Journal
DEGENERATIVE NEUROLOGICAL AND NEUROMUSCULAR DISEASE
Volume 7, Issue -, Pages 95-108Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/DNND.S120607
Keywords
ALS; treatment; alternative off-label therapies; antioxidants; clinical trials; nutrition
Categories
Funding
- Scott Sullivan MND Research Fellowship - MND
- Me Foundation
- Royal Brisbane & Women's Hospital Foundation
- Queensland Brain Institute
- Wesley Medical Research [2016-32]
- Motor Neurone Disease Research Institute of Australia
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A growing number of preclinical and human studies demonstrate a disease-modifying effect of nutritional state in amyotrophic lateral sclerosis (ALS). The management of optimal nutrition in ALS is complicated, as physiological, physical, and psychological effects of the disease need to be considered and addressed accordingly. In this regard, multidisciplinary care teams play an integral role in providing dietary guidance to ALS patients and their carers. However, with an increasing research focus on the use of dietary intervention strategies to manage disease symptoms and improve prognosis in ALS, many ALS patients are now seeking or are actively engaged in using complementary and alternative therapies that are dietary in nature. In this article, we review the aspects of appetite control, energy balance, and the physiological effects of ALS relative to their impact on overall nutrition. We then provide current insights into dietary interventions for ALS, considering the mechanisms of action of some of the common dietary interventions used in ALS, discussing their validity in the context of clinical trials.
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