Multiple sclerosis
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
Resources

EXPLANATION TO EVIDENCE PRESENTATION
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Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD
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Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE
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Evidence based on randomized controlled trials is written in plain font
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Evidence based on observational / cohort studies is written in CURSIVE
Figure: Evidence pyramid