Evidence map›Paper›PMID 41551317›Full record

SynthesisFrontiers in neurology2025

Vitamin D deficiency and multiple sclerosis relapse: a meta-analysis.

Yujing Zhang, Shasha Yu, Yu Zu, Jing Lv, Jianhua Chen, Xuedan Feng

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Yujing Zhang *Department of Neurology, Bejing Fengtai You'anmen Hospital, Beijing, China.
Shasha Yu *Department of Neurology, Bejing Fengtai You'anmen Hospital, Beijing, China.
Yu ZuDepartment of Neurology, Bejing Fengtai You'anmen Hospital, Beijing, China.
Jing LvDepartment of Neurology, Bejing Fengtai You'anmen Hospital, Beijing, China.
Jianhua ChenDepartment of Neurology, Bejing Fengtai You'anmen Hospital, Beijing, China.
Xuedan FengDepartment of Neurology, Bejing Fengtai You'anmen Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This meta-analysis was conducted to systematically evaluate the dose-response relationship between serum 25-hydroxyvitamin D [25(OH)D] levels and the annualized relapse rate (ARR) in multiple sclerosis (MS), and to investigate the effect of vitamin D supplementation on reducing relapse risk. Methods: Randomized controlled trials (RCTs) published from inception to April 2025 were retrieved from PubMed, Medline, Web of Science, Cochrane Library, and EMBASE. Study quality was assessed using the Cochrane RoB-2 tool. Meta-analyses were performed using RevMan 5.3. The primary outcome was ARR. Secondary outcomes included the Expanded Disability Status Scale (EDSS) score and serum 25(OH)D levels. Results: Nine studies comprising 1,078 participants were included. No significant difference in EDSS scores was observed between the intervention and control groups (mean difference (MD) = -0.11, 95%CI [-0.40, 0.18], Conclusion: The results of this meta-analysis showed that vitamin D supplementation, regardless of dosage, could significantly increase the serum 25(OH)D level in patients with multiple sclerosis. Subgroup analysis showed that low/medium-dose vitamin D supplementation could significantly reduce the ARR, while high-dose supplementation had no significant effect on ARR. There was no significant difference in EDSS scores between the experimental group and the control group.

Indexed as

meta-analysismultiple sclerosisrelapse ratesystematic reviewvitamin D

Identifiers

PMID41551317
PMCPMC12807898

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.