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MS care: integrating advanced therapies and holistic management

Gavin Giovannoni, Helen L. Ford, Klaus Schmierer, Rod Middleton Orcid Logo, Andrea M. Stennett, Ian Pomeroy, Leonora Fisniku, Antonio Scalfari, Colin Bannon, Ruth Stross, Sarah Hughes, Adam Williams, Samantha Josephs, Charlie Peel, Agne Straukiene

Frontiers in Neurology, Volume: 14, Start page: 1286122

Swansea University Author: Rod Middleton Orcid Logo

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    © 2024 Giovannoni, Ford, Schmierer, Middleton, Stennett, Pomeroy, Fisniku, Scalfari, Bannon, Stross, Hughes, Williams, Josephs, Peel and Straukiene. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).

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Abstract

Lifestyle and environmental factors are key determinants in disease causality and progression in neurological conditions, including multiple sclerosis (MS). Lack of exercise, poor diet, tobacco smoking, excessive alcohol intake, social determinants of health, concomitant medications, poor sleep and...

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Published in: Frontiers in Neurology
ISSN: 1664-2295
Published: Frontiers Media SA 2024
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa68039
Abstract: Lifestyle and environmental factors are key determinants in disease causality and progression in neurological conditions, including multiple sclerosis (MS). Lack of exercise, poor diet, tobacco smoking, excessive alcohol intake, social determinants of health, concomitant medications, poor sleep and comorbidities can exacerbate MS pathological processes by impacting brain health and depleting neurological reserves, resulting in more rapid disease worsening. In addition to using disease-modifying therapies to alter the disease course, therapeutic strategies in MS should aim to preserve as much neurological reserve as possible by promoting the adoption of a “brain-healthy” and “metabolically-healthy” lifestyle. Here, we recommend self-regulated lifestyle modifications that have the potential to improve brain health, directly impact on disease progression and improve outcomes in people with MS. We emphasise the importance of self-management and adopting a multidisciplinary, collaborative and person-centred approach to care that encompasses the healthcare team, family members and community support groups.
Item Description: Review article
Keywords: multiple sclerosis, brain health, lifestyle, disease progression, outcomes, holistic care, recommendations
College: Faculty of Medicine, Health and Life Sciences
Funders: Biogen
Start Page: 1286122