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Randomized control trial evaluation of a modified Paleolithic dietary intervention in the treatment of relapsing-remitting multiple sclerosis: a pilot study

Authors Irish AK, Erickson CM, Wahls TL, Snetselaar LG, Darling WG

Received 11 July 2016

Accepted for publication 8 September 2016

Published 4 January 2017 Volume 2017:7 Pages 1—18

DOI https://doi.org/10.2147/DNND.S116949

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Mafalda Cacciottolo

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Thomas Müller

Amanda K Irish,1 Constance M Erickson,1 Terry L Wahls,2,3 Linda G Snetselaar,4 Warren G Darling1

1Motor Control Laboratories, Department of Health and Human Physiology, College of Liberal Arts and Sciences, The University of Iowa, 2Veterans Affairs Medical Center, 3Department of Internal Medicine, Carver College of Medicine, 4Department of Epidemiology, College of Public Health, The University of Iowa, Iowa City, IA, USA

Background/objective: A Paleolithic diet may improve fatigue and quality of life in progressive multiple sclerosis (MS) patients, but past research has evaluated the effects of this dietary intervention in combination with other treatments such as exercise. Thus, the purpose of this pilot study was to evaluate a modified Paleolithic dietary intervention (MPDI) in the treatment of fatigue and other symptoms in relapsing-remitting MS (RRMS).
Methods: We measured the effects of a MPDI in 17 individuals with RRMS. Of 34 subjects randomly assigned to control (maintain usual diet) and intervention (MPDI) groups, nine subjects (one man) completed the control group and eight subjects (one man) completed the MPDI.
Results: Significant improvements were seen in Fatigue Severity Scale score and also in Multiple Sclerosis Quality of Life-54 and time to complete (dominant hand) 9-Hole Peg Test from baseline in MPDI subjects compared to controls. Increased vitamin K serum levels were also observed in MPDI subjects postprotocol compared to controls.
Conclusion: A Paleolithic diet may be useful in the treatment and management of MS, by reducing perceived fatigue, increasing mental and physical quality of life, increasing exercise capacity, and improving hand and leg function. By increasing vitamin K serum levels, the MPDI may also reduce inflammation.

Keywords: diet therapy, nutrition therapy, gluten-free, quality of life, fatigue, complementary medicine, alternative medicine

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