As if confronting the neurologic decline that can accompany MS isn’t enough, patients with MS are at greater risk of gaining weight than the general population. In part, weight gain can be exacerbated by decreased activity levels with increasing levels of MS disability and some of the meds, such as steroids, which can contribute to weight gain. Comfort eating may also be part of the problem. In reaction to stress and anxiety, many people find comfort in eating larger quantities and less healthy foods. That may in turn lead to greater mental health issues and therefore increased comfort eating. It is key that the cycle be broken, however challenging that may be.
It is more important for MS patients to control their weight than most other people. Being overweight with MS can worsen the ability to ambulate and to get out of a chair and can exacerbate MS-related fatigue. Additionally it may cause co-morbidities (different medical conditions that can occur at the same time) such as sleep apnea, which will only add to the weight gain, day-time sleepiness and cognitive fogginess. Other potential com-morbidities include stress on joints, Type 2 diabetes, and high blood pressure. One of the keys to less future disability is to think holistically about your health beyond the diagnosis of MS.
This challenge is not unsurmountable. Patients with MS should focus on a healthy diet. While there is not one diet that is specific for MS, any healthy diet that promotes weight loss can be a big win. The same diets the American Heart Association and American Cancer Society recommend for the general population, diets with low-fat and high fiber, are also the best for MS patients combatting weight issues. Patients may also benefit from the new GLP-1 inhibitors like Ozempic (https://becarelink.com/is-ozempic-ok-for-ms-patients/). Ozempic may not only help with weight loss but it also has been shown in recent studies to have a potential neuroprotective effect against MS.
Regular exercise is always recommended for MS patients to main muscle strength and balance. It will also help in weight management. Even patients using wheelchairs can exercise-chair weights and physical therapy can be helpful.
Weight loss can also be a challenge for MS patients. The most common reason for weight loss is muscle loss due to inactivity. Difficulty swallowing may also contribute. The answer is the same as for managing weight gain: a healthy diet and exercise.
The bottom line is that MS patients need to take care of their overall health, including diet, sleep, exercise, and addressing any mental health issues. BeCare MS can help you monitor your MS symptoms as you manage all the other aspects of reducing disability and protecting your future.