Obesity, dieting, and multiple sclerosis.

Dietary behavior Dietary changes MS Sunshine Study Multiple sclerosis Nutrition

Journal

Multiple sclerosis and related disorders
ISSN: 2211-0356
Titre abrégé: Mult Scler Relat Disord
Pays: Netherlands
ID NLM: 101580247

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 21 08 2019
revised: 12 11 2019
accepted: 07 12 2019
medline: 16 12 2019
pubmed: 16 12 2019
entrez: 16 12 2019
Statut: ppublish

Résumé

Obesity is common in the United States and is associated with a higher risk of relapse and comorbidities, and increased disease progression, in people with MS. We examined the prevalence of overweight and obesity in the MS Sunshine Study, a matched case-control study of multiple sclerosis in Southern California (470 cases, 519 controls). We reported the proportion of participants who adopted a specific diet for nutrition or weight loss purposes, and identified independent predictors of dieting. In the total population, 32% and 37% were overweight and obese, respectively. Case participants were no more likely to adopt a specific diet for nutrition or weight loss purposes than control participants (10% and 11%, respectively). Being obese, younger, female or non-Hispanic were independently associated with dieting. Despite the evidence that obesity can worsen MS prognosis, and the high prevalence of overweight/obesity, case participants were no more likely to adopt a specific diet than control participants. Improved nutrition education may help people with MS make healthy dietary changes for nutrition or weight loss purposes.

Sections du résumé

BACKGROUND BACKGROUND
Obesity is common in the United States and is associated with a higher risk of relapse and comorbidities, and increased disease progression, in people with MS.
METHODS METHODS
We examined the prevalence of overweight and obesity in the MS Sunshine Study, a matched case-control study of multiple sclerosis in Southern California (470 cases, 519 controls). We reported the proportion of participants who adopted a specific diet for nutrition or weight loss purposes, and identified independent predictors of dieting.
RESULTS RESULTS
In the total population, 32% and 37% were overweight and obese, respectively. Case participants were no more likely to adopt a specific diet for nutrition or weight loss purposes than control participants (10% and 11%, respectively). Being obese, younger, female or non-Hispanic were independently associated with dieting.
CONCLUSION CONCLUSIONS
Despite the evidence that obesity can worsen MS prognosis, and the high prevalence of overweight/obesity, case participants were no more likely to adopt a specific diet than control participants. Improved nutrition education may help people with MS make healthy dietary changes for nutrition or weight loss purposes.

Identifiants

pubmed: 31838309
pii: S2211-0348(19)30960-5
doi: 10.1016/j.msard.2019.101889
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101889

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare not conflicts of interest.

Auteurs

R D Russell (RD)

School of Public Health, Curtin University, Perth, Australia.

A Langer-Gould (A)

Neurology Department, Los Angeles Medical Center, Southern California Permanente Medical Group/Kaiser Permanente, Los Angeles, United States.

E G Gonzales (EG)

Department of Research and Evaluation, Kaiser Permanente, Pasadena, United States.

J B Smith (JB)

Department of Research and Evaluation, Kaiser Permanente, Pasadena, United States.

V Brennan (V)

School of Public Health, Curtin University, Perth, Australia.

G Pereira (G)

School of Public Health, Curtin University, Perth, Australia.

R M Lucas (RM)

National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australia; Centre for Ophthalmology and Visual Science, University of Western Australia, Perth, Australia.

A Begley (A)

School of Public Health, Curtin University, Perth, Australia.

L J Black (LJ)

School of Public Health, Curtin University, Perth, Australia. Electronic address: lucinda.black@curtin.edu.au.

Classifications MeSH