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| Name | Class |
|---|---|
| National Multiple Sclerosis Society | OTHER |
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A randomized, controlled pilot trial of a dietary intervention vs. wait-list control in patients with MS and fatigue for management of their fatigue. The hypothesis of this study is that participants following the low-fat study diet will demonstrate a significant reduction in fatigue after four months compared to wait list controls.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MS Diet | Experimental | 34 people with MS following low-fat diet |
|
| MS Wait-List | No Intervention | 34 people with MS following usual diet | |
| Diet Healthy Control | No Intervention | 20 controls with no diagnosis of MS, age and sex-matched to members of the MS Diet group | |
| Wait-List Healthy Control | No Intervention | 20 controls with no diagnosis of MS, age and sex-matched to members of the MS Wait-List group |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low-fat diet | Behavioral | less than 20% calories from fat daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fatigue | Measured by Modified Fatigue Impact Scale (MFIS). The MFIS is a 21-item questionnaire that assesses overall self-reported fatigue. Subjects rate agreement with a series of statements on a scale of 0 (rarely) to 4 (almost always), in context of their fatigue over the preceding four weeks. Total possible score of 84. Individuals with an MFIS score of > 38 are considered to experience moderate to severe "fatigue | Baseline to month 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Fatigue | Measured by Fatigue Severity Scale (FSS). The FSS is a 9-item questionnaire, with subjects giving a response from 1-7 to indicate their degree of agreement with each statement. | Baseline to month 4 |
| Disability |
| Measure | Description | Time Frame |
|---|---|---|
| Microbiome- Relative abundance of targeted species of gut microflora | Measured by 16S rRNA sequencing | Baseline to month 4 |
For participants with MS:
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anna Orban | Contact | 503-494-3549 | orban@ohsu.edu |
| Name | Affiliation | Role |
|---|---|---|
| Vijayshree Yadav | Oregon Health and Science University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oregon Health Science University | Recruiting | Portland | Oregon | 97239 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37941305 | Derived | Chase E, Chen V, Martin K, Lane M, Wooliscroft L, Adams C, Rice J, Silbermann E, Hollen C, Fryman A, Purnell JQ, Vong C, Orban A, Horgan A, Khan A, Srikanth P, Yadav V. A low-fat diet improves fatigue in multiple sclerosis: Results from a randomized controlled trial. Mult Scler. 2023 Nov;29(13):1659-1675. doi: 10.1177/13524585231208330. |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| ID | Term |
|---|---|
| D018752 | Diet, Fat-Restricted |
| ID | Term |
|---|---|
| D004035 | Diet Therapy |
| D044623 | Nutrition Therapy |
| D013812 | Therapeutics |
| D004032 | Diet |
| D009747 |
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Diet adherence assessments will be conducted by blinded assessors from OHSU bionutrition team.
Measured by EDSS. The EDSS is an eight functional system scale including motor, sensory, cerebellar, brain stem, visual, mental, sphincteric, and other systems. Each functional system is graded from 0 (no disability) to 5 or 6 (maximal disability)20. An integrated score between 0 (normal examination) and 10 (death from MS) is formed based on the score in each functional system.
| Baseline to month 4 |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |