Evidence map›Paper›PMID 33987049›Full record

ArticleCureus2021

Association Between Serum Vitamin D Levels and Frequency of Relapses in Patients With Multiple Sclerosis.

Farah Mansoor, Vikash Kumar, Suneel Kumar, Navneet Kaur, Sidra Naz, Simra Shahid, Faryal Anees, Sidra Memon, Amber Rizwan

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 6 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. Article
  4. 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

9 authors at 5 institutions in 2 countries.

Farah MansoorInternal Medicine, Jinnah Sindh Medical University, Karachi, PAK.
Vikash KumarNeurology, Ghulam Muhammad Mahar Medical College, Sukkur, PAK.
Suneel KumarNeurology, Ghulam Muhammad Mahar Medical College, Sukkur, PAK.
Navneet KaurInternal Medicine, Adesh institute of Medical Sciences and Research, Bathinda, IND.
Sidra NazInternal Medicine, University of Health Sciences, Lahore, PAK.
Simra ShahidMedicine, Jinnah Sindh Medical University, Karachi, PAK.
Faryal AneesObstetrics and Gynecology, Agha Khan University Hospital, Karachi, PAK.
Sidra MemonInternal Medicine, Jinnah Sindh Medical University, Karachi, PAK.
Amber RizwanFamily Medicine, Jinnah Post Graduate Medical Center, Karachi, PAK.
Jinnah Sindh Medical University · PKAdesh University · INAga Khan University Hospital · PKJinnah Postgraduate Medical Center · PKUniversity of Health Sciences Lahore · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Multiple sclerosis (MS) is an immune-mediated inflammatory disease of the central nervous system affecting the myelin sheath of neurons with a wide range of symptoms. Among various risk factors studied that can increase the relapse, vitamin D is also a potential risk factor. In this study, we will determine the association between vitamin D status and frequency of relapses in patients with MS. Material and methods Seventy-four (74) patients with a confirmed diagnosis of MS, with more than one (01) relapse per year, for a minimum of two years, were included in the case group. Seventy-four (74) participants with a confirmed diagnosis of MS with one (01) or no relapse per year, for a minimum of two years, were included in the control group. After informed consent, the patient blood was drawn via phlebotomy and was sent to the lab for vitamin D levels. Results The mean serum vitamin D level was significantly lower in case group compared to control group (18.21 ± 4.21 ng/mL vs. 29.21 ± 5.72 ng/mL; p-value: < 0.0001). The number of participants with vitamin D level less than 30 ng/mL were significantly higher in patients with case group compared to control group (78.37% vs. 50.0%; p-value: 0.0003) Conclusion In this study, patients with more relapses per year had low level of serum vitamin D. There is emerging strong evidence that vitamin D plays an important role in the pathogenesis, progression, and disease burden of autoimmune disease, including MS.

Indexed as

associationmultiple sclerosisrelapsesvitamin d

Identifiers

PMID33987049
PMCPMC8110290
OpenAlexW3155690600

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.