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العنوان
Evaluation of Nutritional Status of Multiple Sclerosis Patients /
المؤلف
Gaballh, Rana Ayman Mohamed Rashad.
هيئة الاعداد
باحث / رنا أيمن محمود رشاد جاب الله
مشرف / محمد مصطفى السيد
مشرف / خالد على عبد الرحمن
مشرف / عبد الغنى محمود عبد الغنى
الموضوع
nutrition.
تاريخ النشر
2021.
عدد الصفحات
116 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
اقتصاد منزلي
الناشر
تاريخ الإجازة
30/8/2021
مكان الإجازة
جامعة المنوفية - كلية الإقتصاد المنزلى - التغذية وعلوم الأطعمة
الفهرس
Only 14 pages are availabe for public view

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from 133

Abstract

Healthy nutrition plays an important role in human health in general and the health of patients in particular, so therapeutic nutrition always depends on the nutritional needs that differ from one patient to another according to his health condition and age, and is important in the treatment plan for people with chronic diseases.
Multiple sclerosis (MS) is a chronic inflammatory and demyelinating disease of unknown etiology that may cause neurological impairment in young people if the correct treatment is not done and the etiology of the disease is still unknown, but its immune basis occurs in genetically susceptible individuals. The nutritional status and dietary habits of MS patients have not been studied or reported extensively, but individual results indicate that many patients suffer from various forms of malnutrition, where malnutrition leads to weakness and dysfunction of the immune system affecting mental function and muscle strength. Respiratory and increases the risk of specific nutrient deficiencies.
These findings underscore the need for nutritional support for patients with multiple sclerosis.
On the other hand, several nutritional compounds have been investigated as potential treatments for MS, mostly polyunsaturated fatty acids and vitamin D, but their role in treatment has not yet been confirmed. The aim of this review is to provide data on the role of nutritional assessment and treatment in patients with multiple sclerosis.
This work aims to study the relationship between multiple sclerosis and nutrition in some patients in Al-Demerdash and Al-Qasr Al-Ainy hospitals by: assessing the nutritional status of patients with multiple sclerosis, studying the relationship between the social, educational and economic level, evaluating the nutritional habits of patients with multiple sclerosis, studying the anthropometrics of patients under treatment. Study and improve the nutritional status of the sample patients.
This study was conducted on 91 cases of multiple sclerosis. Their ages ranged between 18 - 55 years. This study was conducted at El-Demerdash Hospital and Kasr El-Ainy Hospitals in Cairo.
The instrument of this study consists of a structured interview questionnaire. This consists of four parts: the first is the elicitation of sociobiological characteristics of the studied MS cases, the second is the collection of data on the diet and health history of the studied MS cases, the third is anthropometric measurements and laboratory tests, the fourth is psychological tests (self-concepts) and finally a 24-hour retrieval of food intake over the course of Today.
Using the statistical analysis to analyze the data, a test (T.test) was conducted to test the statistical significance of the differences between two hospitals. Comparisons were made between two hospitals and the statistical significance level was used at (P ≤0.05).
• Result recorded that the highest percentage of sample was in high education 58.8% for males and 50.9% for females on the other hand the unlettered rate 5.9% for males and 1.8% for females.
• In case of employment status, workers males was higher than females by 26.7% . but the percentage of non-working males was lower than females by 26.7.
• According to marital status, it could be noticed that the large number of sample was in stable family 79.4% for males and 78.9% for females.
• The obtained results showed that the answer (No) for other diseases was the highest percentage (82.4%) for males, and (78.9%) for females. The answer (Yes) was (17.6%) for males and (21.1%) for females.
• In case of obesity, the highest percentage was in the answer (No) (85.3%) males and (64.9%) females the answer (Yes) was (14.7%), (35.1%) for males and females, respectively.
• For weight loss, the answer (yes) for females (38.6%) higher than males (32.4%). The answer (No) for males (67.6%) higher than females (61.4%).
• In case of playing sports, the highest percentage was found in answer (No) (41.2%) for males and (63.2%) for females. The answer (Yes) recorded (23.5%) for males and females were (8.8%). The answer (sometimes) recorded (35.3%) for males and females were (28.1%).
• For upset and indigestion, the answer (Yes) was the highest percentage (55.9%) for males, and (54.4%) for females. The answer (No) was (17.6%) for males and (14%) for females. The answer (sometimes) was (28.5%) for males and (31.6%) for females.
• For tired and lethargic it was noticed that the highest percentage was in the answer (Yes) (67.6%) males and (87.7%) females the answer (No) was (29%), (1.8%) for males and females, respectively and the answer (sometimes) was (29.4%) , (10.5%) for males and females, respectively.
• For teeth problems, the answer (yes) for males (82.4%) higher than females (77.2%). The answer (No) for males (17.6%) lower than females (22.8%).
• For difficulty swallowing, the answer (No) was the highest percentage (50%) for males, and (42.1%) for females. The answer (Yes) was (20.6%) for males and (15.8%) for females. The answer (sometimes) was (29.4%) for males and (42.1%) for females.
• For nausea and vomiting, the highest percentage was in the answer (No) (58.8%) males and (35.1%) females the answer (Yes) was (8.8%) , (17.5%) for males and females, respectively and the answer (sometimes) was (32.4%) , (47.4%) for males and females, respectively.
• For insomnia and difficulty sleeping, the answer (yes) for males (41.2%) higher than females (54.4%). The answer (No) for males (14.7%) lower than females (10.5%) and the answer (sometimes) was (44.1%) , (35.1%) for males and females, respectively.
• For frequent urination, the highest percentage was found in answer (Yes) (61.6%) for males and (56.1%) for females. The answer (No) recorded (11%) for males and females were (15.8%). The answer (sometimes) recorded (28.5%) for males and females were (28.1%).
• For nervous, the answer (yes) was the highest percentage (79.4%) for males, and (93%) for females. The answer (no) was (8.8%) for males and (1.8%) for females. The answer (sometimes) was (11.8%) for males and (5.3%) for females.
• For numbness and tingling, the answer (yes) for males (58.5%) lower than females (56.1%). The answer (No) for males (59%) higher than females (8.8%) and the answer (sometimes) was (35.3%) , (35.1%) for males and females, respectively.
• For chronic disease in family, the answer (yes) for males (47.1%) lower than females (43.9%). The answer (No) for males (52.9%) higher than females (54.4%) and the answer (sometimes) wasn’t recorded for males but recorded (1.8%) for females.
• For exposed to the sun, the highest percentage was found in answer (sometimes) (52.9%) for males and (61.4%) for females. The answer (yes) recorded (23.5%) for males and females were (7%). The answer (no) recorded (23.5%) for males and females were (31.6%).
• For taking vitamins, the highest percentage was found in answer (yes) (64.7%) for males and (49.1%) for females. The answer (no) recorded (11.8%) for males and females were (19.3%).
• For following a specific diet, the answer (no) was the highest percentage (79.4%) for males, and (80.7%) for females. The answer (yes) was (5.9%) for males and (10.5%) for females. The answer (sometimes) was (14.7%) for males and (8.8%) for females.
• For type of fat, the highest percentage of vegetable margarine (38.2%) for males. On the other hand, the percentage decreased at animal margarine and butter (5.9%) and (20.6%) for males, respectively. The highest percentage of oils (57.9%) for females. On the other hand ,the percentage decreased at vegetable, animal margarine and butter (17.5%), (8.8%) and (15.8%) for females, respectively.
• For like eating fatty foods, the answer (yes) for males (17.6%) higher than females (7%). The answer (No) for males (50%) lower than females (70.2%). The answer (sometimes) was (32.4%) for males and (22.8%) for females.
• For eating a lot of pickles, the answer (yes) for males (26.5%) lower than females (28.1%). The answer (No) for males (26.5%) lower than females (29.8%). The answer (sometimes) was (47.1%) for males and (42.1%) for females.