This document discusses nutrition and its vital role in multiple sclerosis. It defines multiple sclerosis as an autoimmune, chronic inflammatory disease of the central nervous system that causes neurological disturbances. It then describes the four main types of MS and lists common symptoms such as fatigue, vision changes, tingling, pain, cognitive issues, and balance problems. The document discusses causes of MS including immunological, environmental, and genetic factors. It provides information on diet and notes that specific dietary components like saturated fats, polyunsaturated fats, dairy, fruits and vegetables can impact MS. Physical activity is also discussed as beneficial for reducing MS complications. The document concludes by listing some common drugs and medications used to treat multiple sclerosis.

1. Nutrition plays a vital role in multiple sclerosis

2. What is multiple sclerosis?
Auto-immune
disease
Chronic
inflammatory disease
of CNS
Neurological
disturbances

3. TYPES OF MIULTIPLE SCLEROSIS:
1) Relapsing remitting multiple sclerosis (RRMS):
This is the most common type of multiple sclerosis; about 85% of people present with this pattern
2) Secondary progressive multiple sclerosis (SPMS)
Over time RRMS may convert to a disease pattern of gradual progression with accumulating
irreversible neurological deficit and disability (SPMS) .
3) Primary progressive multiple sclerosis (PPMS)
PPMS is characterised by progressive disease from onset, with a gradual accumulation of neurological
deficit or disability, without relapse or remission and accounts for about 10%–15% of multiple sclerosis.
4) Progressive relapsing multiple sclerosis (PRMS)
PRMS is defined as progressive disease from onset with superimposed relapses.
http://dx.doi.org/10.1136/pgmj.2004.029413

4. Causes
Immunological
factors
Environmental
factors
Infectious
factors
Genetic factors
http://www.nationalmssociety.org/What-is-MS/What-Causes-MS

6. Symptoms
FATIGUE
AND
WEAKNESS
VISION
CHANGES
TINGLING
AND
NUMBNESS
PAIN
AND
SPASMS
COGNITIVE
AND
EMOTIONAL
CHANGES
DIZZINESS
AND LOSS
OF BALANCE

7. www.medicalnewstoday.com/articles/323130.php

8. Prevalence of MS:
 About 2.5 million people suffer from MS worldwide.
 Female to male ratio was 1.6:1 and the mean age at onset was 38.3
 Mostly observed in age group of 20-40 years.

10. SPECIFIC DIETARY COMPONENTS AND ITS
ROLE IN MULTIPLE SCLEROSIS

12.  SATURATED FATS
 POLYUNSATURATED FATS AND MONOUNSATURATED FATS
 DAIRY
 FRUITS, VEGETABLES AND WHOLE GRAINS
 SALT
ROLE OF DIET IN MULTIPLE SCLEROSIS:

13. Physical activity
 A sedentary lifestyle, for anyone, leads to deconditioning.
 Inactivity can result in loss of muscle tone and disuse
weakness (not related to demyelination), poor postural
alignment and trunk control, decreased bone density (and
resulting increased risk of fracture),and shallow, inefficient
breathing.

14.  Exercise decreases the risk of heart disease, decreases resting blood
pressure, aids sleep, strengthens bones, and increases flexibility,
endurance, energy and can elevate one’s sense of well being.
 While exercise has not been shown to slow the progression of MS, it can
help decrease complications that arise from muscular fatigue, weakness,
contractures, and spasticity.
 Additionally, exercise can serve as an outlet for stress reduction and help
maximize independence, regardless of one’s ability.

15. DRUGS AND MEDICATIONS USED FOR
TREATMENT OF MULTIPLE SLEROSIS:
1)Injectable medications:
Avonex (interferon beta-1a)
Betaseron (interferon beta-1b)
2)Oral medications
Aubagio (teriflunomide)
Gilenya (fingolimod)
3)Infused medications
Lemtrada (alemtuzumab)
Novantrone (mitoxantrone)

16. 29TH MAY -
“WORLD MS
DAY” !!