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Association of serum homocysteine, folate, and vitamin B

Multiple sclerosis and related disorders
July 1, 2023
Farnoosh Shemirani et al. (8 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The study aimed to evaluate the effects of the Swank and Wahls diets, including folate and vitamin B, on depression and anxiety symptoms in people with relapsing-remitting multiple sclerosis (RRMS).

Results Summary

The study found significant improvements in depression and anxiety symptoms, as well as mental health inventory scores, in participants following both the Swank and Wahls diets over 12 and 24 weeks. Serum homocysteine levels decreased, and vitamin B levels increased within both groups.

Population

Individuals with relapsing-remitting multiple sclerosis (RRMS) (n = 77).

Effective Dosage

Not specified

Duration

24 weeks

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Swank diet
decrease
severity of depression (HADS-D) symptoms
participants with RRMS
-
Significant improvement
#1
Wahls diet
decrease
severity of depression (HADS-D) symptoms
participants with RRMS
-
Significant improvement
#2
Swank diet
decrease
severity of anxiety (HADS-A) symptoms
participants with RRMS
-
Significant improvement
#3
Wahls diet
decrease
severity of anxiety (HADS-A) symptoms
participants with RRMS
-
Significant improvement
#4
Swank diet
increase
MHI total
participants with RRMS
-
Significant improvement
#5
Wahls diet
increase
MHI total
participants with RRMS
-
Significant improvement
#6
Swank diet
increase
MHI subscores
participants with RRMS
-
Significant improvement
#7
Wahls diet
increase
MHI subscores
participants with RRMS
-
Significant improvement
#8
Swank diet
decrease
serum homocysteine
participants with RRMS
-
significant within-group reduction
#9
Wahls diet
decrease
serum homocysteine
participants with RRMS
-
significant within-group reduction
#10
Swank diet
increase
serum vitamin B12
participants with RRMS
-
significant increase
#11
Wahls diet
increase
serum vitamin B12
participants with RRMS
-
significant increase
#12
Swank and Wahls dietary interventions, including folate and vitamin B12
decrease
depression and anxiety symptoms
participants with RRMS
-
improved
#13
Abstract

BACKGROUND: Depression and anxiety are common psychiatric comorbidities among people with multiple sclerosis (MS). Emerging data suggest abnormal serum homocysteine, vitamin B METHODS: In a previously conducted randomized parallel-arm trial, participants with RRMS (n = 77) were randomly allocated to either the Swank or Wahls diets at baseline and followed for 24 weeks. Blood was drawn at four study visits spaced 12 weeks apart: (1) run-in, (2) baseline, (3) 12 weeks, and (4) 24 weeks. Serum vitamin B RESULTS: Significant improvement in severity of depression (HADS-D) and anxiety (HADS-A) symptoms, MHI total, and MHI subscores were seen at 12 and 24 weeks in each diet group. Further, a significant within-group reduction in serum homocysteine and a significant increase in serum vitamin B CONCLUSION: Participants on both Swank and Wahls dietary interventions, including folate and vitamin B

Medical Subject Headings (MeSH)
HumansVitamin B 12Folic AcidMultiple SclerosisMultiple Sclerosis, Relapsing-RemittingVitamins
Study Links
Quality Scores
SafetyNot Assessed
Quality75/10
Citation Metrics
Total Citations6
Citations/Year3.0
Relative Citation Ratio2.12
NIH Percentile76.3%
Research Impact Scores
APT Score0.50
Weight Score2.61
Normalized Score0.55
Related Supplements
Association of serum homocysteine, folate, and vitamin B | Panacea Index