Konikowska Klaudia, Regulska-Ilow Bożena
Zakład Dietetyki, Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu.
Postepy Hig Med Dosw (Online). 2014 Mar 27;68:325-33. doi: 10.5604/17322693.1095838.
Multiple sclerosis is a demyelinating disease of the central nervous system, occurs most commonly in adults between 20 and 40 years of age. Etiology of this disease is still not known, and one of the analyzed environmental factors is food. In this study, based on literature, discusses the impact of dietary intake of food on the occurrence and development of the disease. This study demonstrated that patients with multiple sclerosis less than healthy people ate bread and cereal products, fish, some vegetables and fruits. While patients often consumed an animal products, whole milk and sweets. It also discusses Swank's diet, which suggest that the severity of symptoms disease may be responsible food of animal origin, which is rich in saturated fatty acids. The author found that patients who comply a diet, after 34 years of application, the risk of death due to multiple sclerosis was three times lower than in those who have not complied with all the dietary recommendations. Moreover, research demonstrated a correlation between deficiency of omega-3, vitamin D, B12, antioxidant vitamins and folic acid in diet, and the development and exacerbation of symptoms of multiple sclerosis. Results of research concerning the relationship between dietary factors and the occurrence and development of this disease are inconclusive why the need is greater the amount thereof in this field. Patients may consider using a diet or supplements, if pharmacotherapy and other alternative and complementary methods do not bring expected effects.
多发性硬化症是一种中枢神经系统的脱髓鞘疾病，最常见于20至40岁的成年人。这种疾病的病因仍然不明，而被分析的环境因素之一是食物。在本研究中，基于文献探讨了食物的饮食摄入对该疾病发生和发展的影响。这项研究表明，与健康人相比，多发性硬化症患者食用面包和谷物制品、鱼类、一些蔬菜和水果较少。而患者经常食用动物制品、全脂牛奶和甜食。它还讨论了斯旺克饮食法，该饮食法表明疾病症状的严重程度可能与富含饱和脂肪酸的动物源性食物有关。作者发现，遵循该饮食法34年后，因多发性硬化症死亡的风险比未遵循所有饮食建议的人低三倍。此外，研究表明饮食中ω-3、维生素D、B12、抗氧化维生素和叶酸的缺乏与多发性硬化症症状的发展和加重之间存在关联。关于饮食因素与该疾病发生和发展之间关系的研究结果尚无定论，因此在该领域需要更多的研究。如果药物治疗以及其他替代和补充方法没有带来预期效果，患者可以考虑采用特定饮食或补充剂。
