Dietary Management of Multiple Sclerosis.

1. ARMED WITH YOUR DIET
Dietary Management of Multiple Sclerosis
Prof.Shanmuga Meenakshi.G
MSN, RN.(QHCP)
MSSI Chennai Chapter.
18/03/2024

2. Introduction
Multiple Sclerosis is a Chronic, Progressive ,
auto immune disorder of the
Central Nervous System.
Degenerative changes occurs in nerves antibodies
complex causes de-myelination.

3. Diet to improve or maintain
Nervous system Health
1. Complex Carbohydrates: -They release
energy slowly.
2. Essential fatty acids: - Are the major fat
content of brain.
3. Amino Acids: - Constitutes neuro-
transmitters
4. Vitamins and minerals: - Folate and B12 are
essential for brain functions.

4. Aims of dietary management of
Multiple Sclerosis
 Preventing or controlling progression
 Helping manage its symptoms
 Reducing flare-ups
Ideally an MS friendly diet should
be:
 High in antoxidants to fight inflammation
 High in fiber to aid bowel movements
 Adequate in calcium and Vitamin D to fight osteoporosis
 Pack plenty of vitamins and minerals to fight fatigue and
promote wellness.

5. MS Mechanism and Effect of diet
• Neuro degeneration- occurs mainly due to oxidative
stress –causes myelin distruption. Dietry Antoxident will
reduce the oxidative stress, helps in
• Immunomodulation. 1. Curcumin
• 2. Vitamin D- Sunlight, milk, egg
• 3. Fatty acids- Fish, Nuts and seeds
• 4. Vitamin A- Liver, Milk, cheese, green leaves, fruits and
• vegetables. 5. Melatonin- Meat, Oily fish, Egg,Milk, Cheese,
Nuts, Almonds, Soy
• products.

6. MS Mechanism and Effect of diet
• 6.Low Fat diet with poly unsaturated fat- lower
the levels of
• disabilities
• 7.Polyphenols- stabilise the reversibile
condition- Fruits,Vegetables, wine, ginikobilaba
• Mitochondria – destruction
• Co-morbidities control

7. Auto immune Protocol Diet
• The Autoimmne protocol or AIP is a holistic diet and
life style approach to managing auto immune
disease and chronic illness, that aims to reduce
inflammation and other symptoms of auto immunity
and promote healing.
• The AIP diet involves temporarily removing foods that
may trigger autoimmune symptoms and cause
inflammation and focuses on health promoting nutrient
dense foodss like vegetables ,organ meats and sea
foodslike vegetables, organ meats and sea food.

8. • It aims to support the
• Immune system
• Hormone regulation
• Gut healing by eliminating common
allergens and potentially inflammatory
foods like grains, diary, legumes,
processed foods and refined sugar like
Paleo diet.
Aims of AIP diet

9. AIP diet in General
• AIP also known as the paleo Autoimmune Paleo,
initially removes other foods that are allowed on a
paleo diet during its temporary elimination stage like
eggs nuts,night shades, and seeds.
• After the recommended 30-90 days of the elimination
stage, when foods are slowly reintroduced during the
stages, it is easy to identify which foods can be
tolerated or are causing symptoms.

14. Balanced Diet

16. List of foods good for MS
Well balanced Nutritious diet which includes,
• Fruits and vegetables (fresh)
• Grains (whole) such as oats, rice and quinoa
• Nuts and seeds (all)

17. • Fish such as salmon, mackerel like fishes
high in omega 3 fatty acids, Vitamin D
• Meats (all fresh) high in vitamin D and Biotin
Good foods for MS continued…..

18. Good foods for MS continued….
• Eggs are the good sources of biotin , Vitamin
D and important nutrients.
• Diary products such as milk, cheese, yogurt
• Fats such as Olive, flax seed, coconut and
avocado oils.

19. Good foods for MS continued….
• Pro biotic rich foods such as yogurt, kerfir,
sauerkraut and kimchi
• Beverages: Water, herbal teas
• Herbs and spices (Fresh)

20. Healthy Fat-Poly Unsaturated Fats

24. • Processed meats such as canned, salted and
smoked meat.
• Refined Carbs such as white bread, pasta,
biscuits and flour tortillas.
• Fried foods such as french fries, fried
chicken, mozzarella sticks and doughnuts.
Foods to avoid

25. • Highly processed foods such as fast food,
potato chips and frozen meals.
• Trans fats such as margarine, partially
hydrogenated vegetable oils.
Foods to Avoid continued….

26. • Sugar sweetened beverages such as energy
and sports drinks, soda, sweet tea.
• Alcohol
• If celiac disease present avoid all gluten
based foods such as wheat, barley, rye.
Foods to avoid continued….

27. Specially planned specific
diets for MS
Swank diet: - low fat, low saturated fat eating
pattern.Recommendations include:
 Avoid processed foods
 Limit saturated fat and consume more
unsaturated diet
 Avoid red meat, dark meat, limit fatty fish.
 Choose dairy with less fat
 Avoid egg yolkConsume as many fruits and
vegetables
 Enjoy whoe grain breads, rice and pastas
 Snack on nuts and seeds daily
 Consume 1 teaspoon of cod liver oil and multi
vitamin , mineral supplement daily

28. Wahls diet
Modified Paleolithic diet recommendations,
• Eat nine or more cups of fruits and
vegetables daily such as green leafy
vegetables, intense colour rich fruits or
vegetables.
• Consume sea weed, algae, nutritional yeast.
• Consume limited servings of gluten free
grains and legumes.
• Avoid eggs
• Consume lower meat and fish than the Paleo
diet.
• Avoid all grains, legumes, night shades
(tomatoes, white potatoes, eggplant, peppers
and seed spices) to reduce lecithin in diet.

29. Tips to help with MS
 Make sure to consume enough food.
 Prepare meals in advance
 Rearrange kitchen, utensils and other equipments at
nearby areas which helps to save energy.
 Try ready to use items like fruits and vegetables.
 Make thicker drinks to prevent swallowing difficulties.
 Consume soft foods which prevent more chewing and
preserve energy.
 Limit crumbly foods to prevent swallowing difficulties.
 Reach out for help, Stay active

30. Other Important tips..
 Cur cumin (Turmeric)
 Sunlight exposure
 Vitamin A rich food
 Alpha linolenic acid

31. Adequate Exercise, Yoga, Meditation.

32. General special therapeutic diets
 Miditerranean diet
• The Mediterranean Diet originated in the 1960s and
is one of the best diets for mental health.
• A Mediterranean Diet is a traditional cuisine from
countries surrounding the Mediterranean Sea. This
diet is high in fruits and vegetables, whole grains,
nuts and seeds, and olive oil.
• The basic components in a Mediterranean diet are:
• Daily consumption of fruits, vegetables, whole
grains, and healthy fats
• Weekly consumption of poultry, eggs, cheese, and
yoghurt
• Moderate consumption of dairy products
• Limited consumption of red meat
• Avoiding food such as sweetened beverages,
processed food, and refined oils
• Detailed classification of what a Mediterranean diet
includes:
• Healthy Foods

33. General special therapeutic diets
• MIND diet
The Mind Diet is one of the ideal diets to
improve brain health since it’s designed to
prevent reduced brain functioning and
dementia. It’s a combination of a
Mediterranean diet and Dietary Approaches
to Stop Hypertension (DASH). It stands for
Mediterranean-DASH Intervention for
Neurodegenerative Delay.

34. Healthy Brain Food:
• Green, leafy vegetables – Six or more servings of
kale, spinach, and salads per week
• Non-starchy vegetables – Carrots, lettuce, broccoli,
and onion once a day
• Beans – Four servings of soybeans, lentils, and
beans per week
• Berries – Strawberries, raspberries, and blueberries
twice a week
• Nuts – Five servings of hazelnuts, walnuts, cashew
nuts, and macadamia nuts per week
• Olive oil – Using olive oil as the main cooking oil
• Whole grains – Quinoa, oatmeal, brown rice, whole-
wheat pasta, and bread thrice in a day

35. • Fish – Salmon, sardines, trout, mackerel, and tuna
once a week
• Poultry – Chicken and turkey twice a week
• Wine – One glass of red and white wine in a day
• Unhealthy Foods to Avoid
• Cheese – Limited to once per week
• Red Meat – Not more than three servings per week
• Butter – Limited to 14 gms daily
• Fried Food – Fast food consumption once per week
• Desserts – Not more than four servings of ice-
cream, pastries, cakes, doughnuts, and candies per
week

40. Prof.Shanmuga Meenakshi.G
MSN, RN.(QHCP)
AS