Acute aerobic exercise using various modalities resulted in temporary worsening of sensory function, with increased pain and physical exhaustion for up to 24 hours for people with advanced multiple sclerosis.
Food insecurity status is strongly linked to lower mental quality of life in individuals with multiple sclerosis, regardless of rural or urban residence.
Assessments and interventions to improve sleep quality and manage dysfunctional sleep beliefs in people with MS may improve health-related quality of life and functioning. Cognitive behavioral therapy for insomnia targets both factors and has been demonstrated to be a modifiable and efficacious treatment in this population.
The prevalence of multiple sclerosis is increasing in the Middle East and North Africa (MENA), in part due to better access to earlier diagnosis. Many MENA countries are now considered to fall in moderate to high MS risk zones.