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Vitamin D in COVID-19

Devi et al., International Journal of Clinical Biochemistry and Research, doi:10.18231/j.ijcbr.2023.007
Apr 2023  
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Case, 10ng/mL 98% Improvement Relative Risk Case, 20ng/mL 88% Vitamin D for COVID-19  Devi et al.  Sufficiency Are vitamin D levels associated with COVID-19 outcomes? Retrospective 176 patients in India (August 2020 - August 2022) Fewer cases with higher vitamin D levels (p=0.0067) c19early.org Devi et al., Int. J. Clinical Biochemi.., Apr 2023 Favorsvitamin D Favorscontrol 0 0.5 1 1.5 2+
Vitamin D for COVID-19
8th treatment shown to reduce risk in October 2020, now with p < 0.00000000001 from 125 studies, recognized in 9 countries.
No treatment is 100% effective. Protocols combine treatments.
5,300+ studies for 116 treatments. c19early.org
Retrospective 88 PCR+ COVID-19 cases and 88 matched COVID-19 negative controls in India showing lower vitamin D levels and higher prevalence of vitamin D deficiency in COVID-19 patients.
This is the 176th of 214 COVID-19 sufficiency studies for vitamin D, which collectively show higher levels reduce risk with p<0.0000000001 (1 in 4,225,339,384 vigintillion).
risk of case, 98.0% lower, OR 0.02, p = 0.007, high D levels (≥10ng/mL) 69 of 88 (78.4%) cases, 88 of 88 (100.0%) controls, NNT 1.8, case control OR.
risk of case, 88.4% lower, OR 0.12, p < 0.001, high D levels (≥20ng/mL) 54 of 88 (61.4%) cases, 82 of 88 (93.2%) controls, NNT 2.2, case control OR.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Devi et al., 15 Apr 2023, retrospective, India, peer-reviewed, mean age 47.0, 4 authors, study period August 2020 - August 2022. Contact: vidyarajkumari@gmail.com.
This PaperVitamin DAll
Vitamin D in COVID-19
R K Vidyabati Devi, Niangngaih Lian, Thokchom Opendro Singh, Chungkham Rebika Devi
International Journal of Clinical Biochemistry and Research, doi:10.18231/j.ijcbr.2023.007
Background: Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) causes coronavirus disease 2019 (COVID-19) with clinical outcome ranging from asymptomatic to severe disease, and even death to some. It posed a terrifying challenge to healthcare system worldwide. Several observational and clinical trials has reported that, Vitamin D deficiency has contributed to acute respiratory distress syndrome. Case fatality rate increases with age and comorbidities, both of which are associated with decreased Vitamin D level. Therefore, this study is done to study the prevalence of 25(OH)Vitamin D in RT-PCR positive COVID-19 cases and RT-PCR negative controls. Materials and Methods: This is a hospital based cross-sectional study conducted at Jawaharlal Nehru Institute of Medical Sciences, Manipur on 88 RT-PCR positive Covid-19 cases and 88 COVID-19 negative controls over a period of 2 years. Analysis of the sample was done by Liaison 25(OH) Vitamin D Total Chemiluminescence assay(CLIA). Result: In this study, statistically significant (p-0.018) lower plasma 25(OH)Vitamin D level is seen in COVID-19 positive cases (median 28±20.47) when compared to Covid-19 negative controls(median 33.50±10.66). The number of 25(OH) Vitamin D deficient is higher in Covid-19 positive cases when compared to Covid-19 negative controls -46(52.3%) and 30(34%) respectively with a high statistically significant value (p-0.015). Conclusion: COVID-19 positive cases have higher tendency to have suboptimal plasma 25(OH) Vitamin D level which may contribute to the high hospitalization risk in COVID-19 infection. This finding is important as it can identify population at risk, and contribute to interventions in reducing the risk of hospitalization associated with COVID-19 infection.
References
Alipio, Vitamin D Supplementation Could Possibly Improve Clinical Outcomes of Patients Infected with Coronavirus-2019 (COVID-2019, doi:10.2139/ssrn.3571484
Azrielant, Shoenfeld, Vitamin D and the Immune System, Isr Med Assoc J
Bassatne, Basbous, Chakhtoura, Zein, Rahme et al., The link between COVID-19 and VItamin D (VIVID): A systematic review and meta-analysis, Metabolism, doi:10.1016/j.metabol.2021.154753
Bianconi, Violi, Fallarino, Pignatelli, Sahebkar et al., Is acetylsalicylic acid a safe and potentially useful choice for adult patients with COVID-19?, Drugs
Boucher, The problems of vitamin D insufficiency in older people, Aging Dis
Crane-Godreau, Clem, Payne, Fiering, Vitamin D deficiency and air pollution exacerbate COVID-19 through suppression of antiviral peptide LL37, Front Public Health
D'avolio, Avataneo, Manca, Cusato, Denicolò et al., 25-Hydroxyvitamin D Concentrations Are Lower in Patients with Positive PCR for SARS-CoV-2, Nutrients
Daniel, Sartory, Zahn, Radeke, Stein, Immune modulatory treatment of trinitrobenzene sulfonic acid colitis with calcitriol is associated with a change of a T helper (Th) 1/Th17 to a Th2 and regulatory T cell profile, J Pharmacol Exp Ther
Fabbri, Infante, Ricordi, Editorial -Vitamin D status: a key modulator of innate immunity and natural defense from acute viral respiratory infections, Eur Rev Med Pharmacol Sci
Ghavideldarestani, Honardoost, Khamseh, Role of vitamin D in pathogenesis and severity of COVID-19 infection, doi:10.20944/preprints202004.0355.v1
Hribar, Cobbold, Church, Potential role of vitamin D in the Elderly to resist COVID-19 and to slow progression of Parkinson's disease, Brain Sci, doi:10.3390/brainsci10050284
Jose, Manuel, COVID-19 cytokine storm: the interplay between inflammation and coagulation, Lancet Respir Med
Kara, Ekiz, Ricci, Kara, Chang et al., Scientific Strabismus' or two related pandemics: coronavirus disease and vitamin D deficiency, Br J Nutr
Laird, Rhodes, Kenny, Vitamin D and Inflammation -Potential Implications for Severity of Covid-19, Ir Med J
Mcgonagle, Sharif, 'regan, Bridgewood, The Role of Cytokines including Interleukin-6 in COVID-19 induced Pneumonia and Macrophage Activation Syndrome-Like Disease, Autoimmun Rev, doi:10.1016/j.autrev.2020.102537
Raharusun, Priambada, Budiarti, Agung, Budi, Patterns of COVID-19 Mortality and Vitamin D: An Indonesian Study
Rosenthal, Cao, Gundrum, Sianis, Safo, Risk factors associated with in-hospital mortality in a U.S. national sample of patients with COVID-19, JAMA Netw Open, doi:10.1001/jamanetworkopen.2020.29058
Ye, Tang, Liao, Shaw, Deng et al., Does serum vitamin D level affect COVID-19 infection and its severity? -A casecontrol study, J Am Coll Nutr
DOI record: { "DOI": "10.18231/j.ijcbr.2023.007", "ISSN": [ "2394-6369", "2394-6377" ], "URL": "http://dx.doi.org/10.18231/j.ijcbr.2023.007", "abstract": "<jats:p>Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) causes coronavirus disease 2019 (COVID-19) with clinical outcome ranging from asymptomatic to severe disease, and even death to some. It posed a terrifying challenge to healthcare system worldwide. Several observational and clinical trials has reported that, Vitamin D deficiency has contributed to acute respiratory distress syndrome. Case fatality rate increases with age and comorbidities, both of which are associated with decreased Vitamin D level. Therefore, this study is done to study the prevalence of 25(OH)Vitamin D in RT-PCR positive COVID-19 cases and RT-PCR negative controls.</jats:p><jats:p>This is a hospital based cross-sectional study conducted at Jawaharlal Nehru Institute of Medical Sciences, Manipur on 88 RT-PCR positive Covid-19 cases and 88 COVID-19 negative controls over a period of 2 years. Analysis of the sample was done by Liaison 25(OH) Vitamin D Total Chemiluminescence assay(CLIA).</jats:p><jats:p>In this study, statistically significant (p-0.018) lower plasma 25(OH)Vitamin D level is seen in COVID-19 positive cases (median 28±20.47) when compared to Covid-19 negative controls(median 33.50±10.66). The number of 25(OH) Vitamin D deficient is higher in Covid-19 positive cases when compared to Covid-19 negative controls -46(52.3%) and 30(34%) respectively with a high statistically significant value (p-0.015).</jats:p><jats:p>COVID-19 positive cases have higher tendency to have suboptimal plasma 25(OH) Vitamin D level which may contribute to the high hospitalization risk in COVID-19 infection. 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