Howdy! Aaron Boster here with the
OhioHealth MS Center today talking about nutrition in Multiple Sclerosis. Nutrition is a really hot topic and I
want to start simply by stating there’s no magic diet that slows down MS, period.
There’s a lot of diets that have been utilized and touted in Multiple
Sclerosis. Some of them have been created by physicians, some of them have had
books written about them and I’m not telling you they don’t work. What I’m
telling you is to date there’s no scientific evidence proving that these
diets can slow down the disease process of MS. Now we have learned that
cardiovascular risk factors can speed up Multiple Sclerosis disease process so
thinking about things like morbid obesity, diabetes, hypertension, high
cholesterol, these are things that actually can speed up ms alongside being
bad for you for other reasons given that we’ve clarified this addressing comorbid
cardiovascular risk factors is very relevant in the success of managing
someone with MS and therefore it’s a very solid recommendation that people
with MS consider following a heart-healthy diet. Now up above I’ll
place the American Heart Association heart healthy diet link and I’m going to
review that with you now I’m going to divide our discussion on
heart-healthy diet into four sections the first is on becoming aware of
portion control and general caloric intake. The second is on foods that are
good to eat. The third are four foods that we’re going to want to avoid
completely or limit. And the fourth are some other behavioral considerations. This first section is a really general
concept of being aware of calories and in calories out really weight gain or
weight loss is controlled by calories in like food put in the mouth, balanced by
calories out by exercise and being active and so there are two
recommendations as part of the heart healthy diet the first one involves
portion control and this is a really important one to try to practice for
example when you go to a commercial restaurant typically the portion size
given is twice, sometimes even bigger, the recommended portion size. Try
cutting it in half and only eating half and seeing if it fills you up. Often
times it will. Now the second recommendation has to do with exercise
and it’s actually recommended that there’s daily exercise. This is very
important for people with MS for many reasons and this is part of it. By
staying physically active, you’re burning calories by revving up your metabolism.
There’s an unfortunate statistic that people with Multiple Sclerosis sit on
average twice as often as those without, and I want you to fight against that
statistic. I want to add about water, I think that we don’t drink enough water
and I think the people with MS for a variety of reasons may shy away from
water, it is very important to be a water drinker, and you don’t need to, to drowned
yourself but I want you to consider drinking at least a small glass of water
with each one of your meals this is part of this diet recommendation I’m also
gonna recommend drinking a small glass of water between each meal this is the
first section and it’s an important one. The second section we’ll call foods that
are good to eat. As part of this heart healthy diet for starters it’s
recommended, it’s highly recommended to eat fruits and vegetables from a variety
of sources ,and as a rule of thumb color is good so seek out colorful fruits and
vegetables and add them in. Likewise whole grains that are rich in fiber are
recommended. When considering protein it’s recommended to have poultry with
the skin taken off as well as fish and specifically fish is recommended at
least twice a week. When considering cooking oils they
recommend non-tropical vegetable oils non-tropical vegetable oils tend to be
lower in saturated fats and these are things like olive oil, canola oil there’s
a bunch of them out there other things they’re good to eat are low-fat milk and
dairy products low-fat like 1% or skim and lastly low sodium foods or foods
that have not been prepared with excessive amount of salts are things
that are considered good to eat. The third section I’ll refer to as foods
to be avoided, or foods to limit and so the first are saturated fats these
include a lot of red meats things like fatty beef, lamb, fatty pork, poultry with
the skin left, on beef tallow, lard. Now, if you’re gonna have red meat it’s
recommended that you try to find the leanest cut possible and that would be
helpful as part of this heart healthy diet. Other things high in saturated fats
include creams and butters and cheeses so watch out for those as well another
category to avoid are what we call trans fats. Now trans fats are found in a lot
of processed foods so these are your donuts and cookies and muffins and pies
and cakes um commercially fried items things made
with shortening or with hydrogenated or partially hydrogenated vegetable oil
should also probably be avoided for the same reason. Trans fats
they also recommend avoiding sweets or candies or things with sugar added to
them and sweet soda drinks this is a source of empty calories and is not good
for you. Lastly they recommend avoiding foods
that are high in sodium and they recommend not adding sodium to your food
preparation and so these are foods to avoid in section number three. Section four is about smoking tobacco in
drinking alcohol and there are some recommendations about both as part of
this heart healthy diet. As it relates to alcohol it’s recommended that people
consider either not drinking or drink in moderation. Moderation is defined as one
drink an evening for a woman and two drinks and even for a man and this is
based on the difference in gender and ability to process with the liver and so
that’s the recommendation with alcohol. With tobacco, the recommendation is very clear. Do not smoke. Smoking tobacco is bad
cardiovascularly, as I talked about in many other videos, is particularly bad
for people with MS because it actually speeds up their disease process. And so
these are the recommendations is of the heart healthy diet as it relates to
tobacco and alcohol. Before we conclude today we have to talk
about supplements. Now supplements are not part of the heart-healthy diet, but
it’s it’s a commonly asked question and I think it goes hand-in-hand when
discussing anything else in nutrition and so these are my opinion about
supplements. First off, I think that all adults benefit from taking a
multivitamin and I would recommend doing that. When it comes to taking other
vitamins we don’t generally recommend that you take excessive doses of other
vitamins unless there’s specific reasons and under the supervision of your
clinician Wery commonly at our Center we will push up vitamin D and we will
oftentimes supplement with vitamin d3 to drive it up to a certain level and
that’s certainly something that you would want to discuss doing under the
guidance of your clinician. If someone is found to have a low b12 level then we
would supplement the b12 in recently there’s interesting discussions about
the benefits of high-dose biotin but again you wouldn’t do these things
without supervision from your clinician other considerations for supplements are
water. I cannot stress the importance of water and adding in fiber, many people
with MS have difficulty with bowel function and oftentimes have
constipation. Having enough water in your diet, and adding fiber into your diet is
a good start a base to help with this problem. Anecdotally many people with MS
may benefit from probiotics and that’s something that some people uh really
find to be very valuable likewise there is some evidence that levo carnitine can
help with energy levels and that’s something that you could discuss also
with your provider. Lastly as it relates to supplements, I would avoid, I would
avoid taking so called immune boosters so some thoughts on supplements there you go this is Aaron Boster, with
the OhioHealth MS center, today discussing nutrition and MS pointing
out that a heart-healthy diet is important, and there are recommendations
for thinking about portion control, and exercise, foods that are good to eat,
foods that might want to be avoided or limited, recommendations as it relates to
alcohol and tobacco, and I concluded with some comments about supplements. If
you found this helpful, thank you very much, please subscribe to the channel to
hear more videos like this one! Have a great day! there you go this is Aaron boster with
the OhioHealth MS center today discussing nutrition and an S pointing
out that a heart-healthy diet is important and there are recommendations
for thinking about portion control and exercise foods that are good to eat
foods that might want to be avoided or limited recommendations as it relates to
alcohol and tobacco and I concluded with some comments about supplements if you
found this helpful thank you very much please subscribe to the channel to hear
more videos like this one have a great you