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Association Between the Risk of Multiple Sclerosis and Dietary Proinflammatory/Anti-Inflammatory Food Intake and
Alireza Hatami1, Maryam Ahmadi-Khorram1, Fatemeh Keykhaei1
1Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad 91779-48564, Iran.
Abstract:
A diet rich in proinflammatory components and inflammation are suggested to be significant risk factors for multiple sclerosis (MS). This study aimed to investigate the association between the risk of MS and the inflammatory potential of an individual's diet and dietary diversity through pro-inflammatory/anti-inflammatory food intake score (PAIFIS) and dietary diversity score (DDS). In a hospital-based case-control study, 397 participants, including 197 patients with MS and 200 healthy participants aged over 18 years, were evaluated. The history of smoking, dietary intake, and anthropometric characteristics, including body mass index, waist circumference, total body fat, and fat-free mass were assessed. A validated 160-item semiquantitative food frequency questionnaire was used to calculate the PAIFIS and DDS scores. The mean age of the participants was 32.45 ± 8.66 years, and most were females (274, 79.4%). The PAIFIS score was significantly higher among MS patients than healthy participants (p = 0.001). Between PAIFIS and DDS, only PAFIS was significantly related to MS risk (odds ratio, 1.002; 95% confidence interval, 1.001-1.004; p = 0.001). PAIFIS, as an index of dietary inflammation, can predict MS. Further studies are needed to document these findings.
Insights
A diet high in inflammatory foods increases multiple sclerosis (MS) risk. The pro-inflammatory/anti-inflammatory food intake score (PAIFIS) can predict MS, highlighting diet
Area of Science:
- Nutrition Science
- Neurology
- Epidemiology
Background:
- Inflammation and pro-inflammatory diets are potential risk factors for multiple sclerosis (MS).
- Understanding dietary impacts on MS risk is crucial for prevention and management strategies.
Purpose of the Study:
- To investigate the association between dietary inflammatory potential and MS risk.
- To evaluate the role of dietary diversity in MS development.
Main Methods:
- A hospital-based case-control study involving 197 MS patients and 200 healthy controls.
- Assessment of dietary intake using a 160-item semiquantitative food frequency questionnaire.
- Calculation of pro-inflammatory/anti-inflammatory food intake score (PAIFIS) and dietary diversity score (DDS).
Main Results:
- The PAIFIS was significantly higher in MS patients compared to healthy individuals (p = 0.001).
- A higher PAIFIS was significantly associated with an increased risk of MS (odds ratio, 1.002; 95% CI, 1.001-1.004; p = 0.001).
- Dietary diversity score (DDS) did not show a significant association with MS risk in this study.
Conclusions:
- The PAIFIS, reflecting dietary inflammation, may serve as a predictive index for multiple sclerosis risk.
- Dietary inflammatory potential is a significant factor associated with MS.
- Further research is warranted to confirm these findings and explore clinical implications.
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