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Updated: Jul 25, 2025

Author Spotlight: Unveiling the Pathway Linking Obesity to Autoimmune Inflammation in Multiple Sclerosis
Published on: February 23, 2024
Inverse association between Mediterranean diet and risk of multiple sclerosis
Lars Alfredsson1, Tomas Olsson2, Anna Karin Hedström3
1Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden/Centre for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.
Objective:
There is some evidence implicating diet in the development of inflammatory diseases. We aimed to study the influence of dietary habits on the risk of developing multiple sclerosis (MS).
Methods:
We used a population-based case-control study recruiting incident cases of MS (1953 cases, 3557 controls). Subjects with different dietary habits 5 years prior to MS diagnosis were compared regarding MS risk by calculating odds ratios (OR) with 95% confidence intervals (CI) using logistic regression models. Adjustment was made for a large number of environmental and lifestyle habits, including ancestry, smoking, alcohol consumption, body mass index, physical activity, and sun exposure habits.
Results:
Mediterranean diet was associated with lower risk of developing MS (adjusted OR = 0.54, 95% CI: 0.34-0.86, p = 0.009), compared with Western-style diet. There was no significant association between vegetarian/vegan diet and MS risk (adjusted OR = 0.96, 95% CI: 0.75-1.24, p = 0.976), nor between diet with low glycemic index and MS risk (adjusted OR = 0.93, 95% CI: 0.60-1.42, p = 0.518).
Conclusions:
Mediterranean diet may exert a protective influence regarding the risk of subsequently developing MS compared with Western-style diet.
Insights
Adhering to a Mediterranean diet may reduce the risk of developing multiple sclerosis (MS). This dietary pattern showed a protective effect compared to a Western-style diet in a recent population-based study.
Area of Science:
- Neurology
- Epidemiology
- Nutritional Science
Background:
- Dietary patterns are increasingly implicated in the pathogenesis of inflammatory diseases.
- Understanding the role of diet in multiple sclerosis (MS) risk is crucial for preventative strategies.
Purpose of the Study:
- To investigate the association between dietary habits and the risk of developing multiple sclerosis (MS).
Main Methods:
- A population-based case-control study involving 1953 MS cases and 3557 controls.
- Dietary habits from 5 years prior to diagnosis were assessed.
- Logistic regression models were used to calculate adjusted odds ratios (OR) and 95% confidence intervals (CI), controlling for environmental and lifestyle factors.
Main Results:
- The Mediterranean diet was associated with a significantly lower risk of MS compared to a Western-style diet (adjusted OR = 0.54, 95% CI: 0.34-0.86).
- No significant association was found between vegetarian/vegan diets or low glycemic index diets and MS risk.
Conclusions:
- The Mediterranean diet may offer a protective effect against the development of multiple sclerosis.
- Further research into dietary interventions for MS prevention is warranted.
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