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Abstract Details

Intermittent Calorie Restriction for Relapsing-remitting Multiple Sclerosis- A Systematic Review and Meta-analysis
Multiple Sclerosis
P12 - Poster Session 12 (11:45 AM-12:45 PM)
1-002

We aimed to perform a meta-analysis of metabolic endpoints from studies comparing intermittent calorie restriction (iCR) with a regular diet for patients with relapsing-remitting multiple sclerosis (RRMS).


ICR is a diet therapy that has been studied for treatment of RRMS. Understanding the effects of iCR in metabolic parameters is critical considering the long treatment durations associated with multiple sclerosis. 


We searched Pubmed, Embase and Cochrane Central for studies comparing iCR to an unrestricted diet in patients with RRMS treated with disease-modifying therapy (DMT). Primary outcomes were serum leptin and adiponectin levels. Statistical analysis was performed using R Studio 4.3.1. Heterogeneity was assessed with I² statistics. 
In our analysis, 1,150 articles were identified, of which we included three studies, comprising a total of 66 patients, of which iCR was the treatment option in 34 (51.51%) patients. Leptin (SMD 0.06; 95% CI [-1.34;1.47]; p=0.93; I²=86%) and adiponectin (SMD 1.35; 95% CI [-2.58; 5.29]; p=0.50; I²=92%) both had no clinical difference between the intervention and the control group.
We cannot definitively ascertain the impact of iCR on adiponectin and leptin levels among RRMS patients. Further research is warranted to provide a clearer understanding of this intervention's metabolic effect.
Authors/Disclosures
Felipe A. Gouhie
PRESENTER
Mr. Gouhie has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Marjan Farma.
Laura Finn, MD Miss Finn has nothing to disclose.
Lucas B. Kotecki Mr. Kotecki has nothing to disclose.
Fatima V. Leite, Medical student (MS) Miss Leite has nothing to disclose.
Pedro Grossi Mr. Grossi has nothing to disclose.
Anna V. de Vasconcelos Miss de Vasconcelos has nothing to disclose.