A Study on Serum Vitamin D3 Level in Patients with Covid-19: A Cross-Sectional Study in Kolkata
et al., National Journal of Medical Research, doi:10.55489/njmr.150220251070, Apr 2025
Vitamin D for COVID-19
8th treatment shown to reduce risk in
October 2020, now with p < 0.00000000001 from 126 studies, recognized in 18 countries.
No treatment is 100% effective. Protocols
combine treatments.
6,300+ studies for
210+ treatments. c19early.org
|
Analysis of 100 hospitalized COVID-19 patients in India showing strong association between vitamin D deficiency and COVID-19 severity.
This is the 215th of 226 COVID-19 sufficiency studies for vitamin D, which collectively show higher levels reduce risk with p<0.0000000001 (1 in 115,066,047,903,039,356,928 vigintillion).
|
risk of severe case, 58.4% lower, RR 0.42, p = 0.002, high D levels (≥20 ng/ml) 8 of 33 (24.2%), low D levels (<20 ng/ml) 39 of 67 (58.2%), NNT 2.9.
|
| Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates |
Hossain et al., 1 Apr 2025, retrospective, India, peer-reviewed, mean age 51.7, 5 authors, study period January 2021 - January 2022.
Contact: amritajha.1102@gmail.com.
A Study on Serum Vitamin D3 Level in Patients with Covid-19: A Cross-Sectional Study in Kolkata
National Journal of Medical Research, doi:10.55489/njmr.150220251070
Background: Coronavirus disease (COVID-19) is a global pandemic caused by SARS-CoV-2. Vitamin D has immunomodulatory and anti-inflammatory properties, potentially influencing the disease course. This study assessed the prevalence of 25(OH) vitamin D deficiency in COVID-19 patients and its association with disease severity in the Indian population. Methodology: A hospital-based cross-sectional study was conducted at Medical College, Kolkata, including 100 RT-PCR-confirmed moderate and severe COVID-19 patients. Disease severity was categorized based on oxygen saturation. Serum 25-Hydroxy vitamin D levels were measured on admission, along with other hematological and biochemical parameters. High-resolution CT scans were performed to assess pulmonary involvement. Results: Vitamin D insufficiency and deficiency were observed in 18% and 67% of patients, respectively. Deficiency was more prevalent in severe cases (82.97%) than moderate cases (52.83%). The mean vitamin D levels in moderate and severe disease groups were 23.23±8.74 and 17.17±8.09 ng/ml, respectively. A significant association was found between vitamin D deficiency and COVID-19 severity (P = 0.006). The vitamin D cutoff for predicting severe disease was 18.57 ng/dl.
Conclusion: Vitamin D deficiency is strongly associated with severe COVID-19 in the Indian population. Low vitamin D levels may predict disease severity, suggesting supplementation as a potential preventive strategy.
Conflict of Interest: The authors have declared that no conflicts of interest exist.
References
Cereda, Bogliolo, Klersy, Vitamin D 25OH deficiency in COVID-19 patients admitted to a tertiary referral hospital, Clinical nutrition, doi:10.1016/j.clnu.2020.10.055PMid:33187772PMCid
Chan, Rout, Use of neutrophil-to-lymphocyte and platelet-tolymphocyte ratios in COVID-19, Journal of clinical medicine research, doi:10.14740/jocmr4240PMid:32655740PMCid:PMC7331861
Chan, Rout, Use of neutrophil-to-lymphocyte and platelet-tolymphocyte ratios in COVID-19, Journal of clinical medicine research, doi:10.14740/jocmr4240PMid:32655740PMCid:PMC7331861
Cheng, Luo, Wang, Kidney impairment is associated with in-hospital death of COVID-19 patients, MedRxiv, doi:10.1101/2020.02.18.20023242
Cheng, Luo, Wang, Kidney impairment is associated with in-hospital death of COVID-19 patients, MedRxiv, doi:10.1101/2020.02.18.20023242
Francone, Iafrate, Masci, Chest CT score in COVID-19 patients: correlation with disease severity and short-term prognosis, European radiology, doi:10.1007/s00330-020-07033-yPMid:32623505
Ginde, Mansbach, Camargo, Vitamin D, respiratory infections, and asthma. Current allergy and asthma reports, doi:10.1007/s11882-009-0012-7
Hamming, Timens, Bulthuis, Tissue distribution of ACE2 protein, the functional receptor for SARS coronavirus. A first step in understanding SARS pathogenesis, J Pathol, doi:10.1002/path.1570PMid:15141377
Jain, Chaurasia, Sengar, Singh, Mahor et al., Analysis of vitamin D level among asymptomatic and critically ill COVID-19 patients and its correlation with inflammatory markers, Scientific reports, doi:10.1038/s41598-020-77093-zPMid:33214648PMCid:PMC7677378
Lemire, Adams, Sakai, Jordan, 1 alpha, 25-dihydroxyvitamin D3 suppresses proliferation and immunoglobulin production by normal human peripheral blood mononuclear cells, The Journal of clinical investigation, doi:10.1172/JCI111465PMid:6611355PMCid:PMC370520
Li, Ye, Chen, Elevated Lactate Dehydrogenase (LDH) level as an independent risk factor for the severity and mortality of COVID-19, Aging, doi:10.18632/aging.103770PMid:32805722
Li, Ye, Chen, Elevated Lactate Dehydrogenase (LDH) level as an independent risk factor for the severity and mortality of COVID-19, Aging, doi:10.18632/aging.103770PMid:32805722
Lin, Long, Yang, Chen, Xu et al., Serum ferritin as an independent risk factor for severity in COVID-19 patients, Journal of infection, doi:10.1016/j.jinf.2020.06.053PMid:32592705PMCid
Lin, Long, Yang, Chen, Xu et al., Serum ferritin as an independent risk factor for severity in COVID-19 patients, Journal of infection, doi:10.1016/j.jinf.2020.06.053PMid:32592705PMCid
Luo, Liao, Shen, Li, Cheng, Vitamin D deficiency is associated with COVID-19 incidence and disease severity in Chinese people, The Journal of nutrition, doi:10.1093/jn/nxaa332PMid:33188401
Nimavat, Singh, Singh, Singh, Sinha, Vitamin D deficiency and COVID-19: A case-control study at a tertiary care hospital in India, Annals of Medicine and Surgery, doi:10.1016/j.amsu.2021.102661PMid:34377451
Prietl, Treiber, Pieber, Amrein, Vitamin D and immune function, Nutrients, doi:10.3390/nu5072502PMid:23857223PMCid:PMC3738984
Radujkovic, Hippchen, Tiwari-Heckler, Vitamin D deficiency and outcome of COVID-19 patients, Nutrients, doi:10.3390/nu12092757
Smet, Smet, Herroelen, Gryspeerdt, Martens, Serum 25 (OH) D level on hospital admission associated with COVID-19 stage and mortality, American journal of clinical pathology, doi:10.1093/ajcp/aqaa252PMid:33236114PMCid:PMC7717135
Teama, Abdelhakam, Elmohamadi, Badr, Vitamin D deficiency as a predictor of severity in patients with COVID-19 infection, Science Progress, doi:10.1177/00368504211036854
Teama, Abdelhakam, Elmohamadi, Badr, Vitamin D deficiency as a predictor of severity in patients with COVID-19 infection, Science Progress, doi:10.1177/00368504211036854PMid:34347528PMCid:PMC10450705
Wang, Hu, Hu, Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China, JAMA, doi:10.1001/jama.2020.1585PMid:32031570PMCid:PMC7042881
Wang, Shi, Wang, Duan, Yang, Albumin and total bilirubin for severity and mortality in coronavirus disease 2019 patients, Journal of Clinical Laboratory Analysis, doi:10.1002/jcla.23412PMid:32745325PMCid:PMC7323086
Wang, Shi, Wang, Duan, Yang, Albumin and total bilirubin for severity and mortality in coronavirus disease 2019 patients, Journal of Clinical Laboratory Analysis, doi:10.1002/jcla.23412PMid:32745325PMCid:PMC7323086
Yang, Liu, Liu, COVID-19: immunopathogenesis and Immunotherapeutics, Signal transduction and targeted therapy, doi:10.1038/s41392-020-00243-2PMid:32712629PMCid:PMC7381863
Yao, Cao, Wang, Shi, Liu et al., D-dimer as a biomarker for disease severity and mortality in COVID-19 patients: a case control study, Journal of intensive care, doi:10.1186/s40560-020-00466-zPMid:32665858PMCid:PMC7348129
Yao, Cao, Wang, Shi, Liu et al., D-dimer as a biomarker for disease severity and mortality in COVID-19 patients: a case control study, Journal of intensive care, doi:10.1186/s40560-020-00466-zPMid:32665858PMCid:PMC7348129
Ye, Tang, Liao, Does serum vitamin D level affect COVID-19 infection and its severity? -A case-control study, Journal of the American College of Nutrition, doi:10.1080/07315724.2020.1826005PMid:33048028
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"abstract": "<jats:p>Background: Coronavirus disease (COVID-19) is a global pandemic caused by SARS-CoV-2. Vitamin D has immunomodulatory and anti-inflammatory properties, potentially influencing the disease course. This study assessed the prevalence of 25(OH) vitamin D deficiency in COVID-19 patients and its association with disease severity in the Indian population.\nMethodology: A hospital-based cross-sectional study was conducted at Medical College, Kolkata, including 100 RT-PCR-confirmed moderate and severe COVID-19 patients. Disease severity was categorized based on oxygen saturation. Serum 25-Hydroxy vitamin D levels were measured on admission, along with other hematological and biochemical parameters. High-resolution CT scans were performed to assess pulmonary involvement.\nResults: Vitamin D insufficiency and deficiency were observed in 18% and 67% of patients, respectively. Deficiency was more prevalent in severe cases (82.97%) than moderate cases (52.83%). The mean vitamin D levels in moderate and severe disease groups were 23.23±8.74 and 17.17±8.09 ng/ml, respectively. A significant association was found between vitamin D deficiency and COVID-19 severity (P = 0.006). The vitamin D cutoff for predicting severe disease was 18.57 ng/dl.\nConclusion: Vitamin D deficiency is strongly associated with severe COVID-19 in the Indian population. Low vitamin D levels may predict disease severity, suggesting supplementation as a potential preventive strategy.</jats:p>",
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"short-title": [],
"source": "Crossref",
"subject": [],
"subtitle": [],
"title": "A Study on Serum Vitamin D3 Level in Patients with Covid-19: A Cross-Sectional Study in Kolkata",
"type": "journal-article",
"volume": "15"
}
