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@ARTICLE{Mokhtarzade:143561,
author = {M. Mokhtarzade and H. Agha-Alinejad and R. W. Motl and R.
Negaresh and J. S. Baker and P. Zimmer$^*$},
title = {{W}eight control and physical exercise in people with
multiple sclerosis: {C}urrent knowledge and future
perspectives.},
journal = {Complementary therapies in medicine},
volume = {43},
issn = {0965-2299},
address = {Amsterdam [u.a.]},
publisher = {Elsevier},
reportid = {DKFZ-2019-01142},
pages = {240 - 246},
year = {2019},
abstract = {There is extensive data supporting a high prevalence of
both overweight and obesity status in people with multiple
sclerosis, and increases in body mass index has been
associated with an increased risk of multiple sclerosis.
Body composition may influence the course, treatment and
management of multiple sclerosis. One proposed strategy for
managing overweight and obesity status and associated
secondary effects in people with multiple sclerosis involves
increasing the levels of physical activity. In fact,
increased levels of physical activity affect various
physiological (endurance capacity, strength, balance) and
biological processes (fat oxidation, insulin sensitivity,
anti-inflammation, neurotrophic factors) which are known to
be dysfunctional in multiple sclerosis and which may worsen
with increases in obesity. When designing personalized
exercise programs it should be kept in mind that current
exercise recommendations for people with multiple sclerosis
should exceed energy expenditure recommendations to
efficiently counteract weight gain. Therefore, it is
necessary to consider body composition as a primary endpoint
in experimental studies. In addition, designing guidelines
for weight control or weight loss in people MS is needed.
The most comprehensive weight management guidelines are
outlined in the American College of Sports Medicine Position
Statement, which recommends between 150-250 min per week
of moderate-intensity physical activity for preventing
weight gain, and between 225-420 min per week of
moderate-intensity physical activity for weight loss. These
recommendations seem applicable for people with multiple
sclerosis.},
subtyp = {Review Article},
cin = {C110},
ddc = {610},
cid = {I:(DE-He78)C110-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30935537},
doi = {10.1016/j.ctim.2019.02.006},
url = {https://inrepo02.dkfz.de/record/143561},
}