Article ; Online: Vitamin D deficiency is associated with higher risks for SARS-CoV-2 infection and COVID-19 severity: a retrospective case-control study.
Internal and emergency medicine
2022 Volume 17, Issue 4, Page(s) 1053–1063
Abstract: Robust evidence of whether vitamin D deficiency is associated with COVID-19 infection and ... its severity is still lacking. The aim of the study was to evaluate the association between vitamin D levels ... for which vitamin D levels and body mass index (BMI) were available before the pandemic: group (A), in which 41,757 ...
Abstract | Robust evidence of whether vitamin D deficiency is associated with COVID-19 infection and its severity is still lacking. The aim of the study was to evaluate the association between vitamin D levels and the risks of SARS-CoV-2 infection and severe disease in those infected. A retrospective study was carried out among members of Clalit Health Services (CHS), the largest healthcare organization in Israel, between March 1 and October 31, 2020. We created two matched case-control groups of individuals for which vitamin D levels and body mass index (BMI) were available before the pandemic: group (A), in which 41,757 individuals with positive SARS-CoV-2 PCR tests were matched with 417,570 control individuals without evidence of infection, and group (B), in which 2533 patients hospitalized in severe condition for COVID-19 were matched with 2533 patients who were tested positive for SARS-CoV-2, but were not hospitalized. Conditional logistic models were fitted in each of the groups to assess the association between vitamin D levels and outcome. An inverse correlation was demonstrated between the level of vitamin D and the risks of SARS-CoV-2 infection and of severe disease in those infected. Patients with very low vitamin D levels (< 30 nmol/L) had the highest risks for SARS-CoV-2 infection and also for severe COVID-19 when infected-OR 1.246 [95% CI 1.210-1.304] and 1.513 [95% CI 1.230-1.861], respectively. In this large observational population study, we show a significant association between vitamin D deficiency and the risks of SARS-CoV-2 infection and of severe disease in those infected. |
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MeSH term(s) | COVID-19/complications ; COVID-19/epidemiology ; Case-Control Studies ; Humans ; Retrospective Studies ; SARS-CoV-2 ; Vitamin D ; Vitamin D Deficiency/complications ; Vitamin D Deficiency/epidemiology ; Vitamins |
Chemical Substances | Vitamins ; Vitamin D (1406-16-2) |
Language | English |
Publishing date | 2022-01-09 |
Publishing country | Italy |
Document type | Journal Article |
ZDB-ID | 2454173-4 |
ISSN | 1970-9366 ; 1828-0447 |
ISSN (online) | 1970-9366 |
ISSN | 1828-0447 |
DOI | 10.1007/s11739-021-02902-w |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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