Evidence map›Paper›PMID 42514436›Full record

ArticleNutrients2026

Association of Vitamin C Supplementation and Genetic Susceptibility with Multiple Sclerosis Risk: A Prospective Population-Based Cohort Study.

Andrea Nova, Teresa Fazia, Giovanni Di Caprio, Alice Cinquepalmi, Simone Perna, Mariangela Rondanelli, Luisa Bernardinelli

Abstract read
In one paragraph

Article in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Andrea NovaDepartment of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-7258-1938
Teresa FaziaDepartment of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-9577-8450
Giovanni Di CaprioDepartment of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy.ORCID 0009-0003-1913-9897
Alice CinquepalmiDepartment of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy.
Simone PernaDivision of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), University of Milan, 20122 Milan, Italy.ORCID 0000-0002-2720-1473
Mariangela RondanelliDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0001-8336-4851
Luisa BernardinelliDepartment of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesMultiple sclerosis (MS) is a chronic immune-mediated neurological disorder for which few modifiable risk factors are established. Vitamin C, due to its antioxidant and neuroprotective properties, has been hypothesized to reduce MS risk, but epidemiological evidence remains inconsistent.

methodsWe conducted a prospective cohort study using UK Biobank data, including 486,908 adults aged 37-70 years free of neurological disease. Regular vitamin C supplementation was self-reported at recruitment. Incident MS cases were identified during a median follow-up of 13.5 years. Propensity score weighting was used to balance a wide range of demographic, lifestyle, and health-related confounders. Weighted Cox proportional hazards models were used to estimate hazard ratios (HRs). Effect modification by polygenic risk score (PRS) for MS was assessed, and multiple sensitivity analyses were performed.

resultsDuring follow-up, 452 participants were diagnosed with MS. Vitamin C supplementation was reported by 8.8% of participants (missingness = 1.5%) and was associated with a lower risk of incident MS (HR = 0.51, [95%CI: 0.32; 0.82],

conclusionsVitamin C supplementation was associated with a lower risk of incident MS, with the association varying across levels of genetic susceptibility. Although residual confounding cannot be excluded, sensitivity analyses did not identify similar associations for overall supplement use or multivitamin use, providing some reassurance against a generalized healthy-user effect. Replication in independent cohorts is warranted.

Indexed as

Ascorbic AcidDietary SupplementsGenetic Predisposition to DiseaseMultiple SclerosisAdultAgedFemaleGenetic Risk ScoreHumansIncidenceMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsUK BiobankAscorbic Acidgenetic riskmultiple sclerosispropensity scoresupplementationUK Biobankvitamin C

Identifiers

PMID42514436
PMCPMC13414532

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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.