Adherence to dietary guidelines is associated with better physical and mental quality of life: results from a cross-sectional survey among 728 Dutch MS patients
Open accessAbstract
Background A healthy diet has been associated with less symptoms or progression of disease in multiple sclerosis (MS). However, whether specific diets are needed, or general healthy diet recommendations are sufficient is unknown.Objective To investigate the association between diet quality, use of diets, and quality of life (QoL) in men and women with MS.Methods Diet quality was measured with the Dutch Healthy Diet-index, which measures adherence to the Dutch Guidelines for a Healthy Diet. QoL was assessed with the MSQoL-54 questionnaire. A total of 728 people were included (623 women, 105 men). Multiple linear regression, stratified for gender, was used to analyse the data.Results In women with MS, an association was found between diet quality and both physical and mental QoL after adjusting for several confounders (Physical Health Composite Score (β=0.410; P=0.001); Mental Health Composite Score (β=0.462; P=0.002)). Similar results were less pronounced in men. Subjects following a specific diet had higher diet quality and QoL than subjects not following a diet.Conclusion Adherence to the Dutch dietary guidelines is associated with better physical and mental QoL, especially in women. Following an MS-specific diet may help to adhere to these guidelines.
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Adherence to food-based dietary guidelines is associated with better quality of life, mental health, healthy weight maintenance, lower risk of major chronic diseases, and lower all-cause mortality.
“adherence to FBDGs has been associated with desirable outcomes in multiple domains such as a better quality of life [5,6] and mental health [7], healthy weight maintenance, and lower risk of major chronic diseases [for example, CVD, type 2 diabetes (T2D), multiple cancers [2,[8], [9], [10]]] and all-cause mortality [2,9,11].”
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- Authors
- Evers, I., Heerings, M., de Roos, N. M., Jongen, P. J., & Visser, L. H.
- Affiliations
- Wageningen University & Research (NL)
- Radboud University Medical Center (NL)
- Division of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands
- University Medical Center Groningen (NL)
- University of Humanistic Studies (NL)
- Corresponding author
- Evers, I.
- Venue
- Nutritional Neuroscience
- Publisher
- Informa UK Limited
- Published
- 2021-02-12
- Volume
- 25
- Issue
- 8
- Pages
- 1633-1640
- ISSN
- 1028-415X (ISSN-L)
- 1476-8305
- OpenAlex
- W3128567635
- Cited by
- 26
- References
- 21
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 9 · 2023: 7 · 2022: 3 · 2021: 4
- FWCI
- 4.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Nutritional Neuroscience (publishedVersion, other-oa)
- PubMed (publishedVersion)
- University of Humanistic Studies OAI Repository (publishedVersion, cc-by-nc-nd)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by-nc-nd)
- Socio-Environmental Systems Modeling (acceptedVersion, cc-by-nc-nd)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by-nc-nd)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- multiple sclerosis, dietary guidelines adherence, diet quality, healthy eating, quality of life, physical health, mental health, sex differences, MSQOL-54
- MeSH terms
- Cross-Sectional Studies, Diet, Female, Humans, Male, Multiple Sclerosis, Quality of Life, Surveys and Questionnaires, Nutrition Policy
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