High-Dose Vitamin D3 Intake Is Associated with Decreased Symptoms of Multiple Sclerosis

Michelle L. Steinwart, D. Duriancik
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Abstract

Multiple sclerosis (MS) is one of the most widespread disabling autoimmune neurological conditions of adults between the ages of 20 and 40 globally. Medical researchers do not completely understand the possible causes of MS, nor have they determined the rate of progression. A limited number of clinical trials conducted in recent years have explored the link between vitamin D deficiency and MS with vitamin D supplementation as a possible element in the treatment of this disease. The primary goal of this review was to synthesize the evidence regarding the link between vitamin D3 levels and the symptoms of MS. A PubMed search was conducted using keywords Vitamin D, multiple sclerosis, MS, RRMS, prevention, treatment and cause. 1153 articles and sources were found using the key phrase “multiple sclerosis and vitamin D,” but these were narrowed to 11 based on publication dates between 2013 and 2018, clinical trials were included, while reviews were excluded and the relevance of the goals to this review. Study designs included experimental clinical trials where pretest/posttest data were presented. Articles were excluded if they were not peer reviewed or only described the method and were awaiting results. Although not all studies found uniform results, the majority of the evidence suggests that high intakes of vitamin D may be associated with improved quality of life through the reduction of certain symptoms of MS. This was especially evident in patients who started the studies with a vitamin D deficiency. It may be too early to prescribe an increase in daily supplementation of vitamin D with the hope of reducing the development of or in the treatment of MS, but recent studies indicate that high doses of vitamin D could decrease the probability of some symptoms of the disease and possibly give favorable results in treatment. Further studies are needed before specific recommendations can be made.
高剂量维生素D3摄入与多发性硬化症症状减轻有关
多发性硬化症(MS)是全球20至40岁成人中最普遍的致残自身免疫性神经系统疾病之一。医学研究人员并不完全了解多发性硬化症的可能原因,也没有确定其进展速度。近年来进行的有限数量的临床试验探索了维生素D缺乏与MS之间的联系,并将补充维生素D作为治疗该疾病的可能因素。本综述的主要目的是综合有关维生素D3水平与多发性硬化症症状之间联系的证据。我们使用关键词维生素D、多发性硬化症、多发性硬化症、RRMS、预防、治疗和原因进行了PubMed检索。使用“多发性硬化症和维生素D”这一关键短语的1153篇文章和来源被发现,但根据2013年至2018年的发表日期,这些文章和来源被缩小到11篇,包括临床试验,而不包括评论,以及目标与本综述的相关性。研究设计包括提供测试前/测试后数据的实验性临床试验。未经过同行评议或仅描述方法并等待结果的文章被排除在外。虽然不是所有的研究都得出了一致的结果,但大多数证据表明,高摄入量的维生素D可能通过减轻ms的某些症状来改善生活质量,这在开始研究时缺乏维生素D的患者中尤为明显。为了减少多发性硬化症的发展或治疗多发性硬化症而增加维生素D的每日补充可能还为时过早,但最近的研究表明,高剂量的维生素D可以减少某些疾病症状的可能性,并可能在治疗中取得良好的效果。在提出具体建议之前,需要进行进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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