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Assessment of evidence for a protective role of vitamin D in multiple sclerosis
Authors:Heather EC Hanwell  Brenda Banwell
Institution:
  • a Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
  • b Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Canada
  • c Neurosciences and Mental Health, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada
  • d Division of Neurology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada
  • Abstract:Evidence for a role of vitamin D insufficiency in determining risk in Multiple Sclerosis (MS) is supported by studies in both pediatric- and adult-onset patients. The potential role of vitamin D in modulating MS disease activity is an area of active clinical trials research, and the possibility of primary disease prevention with vitamin D supplementation in early life is an emerging concept. With Sir Austin Bradford Hill's criteria as a framework, the present review assesses the evidence for a causal relationship between vitamin D insufficiency and the pathobiology of MS, and discusses rationale for future clinical trials with vitamin D.
    Keywords:Vitamin D  Multiple Sclerosis  Hill's Criteria
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