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Assessment of evidence for a protective role of vitamin D in multiple sclerosis

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ELSEVIER SCIENCE BV
DOI: 10.1016/j.bbadis.2010.07.017

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Vitamin D; Multiple Sclerosis; Hill's Criteria

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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. (C) 2010 Elsevier B.V. All rights reserved.

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