Knowledge Brochure Series MS & WELLNESS
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1 Knowledge Brochure Series MS & WELLNESS
2 Strive for your best body and mind Wellness is about achieving a balance that helps you feel your best. By staying committed to making healthy choices, you can help take control of your multiple sclerosis (MS). Together with your health care team, you can develop a wellness plan that works for you. As part of your wellness plan, remember to stay committed to your MS therapy. Your wellness plan should include Maintaining a healthy diet Exercising regularly Remember: Always consult your doctor before beginning an exercise regimen. Not smoking Keeping track of your mental and emotional well being Focus on overall wellness. Your mental health is just as important as your physical well being.
3 Healthy eating Eating well can help you feel better, stay healthy, and fight fatigue. Diet can impact your health in many ways, including your energy, mobility, MS symptoms, and bone health. Remember to keep your doctor informed of any dietary restrictions you may have or supplements you take. 1,2 Some healthy eating habits to incorporate into your daily life include 2 Eating 3 servings of fruit each day Increasing your vegetable intake Avoiding saturated fats (found in fatty meats, cheeses, and butter) Not skipping meals MS specialists recommend the same low-fat, high-fiber diet for people with MS that s recommended for the general public. 3
4 Making healthy eating a habit Contrary to what you might think, you can eat well and still enjoy every meal. Spice up your routine and improve your diet by Substituting refined products, such as white bread or sugary cereals, with whole grain products, like whole-wheat breads or cereals Stocking up on frozen vegetables for quick and easy cooking in the microwave. Many vegetables also taste great with a low-fat dip or dressing for a simple, healthy snack Eating fruit. Sliced fruit makes a great snack, and fruits that are dried, frozen, or canned can easily be prepared for eating on the go Enjoying sweets occasionally. It s okay to indulge in sweets every once in a while, but don t let soft drinks or sugary treats crowd out the healthy foods you need
5 The importance of exercise 4 Exercise is a great way to stay healthy and help manage your MS symptoms. Studies show that exercise can help people with MS improve Cognitive function Cardiovascular fitness Strength Fatigue and depression Bladder and bowel function Remember: Always consult your doctor before beginning an exercise regimen.
6 Exercise can be fun! Be creative when it comes to finding an exercise routine that works for you. Consider some cardiovascular exercises, such as jogging, cycling, dancing, or walking. 5 If traditional forms of exercise aren t appealing to you, you may want to try a new activity, like yoga, aquatic exercise, or tai chi. 6-8 You can also incorporate informal exercise into your daily routine. Try taking the stairs instead of the elevator, doing stretches while you read or watch television, or taking a pet out for a walk. If you spend your day at a desk, take breaks to stretch and walk around the office. Remember: Always consult your doctor before beginning an exercise regimen. Stay committed to being active, and celebrate every victory.
7 The dangers of smoking It has been well established that smoking causes serious health problems, such as lung cancer, heart disease, and emphysema (a chronic respiratory disease that causes a decrease in lung function). Smoking also produces shortness of breath, susceptibility to lung infections, and heartbeat irregularities that can transform a mild or moderate neurological limitation in a person with MS into a severe disability. 9 As part of your disease management plan, maintaining your overall wellness should be a priority. Quitting smoking is one way you can proactively take charge of your overall health outside of your MS. Smoking not only affects your health, but also the health of those around you. Secondhand smoke can cause adverse health effects on your friends and family. 10
8 Quitting smoking By quitting smoking, you are taking a positive step toward improving your overall wellness. And you don t have to do it alone: reach out to your health care team and support network for resources to help you stay on track with your commitment to quit. 11 Some resources you may want to utilize include Consulting with your doctor about strategies and therapies that may help you quit smoking Calling the National Institutes of Health at QUIT-NOW or visiting smokefree.gov Smoking is associated with worse long-term prognoses and greater rates of disability in people with MS. 12
9 Emotional wellness 13 Feeling good isn t just physical. Your emotional state is a vital component of your overall well being. Emotional difficulties have many causes, and can even be a side effect of the medications you may be taking. It is important to keep your doctor informed of any changes in your emotional state. MS may increase your susceptibility to emotional and mental states, such as Grief Depression Moodiness and irritability Anxiety Because MS is a neurological condition, mood changes are considered both a symptom of MS and a reaction to it. If you experience any of these feelings, speak with your doctor immediately.
10 Feel your best 13 Though they may be difficult to identify and talk about, addressing mental and emotional difficulties are signs of strength and self-awareness that should be applauded. Do not be afraid to admit you are experiencing mental health issues. By being honest and forthcoming with yourself and your health care team, you can get the help you need. Remember: Getting help starts with recognizing that your emotional health is just as important as your physical health Report any and all changes in your mental state to your health care team Ask your doctor for referrals to mental health professionals who can help you Connect with others in person or online for support
11 Trust in the experience of Shared Solutions While there s no substitute for medical advice from your doctor, Shared Solutions is here to help if you have questions about MS-related issues or need therapy support. Shared Solutions is a comprehensive network of free resources available to people with MS, CarePartners, friends, family, and anyone else who has been touched by MS. Contact Shared Solutions at or online at The following websites provide additional MS-related information: National Multiple Sclerosis Society: Multiple Sclerosis Association of America: Caregiver Action Network: MS Connection:
12 Call or visit to learn more. References: 1. Nowack DM. Food for thought: MS and nutrition. National Multiple Sclerosis Society (NMSS) website. Brochure-Food-for-Thought%E2%80%94MS-and-Nutrition.pdf. Accessed November 18, Maintain good nutrition! NMSS website. Library-Education-Programs/You-CAN!/Maintain-Good-Nutrition! Accessed November 18, Nutrition. NMSS website. Nutrition. Accessed November 18, Exercise. NMSS website. Living-Well-With-MS/Health-Wellness/Exercise. Accessed November 18, Exercise for endurance and health: Doing what you CAN DO! Can Do Multiple Sclerosis website. living-with-multiple-sclerosis/can-do-library/ms-education/exercise-for-endurance-and-health-doing-whatyou-can-do. Accessed November 18, Welcome to the yoga jungle. NMSS website. nationalmssociety.org/living-well-with-ms/health-wellness/exercise/yoga. Accessed November 18, Exercise or not in water. NMSS website. Library-Education-Programs/You-CAN!/Exercise-%E2%80%94-or-not-%E2%80%94-in-Water. Accessed November 18, Adaptive tai chi. NMSS website. Accessed November 18, Smoking. NMSS website. Accessed November 18, Secondhand smoke. American Cancer Society website. secondhand-smoke. Accessed November 21, Where to get help when you decide to quit smoking. National Cancer Institute website. help-quitting. Accessed November 18, Batista S, Argyropoulou Z, Correia I, Nunes C, Macario C, Sousa L. Tobacco influence in the clinical progression of multiple sclerosis. Presented at: 2014 Joint ACTRIMS-ECTRIMS Meeting; September 10-13, 2014; Boston, MA. Abstract P Emotional health. NMSS website. Accessed November 18, Shared Solutions is a registered service mark of Teva Neuroscience, Inc Teva Neuroscience, Inc. NEUR-40410
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