Open AccessVitamin D status and disability among patients with multiple sclerosis: a systematic review and meta-analysis
Author(s) -
Mahmood Moosazadeh,
Fatemeh Nabinezhad-Male,
Mahdi Afshari,
Mohammad Nasehi,
Mohammad Shabani,
Motahareh Kheradmand,
Iraj Aghaei
Publication year - 2021
Publication title -
aims neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.257
H-Index - 12
eISSN - 2373-7972
pISSN - 2373-8006
DOI - 10.3934/neuroscience.2021013
Subject(s) - meta analysis , confidence interval , medicine , vitamin d and neurology , publication bias , correlation , multiple sclerosis , random effects model , mathematics , immunology , geometry
Association between the serum vitamin D level and disability of patients with multiple sclerosis (MS) has been investigated during several researches. However, these studies reported different results. The current study aims to estimate the correlation between the concentrations of 25 (OH) vitamin D and the level of disability among MS patients. Using Mesh and non-Mesh terms related to MS, disability level and vitamin D, different data banks were searched. Required information was extracted from the selected eligible primary articles. Stata version 11 software was applied for combining the primary correlation coefficients using random effect model. The effect of MS type and patients' age was assessed using meta-regression models. Sensitivity analysis was performed to investigate the role of each primary study in the pooled estimate. Egger test was applied to find any publication bias. Of 14 eligible studies, the total correlation coefficient (95% confidence interval) between 25 (OH) vitamin D level and disability in both sexes as well as among female was estimated as of -0.29 (-0.40, -0.17) and -0.35 (-0.46, -0.24) respectively. Two articles carried out among male did not report significant results. Our meta-analysis showed a significant negative correlation between 25 (OH) vitamin D level and disability of MS patients so that the disability reduces with increasing the 25 (OH) vitamin D level.