BMJ 327(7410), 316-0. DOI: 10.1136/bmj.327.7410.316.

Michalak L, Trocki K. 2006. ‘Alcohol and Islam: An Overview’, Contemporary Drug Problems 33(4), 523-562. DOI: 10.1177/009145090603300401.

Moss BP, Rensel MR, Hersh CM. 2017. ‘Wellness and the Role of Comorbidities in Multiple Sclerosis’, Neurotherapeutics 14(4), 999-1017. DOI: 10.1007/s13311-017-0563-6.

Munger KL. 2006. Serum 25-Hydroxyvitamin D Levels and Risk of Multiple Sclerosis, JAMA 296(23), 2832. DOI: 10.1001/jama.296.23.2832.

Musaiger AO. 1993. ‘Socio-cultural and economic factors affecting food consumption patterns in the Arab countries.’, Journal of the Royal Society of Health 113(2), 68-74. DOI: 10.1177/14664240931.

Nielsen NM. 2013. ‘Socioeconomic factors in childhood and the risk of multiple sclerosis’, American Journal of Epidemiology 177(11), 1289-1295. DOI: 10.1093/aje/kws350.

Olsson T, Barcellos LF, Alfredsson L. 2017. ‘Interactions between genetic, lifestyle and environmental risk factors for multiple sclerosis’, Nature Reviews Neurology 13(1), 25-36. DOI: 10.1038/nrneurol.2016.187.

Ortí JE, de la R. 2020. Vitamin b1 intake in multiple sclerosis patients and its impact on depression presence: a pilot study, Nutrients 12(9), 1-9. DOI: 10.3390/nu12092655.

Pakdel M. 2019. Do socioeconomic factors affect the prevalence of multiple sclerosis in Iran, Acta Neurologica Scandinavica 140(5), 328-335.

Patti F. 2007. Effects of education level and employment status on HRQoL in early relapsing-remitting multiple sclerosis, Multiple Sclerosis Journal 13(6), 783-791. DOI: 10.1177/13524585060.

Payne A. 2001. Nutrition and diet in the clinical management of multiple sclerosis, Journal of Human Nutrition and Dietetics 14(5), pp. 349-357. DOI: 10.1046/j.1365-277X.2001.00308.x.

Polman CH. 2011. Diagnostic criteria for multiple sclerosis: 2010 Revisions to the McDonald criteria, Annals of Neurology 69(2), 292-302.

Sahraian MA. 2017. Multiple sclerosis-A disease on a dramatically rising trend in Iran: Review of possible reasons. Iranian Journal of Neurology 16(1), 34-40.

Saka Mendane. 2012. Nutritional status and anthropometric measurements of patients with multiple sclerosis., Saudi Medical Journal 33(2), 160-6.

Schriefer D. 2020. Gender disparities in health resource utilization in patients with relapsing-remitting multiple sclerosis: A prospective longitudinal real-world study with more than 2000 patients, Therapeutic Advances in Neurological Disorders 13, 1-13. DOI: 10.1177/1756286420960274.

Thacker EL, Mirzaei F, Ascherio A. 2006. ‘Infectious mononucleosis and risk for multiple sclerosis: A meta-analysis, Annals of Neurology 59(3), pp. 499-503. DOI: 10.1002/ana.20820.

Titcomb TJ. 2020. Eating pattern and nutritional risks among people with multiple sclerosis following a modified paleolithic diet’, Nutrients 12(6), 1-13. DOI: 10.3390/nu12061844.

van der Vuurst de Vries RM. 2018. Smoking at time of CIS increases the risk of clinically definite multiple sclerosis, Journal of Neurology 265(5), pp. 1010-1015. DOI: 10.1007/s00415-018-8780-4.

Submit Manuscript