@misc{10481/108937,
year = {2025},
month = {12},
url = {https://hdl.handle.net/10481/108937},
abstract = {Introduction: Multiple sclerosis (MS) is a chronic, inflammatory, autoimmune, and demyelinating disease of the
central nervous system. Disease progression increases dysphagia, raising risks of malnutrition, dehydration, and
respiratory complications, directly impacting nutrition management.
Objectives: (I) To analyse the anthropometric profiles and body composition of adults with MS; (II) to determine
the prevalence of dysphagia according to disease duration; (III) to examine dietary intake and eating habits; (IV)
to identify potential alterations in taste perception.
Methodology: A descriptive-analytical study included 14 MS patients (7 women, 7 men; median age 46.9 ± 13.5
years) from Granada. Anthropometry and body composition were assessed using bioelectrical impedance analysis
(TANITA). Dysphagia risk was evaluated using the Yale Swallow protocol, TWST, and TOMASS protocols,
and basic taste perception was examined. Dietary intake was recorded over 3-day (24-hour recall) and food
frequency questionnaire (FFQ); data were processed with Dietowin® software.
Results: A total of 66.7 % presented with overweight or obesity (median BMI 28.1 kg/m²). The prevalence of
mixed dysphagia was 71.4 %, with no significant differences according to disease duration, except for mixed
dysphagia (p = 0.018). Over 70 % of patients had insufficient intake of energy, fibre, and micronutrients (calcium,
iron, potassium, magnesium). Taste alterations were observed in 57.1 % of patients, particularly in the
perception of sweetness (78.6 %).
Conclusions: Patients with MS and dysphagia exhibit a high prevalence of overweight, inadequate dietary intake,
and taste alterations. These findings highlight the need for comprehensive, multidisciplinary interventions
involving speech therapy and nutritional support, to optimise nutritional status and quality of life.},
organization = {Funding for open access charge: Universidad de Granada/CBUA},
publisher = {Elsevier},
keywords = {Multiple sclerosis},
keywords = {Dysphagia},
keywords = {Dietary intake},
title = {Nutritional status and taste impairment in adult patients with multiple sclerosis and dysphagia. A pilot study},
doi = {10.1016/j.msard.2025.106909},
author = {Franchina-Vergel, Nicole Vanessa and Molina-López, Jorge and Planells Del Pozo, Elena María},
}