Treatment of MS has changed dramatically over the past decade with improvements to the number of available drug therapies and timely standards for monitoring disease activity. While the initial focus is on the choice of treatment, discussions around brain-healthy lifestyle management, with referral to services that support lifestyle modifications, are suggested within three months of diagnosis. This represents a critical window for protective lifestyle interventions to delay the progression of MS and to maximise overall brain health. Â
Combining treatment and lifestyle management to preserve brain tissue and optimise brain health is endorsed by the international MS Brain Health initiative. Lifestyle factors such as cardiovascular fitness, avoiding smoking and limiting the use of alcohol have been prioritised to maximise lifelong brain health for people living with MS (plwMS). Dietary guidance appears to be overlooked as an element of a brain-healthy lifestyle. Â
This project will explore the role of diet in a brain-healthy lifestyle for plwMS pertaining towards advancements in understanding of the role of diet in MS disease progression, management and brain health. As no dietary guidelines have been established for plwMS, this project aims to rationalise dietary choices and behaviours from the perspectives of both consumers and specialist clinicians involved in MS care. This will allow exploration of the connection between diet and brain health and how clinicians can further support lifestyle management. Increased knowledge on this topic may lead to targeted nutrition approaches for brain health including recommendations for plwMS, their carers and their families.Â
A scoping review of the literature has highlighted the significance of prioritising brain health in the management of MS, both in terms of the disease itself and lifestyle choices that people living with MS can make to maximise lifelong brain health. Â
Healthcare professionals play an important role in guiding people living with MS towards brain health recommendations. As part of this study, 36 healthcare professionals were interviewed to explore their current practices and views of their professional roles in this context. Healthcare professionals perceived their role was to encompass empowerment, collaboration, and communication both with people living with MS and across disciplines. However, the study revealed that external factors such as time constraints, professional expertise, and consumer readiness largely limited lifestyle and brain health conversations between healthcare professionals and people living with MS. Â
Ms Wills and her team intend to further explore these findings by looking at the real-life experience of people living with MS. They also plan to develop further guidance and resources for healthcare professionals to encourage people living with MS to live a brain-healthy lifestyle.Â
Updated 31 March 2024
$70,000
2023
2 years
Current project