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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2020; 78(10): 638-641
DOI: 10.1590/0004-282X20200065
Articles

Dietary habits in a group of patients with multiple sclerosis are similar to those of healthy control subjects

Hábitos alimentares de pacientes com esclerose múltipla são semelhantes àqueles de controles saudáveis
Stella Boreggio MACHADO 
1   Universidade Metropolitanta de Santos, School of Human Nutrition, Santos SP, Brazil.
,
Raquel CABRAL 
1   Universidade Metropolitanta de Santos, School of Human Nutrition, Santos SP, Brazil.
,
Nadya MURADE 
1   Universidade Metropolitanta de Santos, School of Human Nutrition, Santos SP, Brazil.
,
Nayara Cavalcanti ARES 
1   Universidade Metropolitanta de Santos, School of Human Nutrition, Santos SP, Brazil.
,
Claudio SCORCINE 
2   Universidade Metropolitanta de Santos, School of Physical Education, Santos SP, Brazil.
,
Yara Dadalti FRAGOSO 
3   Universidade Metropolitanta de Santos, Postgraduate Health and Environment Program, Santos SP, Brazil.
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ABSTRACT

Background: Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system. Over time, patients with MS accumulate neurological disabilities. MS typically affects young adults and is associated with an inflammatory profile of cytokines and lymphocytes. If a patient were to consume a potentially inflammatory diet, it is possible that the evolution of MS in that individual would be more aggressive. Objective: To investigate whether patients with MS living in and around the city of Santos, São Paulo, Brazil, had a profile of inflammatory diet. Methods: Patients with MS and healthy control subjects were individually interviewed, and the 24-hour Diet Recall and the Bristol Stool Form Scale were applied. Salt intake was calculated using the WebDiet 2.0 software. Results: There were no remarkable differences in dietary habits between healthy control subjects (n=34) and patients with MS (n=66), except for higher consumption of carbohydrates by patients. Both patients with MS and control subjects had higher protein and lower carbohydrate intake than the World Health Organization’s recommended daily amounts. There was no correlation between food intake and neurological disability in patients with MS. Conclusion: The dietary patterns of patients with MS and healthy controls were similar in the city of Santos, São Paulo, Brazil, and surrounding towns, except for higher intake of carbohydrates by patients. No profile of pro-inflammatory diets was identified among the patients with MS enrolled in this study.

RESUMO

Introdução: Esclerose múltipla (EM) é uma doença crônica e autoimune do sistema nervoso central. Ao longo do tempo, pacientes com EM acumulam incapacidades neurológicas. A EM tipicamente afeta adultos jovens e se associa a um perfil inflamatório de citocinas e linfócitos. Se um paciente tiver uma dieta potencialmente inflamatória, é possível que a evolução da EM seja mais agressiva neste indivíduo. Objetivo: Investigar se pacientes com EM residentes na cidade de Santos e região, São Paulo, Brasil, apresentam um perfil de dieta inflamatória. Métodos: Pacientes com EM e controles saudáveis foram individualmente entrevistados e um Recordatório da Dieta de 24 horas e a Escala de Bristol de Tipo de Fezes foram aplicadas. A ingesta de sal foi calculada usando o WebDiet 2.0 software. Resultados: Não houve diferença marcante nos hábitos alimentares de controles saudáveis (n=34) e pacientes com EM (n=66), exceto pelo maior consumo de carboidratos pelos pacientes. Tanto os pacientes com esclerose múltipla quanto controles tinham maior consumo de proteína e menor consumo de carboidratos do que o recomendado pela Organização Mundial de Saúde. Não houve correlação entre o consumo de alimentos e a incapacidade neurológica dos pacientes com EM. Conclusão: O padrão de dieta de pacientes com EM e controles saudáveis é semelhante na cidade de Santos, SP, Brasil e região circunvizinha, exceto pelo maior consumo de carboidratos pelos pacientes. Não foi identificado um perfil de dieta pró-inflamatória entre os pacientes incluídos neste estudo.

Keywords:

Multiple Sclerosis - Diet - Nutritional Sciences - Inflammation - Neurology

Palavras-chave:

Esclerose Múltipla - Dieta - Ciências da Nutrição - Inflamação - Neurologia

Authors’ contributions:

SBM participated in the conceptualization and method, SBM, RC, and NM collected data and discussed results. NCA and CS participated in the investigation and supervision of data collections. CS performed statistical analyses. YDF was the lead supervisor of the study and wrote the paper. All authors agreed to the submitted format of the article.




Publication History

Received: 08 May 2020

Accepted: 26 May 2020

Article published online:
13 June 2023

© 2020. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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