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Nutritional Neuroscience
An International Journal on Nutrition, Diet and Nervous System
Volume 26, 2023 - Issue 12
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Review

Effects of different dietary interventions in multiple sclerosis: a systematic review of evidence from 2018 to 2022

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References

  • Ghasemi N, Razavi S, Nikzad E. Multiple sclerosis: pathogenesis, symptoms, diagnoses and cell-based therapy. Cell J (Yakhteh). 2017;19(1):1.
  • Tarlinton RE, Khaibullin T, Granatov E, Martynova E, Rizvanov A, Khaiboullina S. The interaction between viral and environmental risk factors in the pathogenesis of multiple sclerosis. Int J Mol Sci. 2019;20(2):303.
  • Labuschagne I, Blaauw R. Multiple sclerosis and nutrition: acondensed review. Inflammation. 2017;5(6):7.
  • Evans E, Levasseur V, Cross AH, Piccio L. An overview of the current state of evidence for the role of specific diets in multiple sclerosis. Mult Scler Relat Disord. 2019;36(101393):1–6.
  • Fitzgerald KC, Tyry T, Salter A, Cofield SS, Cutter G, Fox RJ, et al. A survey of dietary characteristics in a large population of people with multiple sclerosis. Mult Scler Relat Disord. 2018;22:12–8.
  • Moher D, Liberati A, Tetzlaff J, Altman DG, Group* P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–269.
  • Lee JE, Titcomb TJ, Bisht B, Rubenstein LM, Louison R, Wahls TL. A modified MCT-based ketogenic diet increases plasma β-hydroxybutyrate but has less effect on fatigue and quality of life in people with multiple sclerosis compared to a modified paleolithic diet: a waitlist-controlled, randomized pilot study. J Am Coll Nutr. 2021;40(1):13–25.
  • Wahls TL, Titcomb TJ, Bisht B, Eyck PT, Rubenstein LM, Carr LJ, et al. Impact of the Swank and Wahls elimination dietary interventions on fatigue and quality of life in relapsing-remitting multiple sclerosis: The WAVES randomized parallel-arm clinical trial. multiple sclerosis journal–experimental. Transl Clin. 2021;7(3):20552173211035399.
  • Wahls TL, Chenard CA, Snetselaar LG. Review of two popular eating plans within the multiple sclerosis community: low saturated fat and modified paleolithic. Nutrients. 2019;11(2):352.
  • Serra-Majem L, Tomaino L, Dernini S, Berry EM, Lairon D, de la Cruz JN, et al. Updating the Mediterranean diet pyramid towards sustainability: focus on environmental concerns. Int J Environ Res Public Health. 2020;17(23):8758.
  • Gerald J. T, Dorothy R, Friedman School of Nutrition Science and Policy. MIND diet better for brain aging. Health Nutr Lett. 2018;36(4):7.
  • Huitema MJ, Schenk GJ. Insights into the mechanisms that may clarify obesity as a risk factor for multiple sclerosis. Curr Neurol Neurosci Rep. 2018;18(4):1–9.
  • Waubant E, Lucas R, Mowry E, Graves J, Olsson T, Alfredsson L, et al. Environmental and genetic risk factors for MS: an integrated review. Ann Clin Transl Neurol. 2019;6(9):1905–1922.
  • Hoddy KK, Marlatt KL, Çetinkaya H, Ravussin E. Intermittent fasting and metabolic health: from religious fast to time-restricted feeding. Obesity. 2020;28:S29–S37.
  • Stockman M-C, Thomas D, Burke J, Apovian CM. Intermittent fasting: is the wait worth the weight? Curr Obes Rep. 2018;7(2):172–185.
  • Akpınar Ş, Akbulut G. Aralıklı Açlık Diyetlerinin Ağırlık Denetimi ve Sağlık Çıktıları Üzerindeki Etkisi. SDU J Health Sci Inst/SDÜ Saglik Bilimleri Enstitüsü Dergisi. 2019;10(2):177–183.
  • Bock M, Steffen F, Zipp F, Bittner S. Impact of dietary intervention on serum neurofilament light chain in multiple sclerosis. Neurol Neuroimmunol Neuroinflamm. 2022;9(1):1–6.
  • Fitzgerald KC, Vizthum D, Henry-Barron B, Schweitzer A, Cassard SD, Kossoff E, et al. Effect of intermittent vs. daily calorie restriction on changes in weight and patient-reported outcomes in people with multiple sclerosis. Mult Scler Relat Disord. 2018;23:33–39.
  • Fitzgerald KC, Bhargava P, Smith MD, Vizthum D, Henry-Barron B, Kornberg MD, et al. Intermittent calorie restriction alters T cell subsets and metabolic markers in people with multiple sclerosis. medRxiv. 2022.
  • Cignarella F, Cantoni C, Ghezzi L, Salter A, Dorsett Y, Chen L, et al. Intermittent fasting confers protection in CNS autoimmunity by altering the gut microbiota. Cell Metab. 2018;27(6):1222–1235.e6.
  • Roman S, Fitzgerald K, Beier M, Mowry E. Safety and feasibility of various fasting-mimicking diets among people with multiple sclerosis. Mult Scler Relat Disord. 2020;42:102149.
  • Patterson RE, Sears DD. Metabolic effects of intermittent fasting. Annu Rev Nutr. 2017;37:371–393.
  • de Cabo R, Mattson MP. Effects of intermittent fasting on health, aging, and disease. N Engl J Med. 2019;381(26):2541–2551.
  • Çelik ÖM, Köksal E. Aralıklı açlık uygulamalarının vücut bileşimi ve biyokimyasal parametreler üzerine etkisi: Bir literatür derlemesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi 2020;13(2):249–271.
  • Masood W, Annamaraju P, Uppaluri KR. Ketogenic diet. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020.
  • Alharbi A, Al-Sowayan NS. The effect of ketogenic-diet on health. Food Nutr Sci. 2020;11(4):301–313.
  • Brenton JN, Banwell B, Bergqvist AC, Lehner-Gulotta D, Gampper L, Leytham E, et al. Pilot study of a ketogenic diet in relapsing-remitting MS. Neurol Neuroimmunol Neuroinflamm. 2019;6(4):1–9.
  • Bock M, Karber M, Kuhn H. Ketogenic diets attenuate cyclooxygenase and lipoxygenase gene expression in multiple sclerosis. EBioMed. 2018;36:293–303.
  • Fidan V, Koyuncu H, Toktas H. Impact of ketogenic diet versus regular diet on voice quality of patients with multiple sclerosis. Clin Case Rep Clin Study. 2021;4(4):1729–1732.
  • Benlloch M, López-Rodríguez MM, Cuerda-Ballester M, Drehmer E, Carrera S, Ceron JJ, et al. Satiating effect of a ketogenic diet and its impact on muscle improvement and oxidation state in multiple sclerosis patients. Nutrients. 2019;11(5):1156.
  • Klement RJ. When is a ketogenic diet ketogenic? Comment on “satiating effect of a ketogenic diet and Its impact on muscle improvement and oxidation state in multiple sclerosis patients, nutrients 2019, 11, 1156”. Nutrients. 2019;11(8):1909.
  • Koh S, Dupuis N, Auvin S. Ketogenic diet and neuroinflammation. Epilepsy Res. 2020;106454:1–8.
  • Gough SM, Casella A, Ortega KJ, Hackam AS. Neuroprotection by the ketogenic diet: evidence and controversies. Front Nutr. 2021;8:1–12.
  • Ludwig DS. The ketogenic diet: evidence for optimism but high-quality research needed. J Nutr. 2020;150(6):1354–9.
  • Watanabe M, Tuccinardi D, Ernesti I, Basciani S, Mariani S, Genco A, et al. Scientific evidence underlying contraindications to the ketogenic diet: An update. Obes Rev. 2020;21(10):e13053.
  • Challa HJ, Bandlamudi M, Uppaluri KR. Paleolithic diet. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
  • Sachdev N, Rengasamy G. Paleo diet–a review. 2018.
  • Chenard CA, Rubenstein LM, Snetselaar LG, Wahls TL. Nutrient composition comparison between a modified paleolithic diet for multiple sclerosis and the recommended healthy uS-style eating pattern. Nutrients. 2019;11(3):537.
  • Titcomb TJ, Bisht B, Moore DD, Chhonker YS, Murry DJ, Snetselaar LG, et al. Eating pattern and nutritional risks among people with multiple sclerosis following a modified paleolithic diet. Nutrients. 2020;12(6):1844.
  • Titcomb TJ, Brooks L, Smith KL, Ten Eyck P, Rubenstein LM, Wahls TL, et al. Change in micronutrient intake among people with relapsing-remitting multiple sclerosis adapting the Swank and Wahls diets: An analysis of weighed food records. Nutrients. 2021;13(10):3507.
  • Fellows MK, Wahls T, Browne RW, Rubenstein L, Bisht B, Chenard CA, et al. Lipid profile is associated with decreased fatigue in individuals with progressive multiple sclerosis following a diet-based intervention: results from a pilot study. PloS one. 2019;14(6):e0218075.
  • Swank RL, Goodwin J. Review of MS patient survival on a Swank low saturated fat diet 1 1 (For an additional perspective, see editorial opinions). Nutrition. 2003;19(2):161.
  • Chenard CA, Rubenstein LM, Snetselaar LG, Wahls TL. Nutrient composition comparison between the low saturated fat swank diet for multiple sclerosis and healthy US-style eating pattern. Nutrients. 2019;11(3):616.
  • Yadav V, Marracci G, Kim E, Spain R, Cameron M, Overs S, et al. Low-fat, plant-based diet in multiple sclerosis: A randomized controlled trial. Mult Scler Relat Disord. 2016;9:80–90.
  • Ünlütürk Z, Bir LS, Demir M. Gluten intolerance antibodies in multiple sclerosis and clinically isolated syndrome: coexistent or coincidental? Clin Exp Neuroimmunol. 2021;12(2):116–121.
  • Lerner A, Benzvi C. “Let food Be Thy medicine”: gluten and potential role in neurodegeneration. Cells. 2021;10(4):756.
  • Philip A, White ND. Gluten, inflammation, and neurodegeneration. Am J Lifestyle Med. 2022;16(1):32–35.
  • Thomsen HL, Jessen EB, Passali M, Frederiksen JL. The role of gluten in multiple sclerosis: A systematic review. Mult Scler Relat Disord. 2019;27:156–163.
  • Niland B, Cash BD. Health benefits and adverse effects of a gluten-free diet in non–celiac disease patients. Gastroenterol Hepatol (N Y). 2018;14(2):82.
  • Burgos R, Bretón I, Cereda E, Desport JC, Dziewas R, Genton L, et al. ESPEN guideline clinical nutrition in neurology. Clin Nutr. 2018;37(1):354–396.
  • Tosti V, Bertozzi B, Fontana L. Health benefits of the Mediterranean diet: metabolic and molecular mechanisms. J Gerontol Ser A. 2018;73(3):318–326.
  • Martinez-Lacoba R, Pardo-Garcia I, Amo-Saus E, Escribano-Sotos F. Mediterranean diet and health outcomes: A systematic meta-review. Eur J Public Health. 2018;28(5):955–961.
  • Serra-Majem L, Roman-Vinas B, Sanchez-Villegas A, Guasch-Ferre M, Corella D, La Vecchia C. Benefits of the Mediterranean diet: epidemiological and molecular aspects. Mol Asp Med. 2019;67:1–55.
  • Esposito S, Sparaco M, Maniscalco G, Signoriello E, Lanzillo R, Russo C, et al. Lifestyle and Mediterranean diet adherence in a cohort of southern Italian patients with multiple sclerosis. Mult Scler Relat Disord. 2021;47:102636.
  • Black LJ, Baker K, Ponsonby A-L, Van Der Mei I, Lucas RM, Pereira G. A higher Mediterranean diet score, including unprocessed red meat, is associated with reduced risk of central nervous system demyelination in a case-control study of Australian adults. J Nutr. 2019;149(8):1385–1392.
  • Black LJ, Rowley C, Sherriff J, Pereira G, Ponsonby A-L, Lucas RM. A healthy dietary pattern associates with a lower risk of a first clinical diagnosis of central nervous system demyelination. Mult Scler J. 2019;25(11):1514–1525.
  • Moravejolahkami AR, Paknahad Z, Chitsaz A. Association of dietary patterns with systemic inflammation, quality of life, disease severity, relapse rate, severity of fatigue and anthropometric measurements in MS patients. Nutr Neurosci. 2020;23(12):920–930.
  • Moravejolahkami AR, Paknahad Z, Chitsaz A, Kermani MAH, Borzoo-Isfahani M. Potential of modified Mediterranean diet to improve quality of life and fatigue severity in multiple sclerosis patients: a single-center randomized controlled trial. Int J Food Prop. 2020;23(1):1993–2004.
  • Razeghi-Jahromi S, Doosti R, Ghorbani Z, Saeedi R, Abolhasani M, Akbari N, et al. A randomized controlled trial investigating the effects of a Mediterranean-like diet in patients with multiple sclerosis-associated cognitive impairments and fatigue. Curr J Neurol. 2020;19(3):112–121.
  • Sand IK, Benn EKT, Fabian M, Fitzgerald KC, Digga E, Deshpande R, et al. Randomized-controlled trial of a modified Mediterranean dietary program for multiple sclerosis: A pilot study. Mult Scler Relat Disord. 2019;36:1–9.
  • Platero JL, Cuerda-Ballester M, Ibáñez V, Sancho D, Lopez-Rodríguez MM, Drehmer E, et al. The impact of coconut oil and epigallocatechin gallate on the levels of il-6, anxiety and disability in multiple sclerosis patients. Nutrients. 2020;12(2):305.
  • Barone M, Mendozzi L, D'Amico F, Saresella M, Rampelli S, Piancone F, et al. Influence of a high-impact multidimensional rehabilitation program on the Gut microbiota of patients with multiple sclerosis. Int J Mol Sci. 2021;22(13):1–16.
  • Fresán U, Bes-Rastrollo M, Segovia-Siapco G, Sanchez-Villegas A, Lahortiga F, de la Rosa P-A, et al. Does the MIND diet decrease depression risk? A comparison with Mediterranean diet in the SUN cohort. Eur J Nutr. 2019;58(3):1271–1282.
  • Agarwal P, Wang Y, Buchman A, Holland T, Bennett D, Morris M. MIND diet associated with reduced incidence and delayed progression of parkinsonism in old age. J Nutr Health Aging. 2018;22(10):1211–1215.
  • Dutta R. Role of MIND diet in preventing dementia and Alzheimer’s. Memory 2019;32:33.
  • Angeloni C, Businaro R, Vauzour D. The role of diet in preventing and reducing cognitive decline. Curr Opin Psychiatry. 2020;33(4):432–438.
  • Marcason W. What are the components to the MIND diet? J Acad Nutr Diet. 2015;115(10):1744.
  • Patten SB, Marrie RA, Carta MG. Depression in multiple sclerosis. Int Rev Psychiatry. 2017;29(5):463–472.
  • Jongen P, Ter Horst A, Brands A. Cognitive impairment in multiple sclerosis. Minerva Med. 2012;103(2):73–96.
  • Noormohammadi M, Ghorbani Z, Naser Moghadasi A, Saeedirad Z, Shahemi S, Ghanaatgar M, et al. MIND diet adherence might be associated with a reduced odds of multiple sclerosis: results from a case–control study. Neurol Ther. 2022;11:397–412.
  • National Multiple Sclerosis Society (NMSS). Diet and Nutrition. [Accessed 2022 Aug 30]. https://www.nationalmssociety.org/Living-Well-With-MS/Diet-Exercise-Healthy-Behaviors/Diet-Nutrition

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