Evidence map›Paper›PMID 40292038›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Ellagic acid favorable effects on fatigue, depression and anxiety in patients with multiple sclerosis and moderate disability: A randomized clinical trial.

Sahar Jafari Karegar, Abasat Mirzaei, Ghazaleh Hajiluian, Naheed Aryaeian, Farzad Shidfar, Shamimeh Arabgol, Shaghayegh Khosravifar, Mohammad Moradiani, Mikaeil Aghcheli, Managol Kayyal and 3 more

Abstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

13 authors.

Sahar Jafari KaregarDepartment of Nutrition, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Abasat MirzaeiDepartment of Health Care Management, Faculty of Health, Tehran Medical Science, Islamic Azad University, Tehran, Iran.
Ghazaleh HajiluianDepartment of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Naheed AryaeianDepartment of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0001-9662-8561
Farzad ShidfarDepartment of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Shamimeh ArabgolFaculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Shaghayegh KhosravifarDepartment of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran.
Mohammad MoradianiFaculty of Medical Sciences and Technologies, Islamic Azad University, Science and Research Unit, Tehran, Iran.
Mikaeil AghcheliFaculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Managol KayyalQazvin University of Medical Sciences, Qazvin, Iran.
Azadeh Jafari KargarFaculty of Economics, Alborz Campus, University of Tehran, Tehran, Iran.
Bahram Haghi AshtianiFirouzgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
Ali-Akbar DelbandiImmunology Research Center, Institute of Immunology and Infectious Disease, Iran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to evaluate the impact of ellagic acid (EA) on fatigue, depression, and anxiety in patients with multiple sclerosis (MS) who have moderate disability. Methods: A triple-blind, placebo-controlled clinical trial was conducted. Fifty-eight MS patients were randomly allocated to receive EA or placebo. Measurements of fatigue, depression, and anxiety were taken at the beginning and end of the study. Data analysis was performed via SPSS. Results: Significant improvements were observed in the EA group across several measures: the State-Trait Anxiety Inventory (STAI), the Quick Inventory of Depressive Symptomatology (QIDS), the Hospital Anxiety and Depression Scale (HADS) for both depression and anxiety subscales, and the Modified Fatigue Impact Scale (MFIS), which includes total, cognition, psychosocial, and physical scores (P < 0.001). At the end of the study, significant differences between the EA and placebo groups were noted. Within the EA group, significant changes from baseline were found in EDSS, STAI (p = 0.003), QIDS (p = 0.041), HADS-D (p = 0.032), HADS-A (p = 0.012), total MFIS (p = 0.004), MFIS-Cognition (p = 0.001), MFIS-Psychosocial (p = 0.049), and MFIS-physical (p = 0.001) scores. In the EA group, significant changes from baseline were observed in EDSS, STAI (p = 0.003), QIDS (p = 0.041), HADS-D (p = 0.032), HADS-A (p = 0.012), total MFIS (p = 0.004), MFIS-Cognition (p = 0.001), MFIS-Psychosocial (p = 0.049), and MFIS-physical (p = 0.001) scores. Conclusions: EA appears to significantly alleviate fatigue, depression, and anxiety in MS patients.

Indexed as

anxietydepressionEDSSEllagic acidfatigue

Identifiers

PMID40292038
PMCPMC12033782

What OpenQuestion holds

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Registered trials

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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.