Adherence to dietary guidelines is associated with better physical and mental quality of life: results from a cross-sectional survey among 728 Dutch MS patients

G.H.M. Evers*, M. Heerings*, N. M. de Roos, P. J. Jongen, L. H. Visser

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    14 Citations (Scopus)
    87 Downloads (Pure)

    Abstract

    Background

    A healthy diet has been associated with less symptoms or progression of disease in multiple sclerosis (MS). However, whether specific diets are needed, or general healthy diet recommendations are sufficient is unknown.

    Objective

    To investigate the association between diet quality, use of diets, and quality of life (QoL) in men and women with MS.

    Methods

    Diet quality was measured with the Dutch Healthy Diet-index, which measures adherence to the Dutch Guidelines for a Healthy Diet. QoL was assessed with the MSQoL-54 questionnaire. A total of 728 people were included (623 women, 105 men). Multiple linear regression, stratified for gender, was used to analyse the data.

    Results

    In women with MS, an association was found between diet quality and both physical and mental QoL after adjusting for several confounders (Physical Health Composite Score (beta=0.410; P=0.001); Mental Health Composite Score (beta=0.462; P=0.002)). Similar results were less pronounced in men. Subjects following a specific diet had higher diet quality and QoL than subjects not following a diet.

    Conclusion

    Adherence to the Dutch dietary guidelines is associated with better physical and mental QoL, especially in women. Following an MS-specific diet may help to adhere to these guidelines.

    Original languageEnglish
    Pages (from-to)1633-1640
    Number of pages8
    JournalNutritional Neuroscience
    Volume25
    Issue number8
    Early online date12-Feb-2021
    DOIs
    Publication statusPublished - 2022

    Keywords

    • Multiple sclerosis
    • diet
    • quality of life
    • nutrition
    • dietary guidelines
    • MS-specific diet
    • mental health
    • lifestyle

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