Effects of a Low-Fat Diet on Fatigue and Metabolic Pathways in People with Multiple Sclerosis
In a 16-week study of 27 people with MS, those on a low-fat diet exhibited changes in fatigue scores correlated with shifts in lipid and amino acid pathways. Notably, certain lipids decreased in the intervention group while increasing in controls.
- Tags
- #MSResearch
- Most relevant to
- —
- Human efficacy
- Demonstrated in people
- Mechanism
- Not reported
- Evidence strength
- Moderate
- Outcome
- Positive
Why it matters
These preliminary findings highlight the potential impact of dietary changes on metabolic processes related to fatigue in MS, suggesting a new avenue for exploration in managing symptoms.
What this does not prove
The small sample size and high variability among participants limit the reliability of these findings; larger, well-designed studies are necessary for confirmation.
Next milestone
No next milestone was established from the available source.
Study facts
- Study design
- Interventional
- Participants / samples
- 27 · basis not reported
- Randomised
- Yes
- Controlled
- Yes
- Primary endpoint met
- Not reported
- Relevant MS type
- Not reported
- Publication date
- 2026-10-26
- Evidence reviewed
- Abstract only
- Regulatory approval
- Not reported
- Research areas
- Not classified
- Biological target
- Not reported
- Pathway
- Not reported
- Population
- people with multiple sclerosis
- Size of effect
- Not reported
- Secondary endpoints
- dietary composition; adherence; body composition; cardiometabolic biomarkers
- MRI endpoints
- Not reported
- Biomarkers
- Not reported
- Safety
- Not reported
Original sources
- Primary evidenceLow-fat diet reduces fatigue and alters serum metabolomic pathways in people with multiple sclerosis: a sub-study of a randomized controlled trial. ↗DOI: 10.1016/j.msard.2026.108019
Supporting passages (14)
study phaseMETHODS: This exploratory analysis used data from a 16-week, two-arm, randomized controlled trial in people with MS comparing a low-fat diet (intervention) with a waitlist (control) group that continued their usual diet.
study designMETHODS: This exploratory analysis used data from a 16-week, two-arm, randomized controlled trial in people with MS comparing a low-fat diet (intervention) with a waitlist (control) group that continued their usual diet.
subjectsWe investigated the effects of a low-fat diet on fatigue and serum metabolomic pathways in people with MS, focusing on lipid and amino-acid metabolism.
sample sizeRESULTS: Twenty-seven participants (16 intervention, 11 control) with complete data were included.
randomizedMETHODS: This exploratory analysis used data from a 16-week, two-arm, randomized controlled trial in people with MS comparing a low-fat diet (intervention) with a waitlist (control) group that continued their usual diet.
controlledMETHODS: This exploratory analysis used data from a 16-week, two-arm, randomized controlled trial in people with MS comparing a low-fat diet (intervention) with a waitlist (control) group that continued their usual diet.
findingsOf the 986 metabolites detected, changes in MFIS scores were correlated to shifts in fatty acid (e.g., octadecenedioylcarnitine, cis-4-decenoate) and amino acid (e.g., phenol sulfate, phenylpyruvate) pathways.
limitationsThe small sample size and inter-individual variability warrant cautious interpretation; replication in larger, adequately powered trials is needed.
populationWe investigated the effects of a low-fat diet on fatigue and serum metabolomic pathways in people with MS, focusing on lipid and amino-acid metabolism.
secondary endpointsAdditional outcomes included dietary composition, adherence, body composition, and cardiometabolic biomarkers.
outcomeThese preliminary exploratory findings suggest that diet-induced modulation of lipid and amino acid metabolism may contribute to fatigue changes.
human efficacyCONCLUSIONS: To our knowledge, this is the first study to explore the impact of a low-fat diet on serum metabolomic pathways in people with MS.
publication datePublication date: 2026-10-26
peer reviewedPublication types: Journal Article
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