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Dietary interventions for multiple sclerosis-related outcomes

Natalie E Parks, Caitlin S Jackson-Tarlton, Laura Vacchi, Roah Merdad, Bradley C Johnston. Cochrane Database Syst Rev. 2020;5(5):CD004192.

Meta-analysisHumans

Design
Meta-analysis
Subjects
30 randomised or controlled trials (41 articles) in adults with multiple sclerosis; palmitoylethanolamide was one of six 'other supplement' trials
Dose used in the study
Not stated in the abstract for palmitoylethanolamide
Duration
Not stated in the abstract
What was measured
Relapses, disability progression, MRI activity, serious adverse events and patient-reported outcomes for dietary interventions versus placebo or another intervention, with Cochrane methods and GRADE certainty

What the authors reported

This meta-analysis found:

  • All 30 trials had at least one issue giving unknown or high risk of bias.
  • For PUFA versus MUFA, the evidence on difference in relapses was very uncertain (RR 1.02, 95% CI 0.88 to 1.20; 3 trials, 217 participants, very low certainty).
  • For antioxidants versus placebo, there may be little to no difference in relapses (RR 0.98, 0.59 to 1.64; 4 trials, 345 participants, low certainty).
  • The authors say evidence is insufficient to determine whether antioxidants or other dietary interventions have any impact on MS-related outcomes. PEA is named in the abstract only as one of the other supplements studied.

Limits of this study

A Cochrane review; the abstract pools no PEA-specific results, so no PEA trial findings are reported here. Natalie Parks has consulted for and received funds from Biogen, EMD Serono, Roche and Sanofi Genzyme; Bradley Johnston received an institutional start-up grant.

Source

PubMed 32428983 · doi:10.1002/14651858.CD004192.pub4

Entry checked against the abstract on PubMed on 2026-10-19. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.