Evidence map›Paper›PMID 40063620›Full record

SynthesisPloS one2025

Role of vitamins in the pathogenesis and treatment of restless leg syndrome: A systematic review and meta-analysis.

Xiao-Min Xu, Jiang-Hai Ruan, Tao Tao, Shu-Li Xiang, Ren-Liang Meng, Xiu Chen

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Restless legs syndrome in pregnancy: Frequency, sleep quality, and questionnaire-defined risk of obstructive sleep apnea syndrome.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  3. Article
  4. Article
  5. 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

6 authors.

Xiao-Min XuDepartment of Neurology, The Affiliated Hospital of Southwest Medical University, Lu zhou, Sichuan, China.ORCID 0000-0002-3743-7981
Jiang-Hai RuanDepartment of Neurology, The Affiliated Hospital of Southwest Medical University, Lu zhou, Sichuan, China.
Tao TaoDepartment of Neurology, The Affiliated Hospital of Southwest Medical University, Lu zhou, Sichuan, China.
Shu-Li XiangDepartment of Neurology, The Affiliated Hospital of Southwest Medical University, Lu zhou, Sichuan, China.
Ren-Liang MengDepartment of Neurology, The Affiliated Hospital of Southwest Medical University, Lu zhou, Sichuan, China.
Xiu ChenDepartment of Neurology, The Affiliated Hospital of Southwest Medical University, Lu zhou, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We performed a meta-analysis to assess the role of vitamins in the possible pathogenesis and treatment of RLS (Restless Leg Syndrome). A systematic search of the PubMed, Cochrane, Embase, and Web of Science databases was conducted. Fifty-nine studies on the relationship between vitamins and RLS were included, as well as four randomized controlled trials (RCTs) on vitamin treatment of RLS. Compared with non-RLS patients, serum vitamin D levels were significantly lower both in primary (P =  0.009) and secondary (P =  0.003) RLS patients, and appeared to be positively correlated with disease severity. Serum folate levels were lower in pregnant RLS patients than in pregnant non-RLS patients (P =  0.007), but this phenomenon was not seen in non-pregnant RLS patients (P =  0.65). Vitamin B12 (P =  0.59) and B1 (P =  0.362) deficiencies were not found in RLS patients. Oral vitamin B6 significantly improved primary RLS (P < 0.0001), while vitamin D did not (P =  0.05). Oral vitamin C (P < 0.00001), E (P < 0.0001), and vitamin C +  E (P < 0.00001) all significantly improved hemodialysis-associated RLS with equal efficacy. Vitamin C is equivalent to 0.18 mg of pramipexole for the treatment of RLS (P =  0.81). In this meta-analysis, low vitamin D levels were found in patients with RLS, low folate levels were associated with RLS only in pregnant women, and vitamin C/E/B6 may improved symptoms in patients with RLS. These results suggest that vitamin deficiency or insufficiency may be related to the pathogenesis of RLS.

Indexed as

Restless Legs SyndromeVitaminsFemaleFolic AcidHumansPregnancyVitamin DFolic AcidVitamin DVitamins

Identifiers

PMID40063620
PMCPMC11892881

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.