Page 14 - 2021 Summer CMTA Report
P. 14

MANAGING CMT SYMPTOMS

            WITH NUTRITION









        Nutrition can’t cure or              Sara, who works in the Neuromuscular   While each individual’s needs are
        stop CMT, but it can                 Clinic at Stanford Healthcare, outlined   different, in general people should
                                                                                  consume less than a third of their daily
                                             three symptoms of neuromuscular
        be very, very helpful in             disease that can be ameliorated by   calorie intake in protein—things like
        managing symptoms,                   good nutrition: inflammation, fatigue   poultry, fish, eggs, soy products, lentils,
                                             and vitamin/mineral deficiencies and
                                                                                  beans, nuts and seeds. Protein is com-
        registered dietitian Sara Kevern told   toxicities.                       posed of amino acids, which are the
        more than 200 people watching a                                           smallest components of protein that
        CMTA online education session April 1.   Inflammation is basically a cascade of   the digestive tract can absorb. When
        On the flip side of the coin, poor nutri-  chemical reactions in the body that can   we eat protein, she said, we digest it
        tion can worsen symptoms, she said,   cause oxidative stress, tissue damage,   into amino acids, which the body then
        “so it’s definitely worth paying attention   fat deposits on nerves or mitochondrial   repackages into full proteins and sends
        to and trying to develop good habits   changes, she explained. These chang-  where they’re needed. “We really have
        and really optimize your own nutrition   es in the body can cause pain and   very little control over what our body
        even if it’s not going to be curative.”  affect nerve health, so it’s important to   does with the protein that we eat,”
                                             reduce inflammation.
                                                                                  she said.
                                             The second way that nutrition can help   So, for example, taking collagen means
                                             in neuromuscular disease is by opti-  that while you get the amino acids that
                                             mizing energy and reducing fatigue   make up collagen, there’s no guaran-
                                             with the right macronutrient balance.   tee your body will use them to make
                                             And the third way is by addressing any   collagen. The best course is to eat a
                                             micronutrient deficiencies or toxicities.
                                                                                  good variety of protein sources so your
                                             Kevern explained that macronutrients—  body has the amino acids it needs to
                                             proteins, fats and carbohydrates—    make the proteins that it needs. With
                                             are the three nutrients in food that    CMT, you don’t need extra protein,
                                             contain calories, which are the units    she concluded, noting that resistance
                                             of energy that our bodies create     training in addition to adequate protein
                                             when digesting it.                   is what builds muscle.


                                               DIETITIAN SARA KEVERN EDUCATES CMT PATIENTS
                                                 AT STANFORD HEALTHCARE ABOUT USING DIET
                                                   TO IMPROVE THE WAY THEY FEEL.

  14     THE CMTA REPORT SUMMER 2021
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