COVID-19 was 2.6X more severe if very low Vitamin D (43 studies) β meta-analysis
Therapeutic and prognostic role of vitamin D for COVID-19 infection: A systematic review and meta-analysis of 43 observational studies
The Journal of Steroid Biochemistry and Molecular Biology, https://doi.org/10.1016/j.jsbmb.2021.105883
Fausto Petrellia faupe@libero.IT, Andrea Luciania Gianluca Peregob Giuseppina Dogninic Paolo Luigi Colombellic Antonio Ghidinid
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Highlights
Vitamin D modulates the systemic inflammatory response through interaction with immune system.
We systematically reviewed studies about vitamin D3 and risk and mortality for COVID-19 infection
Reduced vitamin D values resulted in a higher infection risk, mortality and severity COVID-19 infection.
Vitamin D modulates the systemic inflammatory response through interaction with immune system. As such, it has a possible protective role against the risk of respiratory tract infections and other diseases. It may be useful in particular, during COVID-19 pandemic. PubMed, the Cochrane Library, and EMBASE were searched from inception until January 31, 2021, for observational or clinical studies reporting the prognosis (and therapeutic effect) of COVID-19 infection in patients with deficient vitamin D levels. The infection rate, severity, and death from COVID-19 infection were pooled to provide an odds ratio with a 95% confidence interval (OR 95% CI). An ORβ>β1 was associated with the worst outcome in deficient compared with nondeficient patients.
We assessed the association between vitamin D and risk, severity, and mortality for COVID-19 infection, through a review of 43 observational studies. Among subjects with deficient vitamin D values, risk of COVID-19 infection was higher compared to those with replete values (ORβ=β1.26; 95% CI, 1.19-1.34; P < .01). Vitamin D deficiency was also associated with worse severity and higher mortality than in nondeficient patients ( ORβ=β2.6 ; 95% CI, 1.84-3.67; Pβ<β .01 and OR = 1.22; 95% CI, 1.04-1.43; Pβ<β .01, respectively).
Reduced vitamin D values resulted in a higher infection risk, mortality and severity COVID-19 infection. Supplementation may be considered as preventive and therapeutic measure.