Evidence map›Paper›PMID 27276080›Full record

Trial reportPloS one2016

Vitamin D Status Does Not Affect Disability Progression of Patients with Multiple Sclerosis over Three Year Follow-Up.

Anne-Hilde Muris, Joost Smolders, Linda Rolf, Lieke J J Klinkenberg, Noreen van der Linden, Steven Meex, Jan Damoiseaux, Raymond Hupperts

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 36 citations in OpenAlex.

  1. From sunlight to MS fight: impact of vitamin D levels on multiple sclerosis activity.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  2. Article
  3. Vitamin D in Neurological Diseases.International journal of molecular sciences · 2022
    Review
  4. Article
  5. Non-Musculoskeletal Benefits of Vitamin D beyond the Musculoskeletal System.International journal of molecular sciences · 2021
    Review
  6. Article
  7. Review
  8. Vitamin D and MRI measures in progressive multiple sclerosis.Multiple sclerosis and related disorders · 2019
    Article
  9. Review
  10. Article
  11. Stress-Axis Regulation by Vitamin DFrontiers in neurology · 2018
    Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Anne-Hilde MurisSchool for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, the Netherlands.ORCID http://orcid.org/0000-0002-3749-5241
Joost SmoldersAcademic MS Center Limburg, Zuyderland Medical Center, Sittard, the Netherlands.
Linda RolfSchool for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, the Netherlands.
Lieke J J KlinkenbergCentral Diagnostic Laboratory, Maastricht University Medical Center, Maastricht, the Netherlands.
Noreen van der LindenCentral Diagnostic Laboratory, Maastricht University Medical Center, Maastricht, the Netherlands.
Steven MeexCentral Diagnostic Laboratory, Maastricht University Medical Center, Maastricht, the Netherlands.
Jan DamoiseauxCentral Diagnostic Laboratory, Maastricht University Medical Center, Maastricht, the Netherlands.
Raymond HuppertsSchool for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, the Netherlands.
Maastricht University · NLZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe risk of developing multiple sclerosis (MS) as well as MS disease activity is associated with vitamin D (25(OH)D) status. The relationship between the main functional disability hallmark of MS, disability progression, and 25(OH)D status is less well established though, especially not in MS patients with progressive disease.

methodsThis retrospective follow-up study included 554 MS patients with a serum baseline 25(OH)D level and Expanded Disability Status Scale (EDSS) with a minimum follow-up of three years. Logistic regressions were performed to assess the effect of baseline 25(OH)D status on relapse rate. Repeated measures linear regression analyses were performed to assess the effect on disability and disability progression.

resultsBaseline deseasonalized 25(OH)D status was associated with subsequent relapse risk (yes/no), but only in the younger MS patients (≤ 37.5 years; OR = 0.872, per 10 nmol/L 25(OH)D, p = 0.041). Baseline 25(OH)D status was not significantly associated with either disability or disability progression, irrespective of MS phenotype.

conclusionWithin the physiological range, 25(OH)D status is just significantly associated with the occurrence of relapses in younger MS patients, but is not associated with disability or disability progression over three years follow-up. Whether high dose supplementation to supra physiological 25(OH)D levels prevents disability progression in MS should become clear from long term follow-up of supplementation studies.

Indexed as

Disease ProgressionAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedMultiple SclerosisRetrospective StudiesVitamin DVitamin D

Identifiers

PMID27276080
PMCPMC4898831
OpenAlexW2416438901

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.