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Baseline serum vitamin A and vitamin C levels and their association with disease severity in COVID-19 patients

Yilmaz et al., Acta Biomedica Atenei Parmensis, doi:10.23750/abm.v94i1.13655
Feb 2023  
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Vitamin C for COVID-19
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Analysis of 53 consecutive hospitalized COVID-19 patients and 26 matched controls, showing significantly lower vitamin A and vitamin C levels in COVID-19 patients, and a negative correlation between vitamin A and vitamin C levels and CT scores and length of hospitalization.
Study covers vitamin C and vitamin A.
Yilmaz et al., 13 Feb 2023, retrospective, Turkey, peer-reviewed, 14 authors, study period May 2020 - July 2020.
This PaperVitamin CAll
Baseline serum vitamin A and vitamin C levels and their association with disease severity in COVID-19 patients
Gulseren Yilmaz, Huri Bulut, Derya Ozden Omaygenc, Aysu Akca, Esra Can, Nevin Tuten, Aysegul Bestel, Baki Erdem, Uygar Ozan Atmaca, Yasin Kara, Ebru Kaya, Murat Ünsel, Ayca Sultan, Ziya Salihoglu
doi:10.23750/abm.v94i1.13655
Aim: We aimed to investigate the association between the serum concentrations of Vitamin A and Vitamin C and the severity of the COVID-19. Methods: Fifty-three consecutive PCR (+) COVID-19 patients admitted to a dedicated ward were enrolled in this study. Blood samples for serum Vitamin A and C measurements were drawn from all participants upon admission. All subjects underwent thoracic CT imaging prior to hospitalization. CT severity score (CT-SS) was then calculated for determining the extent of pulmonary involvement. A group of healthy volunteers, in whom COVID-19 was ruled out, were assigned to the control group (n=26). These groups were compared by demographic features and serum vitamin A and C levels. The relationship between serum concentrations of these vitamins and pre-defined outcome measures, CT-SS and length of hospitalization (LOH), was also assessed. Results: In COVID-19 patients, serum Vitamin A (ng/ml, 494±96 vs. 698±93; p<0.001) and Vitamin C (ng/ml, 2961 [1991-31718] vs. 3953 [1385-8779]; p=0.007) levels were significantly lower with respect to healthy controls. According to the results of correlation analyses, there was a significant negative association between Vitamin A level and outcome measures (LOH, p=0.010). The negative correlations between Vitamin C level and those measures were even more prominent (LOH, r=-0.478; p<0.001 and CT-SS, r=-0.734: p<0.001). Conclusion: COVID-19 patients had lower baseline serum Vitamin A and Vitamin C levels as compared to healthy controls. In subjects with COVID-19, Vitamin A and Vitamin C levels were negatively correlated with CT-SS and LOH. (www.actabiomedica.it)
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