Engagement with three or more healthy lifestyle behaviours is associated with improved quality of life over 7.5 years in people with multiple sclerosis.

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Title: Engagement with three or more healthy lifestyle behaviours is associated with improved quality of life over 7.5 years in people with multiple sclerosis.
Authors: Fidao, Alexander (AUTHOR), Jelinek, George (AUTHOR), Simpson‐Yap, Steve (AUTHOR), Neate, Sandra (AUTHOR), Nag, Nupur (AUTHOR)
Source: European Journal of Neurology. Oct2023, Vol. 30 Issue 10, p3190-3199. 10p.
Subjects: Multiple sclerosis, Quality of life, Physical activity, Dietary supplements, Vitamin D
Abstract: Background and purpose: People with multiple sclerosis (pwMS) report reduced quality of life (QoL). Engagement with healthy lifestyle behaviours, including consuming a healthy diet, regular physical activity, and adequate vitamin D exposure, is associated with higher QoL. We aim to assess whether individual lifestyle behaviours are more beneficial to QoL than others, and whether there are additive benefits to QoL by engaging in multiple healthy behaviours concurrently. Methods: Data from pwMS who completed an online survey at baseline, and at 2.5‐, 5‐ and 7.5‐year follow‐up, were analysed. Behaviours assessed were consumption of a no‐meat/dairy‐plus‐omega‐3 supplementation diet, meditation practice, physical activity, non‐smoking, and vitamin D exposure. Mental QoL (mQoL) and physical QoL (pQoL) were assessed by the Multiple Sclerosis Quality of Life (MSQOL‐54) questionaire. Linear regression analyses were performed to assess associations of individual behaviours at baseline and follow‐up time points with QoL, as well as between number of behaviours and QoL. Results: At baseline, healthy diet and regular physical activity were associated with higher mQoL (5.3/100 and 4.0/100) and higher pQoL (7.8/100 and 6.7/100). Prospectively, diet was positively associated with mQoL, and physical activity with both mQoL and pQoL. At baseline, engagement with ≥3 behaviours was positively associated with mQoL and pQoL, with additive positive associations for each additional behaviour. Prospectively, engagement with ≥3 behaviours was positively associated with mQoL and pQoL, with strongest associations observed with engagement with five behaviours. Conclusion: Consumption of a healthy diet, and regular physical activity, are both potential interventions to improve QoL. Engagement with multiple lifestyle behaviours may provide additional benefits and should be encouraged and supported for multiple sclerosis management. [ABSTRACT FROM AUTHOR]
Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Engagement with three or more healthy lifestyle behaviours is associated with improved quality of life over 7.5 years in people with multiple sclerosis.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Fidao%2C+Alexander%22">Fidao, Alexander</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jelinek%2C+George%22">Jelinek, George</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Simpson‐Yap%2C+Steve%22">Simpson‐Yap, Steve</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Neate%2C+Sandra%22">Neate, Sandra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nag%2C+Nupur%22">Nag, Nupur</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Journal+of+Neurology%22">European Journal of Neurology</searchLink>. Oct2023, Vol. 30 Issue 10, p3190-3199. 10p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Multiple+sclerosis%22">Multiple sclerosis</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Dietary+supplements%22">Dietary supplements</searchLink><br /><searchLink fieldCode="DE" term="%22Vitamin+D%22">Vitamin D</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background and purpose: People with multiple sclerosis (pwMS) report reduced quality of life (QoL). Engagement with healthy lifestyle behaviours, including consuming a healthy diet, regular physical activity, and adequate vitamin D exposure, is associated with higher QoL. We aim to assess whether individual lifestyle behaviours are more beneficial to QoL than others, and whether there are additive benefits to QoL by engaging in multiple healthy behaviours concurrently. Methods: Data from pwMS who completed an online survey at baseline, and at 2.5‐, 5‐ and 7.5‐year follow‐up, were analysed. Behaviours assessed were consumption of a no‐meat/dairy‐plus‐omega‐3 supplementation diet, meditation practice, physical activity, non‐smoking, and vitamin D exposure. Mental QoL (mQoL) and physical QoL (pQoL) were assessed by the Multiple Sclerosis Quality of Life (MSQOL‐54) questionaire. Linear regression analyses were performed to assess associations of individual behaviours at baseline and follow‐up time points with QoL, as well as between number of behaviours and QoL. Results: At baseline, healthy diet and regular physical activity were associated with higher mQoL (5.3/100 and 4.0/100) and higher pQoL (7.8/100 and 6.7/100). Prospectively, diet was positively associated with mQoL, and physical activity with both mQoL and pQoL. At baseline, engagement with ≥3 behaviours was positively associated with mQoL and pQoL, with additive positive associations for each additional behaviour. Prospectively, engagement with ≥3 behaviours was positively associated with mQoL and pQoL, with strongest associations observed with engagement with five behaviours. Conclusion: Consumption of a healthy diet, and regular physical activity, are both potential interventions to improve QoL. Engagement with multiple lifestyle behaviours may provide additional benefits and should be encouraged and supported for multiple sclerosis management. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/ene.15940
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        Text: English
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        Type: general
      – SubjectFull: Quality of life
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      – SubjectFull: Physical activity
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      – SubjectFull: Dietary supplements
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      – SubjectFull: Vitamin D
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      – TitleFull: Engagement with three or more healthy lifestyle behaviours is associated with improved quality of life over 7.5 years in people with multiple sclerosis.
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            – D: 01
              M: 10
              Text: Oct2023
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              Y: 2023
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