Lifestyle modifications
NUTRITION
- Prevention: Ensuring adequate intake of vitamin D may have a preventive effect (2)
PHYSICAL ACTIVITY
- Most people with MS may benefit from regular exercise. It reduces fatigue and improves sleep (1)
- Limited evidence shows that some may benefit from mind-body exercises / relaxation training (1)
SMOKING
- Smoking may increase the progression of MS (3)
- Prevention: Smoking cessation, as smoking seems to be a risk factor for MS (2)
References
1) https://bestpractice.bmj.com/topics/en-gb/140/management-approach
2) https://bestpractice.bmj.com/topics/en-gb/140/prevention
3) https://www.nice.org.uk/guidance/ng220
Resources
EXPLANATION TO EVIDENCE PRESENTATION

Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD font
Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE font
Evidence based on randomized controlled trials is written in PLAIN font
Evidence based on observational / cohort studies is written in CURSIVE font