Multiple sclerosis diet.230524.ppt3.pptx

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 Complex Carbohydrates: -They release energy slowly. Essential fatty acids: - Are the major fat content of brain. Amino Acids: - Constitutes neuro - transmitters 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.

10. Balanced Diet

11. 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)

12. 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…..

13. 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.

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

15. Healthy Fat-Poly Unsaturated Fats

16. 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

17. 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….

18. 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….

19. 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

20. 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.

21. 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

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

23. Adequate Exercise, Yoga, Meditation.

24. 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

25. 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.

26. 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

27. 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

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