Interpretations of healthy eating after a diagnosis of multiple sclerosis: a secondary qualitative analysis
ISSN: 0007-070X
Article publication date: 3 February 2023
Issue publication date: 4 July 2023
Abstract
Purpose
Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system that causes debilitating symptoms. Currently, there is insufficient evidence to recommend a special diet for people with MS to slow disease progression and reduce symptoms. Little is known about the dietary choices made by people with MS. This study aimed to explore the interpretations of healthy eating in people recently diagnosed with MS. Objectives were to investigate the types of changes in food choices and to describe the impact of making these changes.
Design/methodology/approach
A social constructionist approach applying qualitative secondary analysis of semi-structured interviews was conducted (n = 11). Interviews were transcribed, coded and analysed using a deductive approach.
Findings
Participants were mostly female (82%), mean age 47 years and mean time since diagnosis eight months. Four themes emerged from the data: (1) moving in the direction of the dietary guidelines, (2) modifying intake of dietary fat, (3) requiring mental effort and (4) needing input from a dietitian.
Practical implications
The directions of food choices and the absence of dietetic input highlighted in this study suggest the need for evidence-based nutrition education that enables people with MS to tailor dietary guidelines according to their preferences.
Originality/value
How people interpret healthy eating advice and the impact on making food choice changes is useful for explaining dietary changes in MS. Special diets promoted for MS provide conflicting advice, and the lack of access to dietitians means that additional mental effort is required when interpreting healthy eating messages and diets.
Keywords
Acknowledgements
The authors thank the participants and MSWA for assisting in recruiting and the use of the venues.
Citation
Weiss, H., Russell, R.D., Black, L. and Begley, A. (2023), "Interpretations of healthy eating after a diagnosis of multiple sclerosis: a secondary qualitative analysis", British Food Journal, Vol. 125 No. 8, pp. 2918-2930. https://doi.org/10.1108/BFJ-03-2022-0262
Publisher
:Emerald Publishing Limited
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