RETRACTED: Vitamin D sufficiency, a serum 25-hydroxyvitamin D at least 30 ng/mL reduced risk for adverse clinical outcomes in patients with COVID-19 infection

被引:196
作者
Maghbooli, Zhila [1 ,2 ]
Sahraian, Mohammad Ali [1 ]
Ebrahimi, Mehdi [3 ]
Pazoki, Marzieh [4 ]
Kafan, Samira [5 ]
Tabriz, Hedieh Moradi [6 ]
Hadadi, Azar [5 ]
Montazeri, Mahnaz [5 ]
Nasiri, Mehrad [2 ]
Shirvani, Arash [7 ]
Holick, Michael F. [7 ]
机构
[1] Univ Tehran Med Sci, Multiple Sclerosis Res Ctr, Neurosci Inst, Tehran, Iran
[2] Univ Tehran Med Sci, Sina Hosp, Res Dev Ctr, Tehran, Iran
[3] Univ Tehran Med Sci, Sina Hosp, Endocrinol Dept, Tehran, Iran
[4] Univ Tehran Med Sci, Sina Hosp, Dept Infect Dis, Tehran, Iran
[5] Univ Tehran Med Sci, Sina Hosp, Dept Internal Med, Tehran, Iran
[6] Univ Tehran Med Sci, Sina Hosp, Dept Pathol, Tehran, Iran
[7] Boston Univ, Med Ctr, Dept Med, Sect Endocrinol Nutr Diabet & Weight Management, Boston, MA 02215 USA
关键词
D DEFICIENCY;
D O I
10.1371/journal.pone.0239799
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background To investigate the association between serum 25-hydroxyvitamin D levels and its effect on adverse clinical outcomes, and parameters of immune function and mortality due to a SARS-CoV-2 infection. Study design The hospital data of 235 patients infected with COVID-19 were analyzed. Results Based on CDC criteria, among our study patients, 74% had severe COVID-19 infection and 32.8% were vitamin D sufficient. After adjusting for confounding factors, there was a significant association between vitamin D sufficiency and reduction in clinical severity, inpatient mortality serum levels of C-reactive protein (CRP) and an increase in lymphocyte percentage. Only 9.7% of patients older than 40 years who were vitamin D sufficient succumbed to the infection compared to 20% who had a circulating level of 25(OH)D< 30 ng/ml. The significant reduction in serum CRP, an inflammatory marker, along with increased lymphocytes percentage suggest that vitamin D sufficiency also may help modulate the immune response possibly by reducing risk for cytokine storm in response to this viral infection. Conclusion Therefore, it is recommended that improving vitamin D status in the general population and in particular hospitalized patients has a potential benefit in reducing the severity of morbidities and mortality associated with acquiring COVID-19.
引用
收藏
页数:13
相关论文
共 37 条
[1]   Vitamin D and the anti-viral state [J].
Beard, Jeremy A. ;
Bearden, Allison ;
Striker, Rob .
JOURNAL OF CLINICAL VIROLOGY, 2011, 50 (03) :194-200
[2]  
Beigel JH, 2020, NEW ENGL J MED, V383, P1813, DOI [10.1056/NEJMc2022236, 10.1056/NEJMoa2007764]
[3]   Vitamin D status has a linear association with seasonal infections and lung function in British adults [J].
Berry, Diane J. ;
Hesketh, Kathryn ;
Power, Chris ;
Hyppoenen, Elina .
BRITISH JOURNAL OF NUTRITION, 2011, 106 (09) :1433-1440
[4]   Extraskeletal actions of vitamin D [J].
Bikle, Daniel D. .
MARROW 2016, VOL 1376, 2016, 1376 :29-52
[5]  
Bordelon P, 2009, AM FAM PHYSICIAN, V80, P841
[6]   Vitamin D and host resistance to infection? Putting the cart in front of the horse [J].
Bruce, Danny ;
Ooi, Jot Hui ;
Yu, Sanhong ;
Cantorna, Margherita T. .
EXPERIMENTAL BIOLOGY AND MEDICINE, 2010, 235 (08) :921-927
[7]   Novel Antiviral Strategies in the Treatment of COVID-19: A Review [J].
Chen, Shiu-Jau ;
Wang, Shao-Cheng ;
Chen, Yuan-Chuan .
MICROORGANISMS, 2020, 8 (09) :1-13
[8]   Preliminary Estimates of the Prevalence of Selected Underlying Health Conditions Among Patients with Coronavirus Disease 2019-United States, February 12-March 28, 2020 [J].
Chow, Nancy ;
Fleming-Dutra, Katherine ;
Gierke, Ryan ;
Hall, Aron ;
Hughes, Michelle ;
Pilishvili, Tamara ;
Ritchey, Matthew ;
Roguski, Katherine ;
Skoff, Tami ;
Ussery, Emily .
MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT, 2020, 69 (13) :382-386
[9]  
Cucinotta Domenico, 2020, Acta Biomed, V91, P157, DOI 10.23750/abm.v91i1.9397
[10]  
Daneshkhah A, 2020, INFECT DIS EXCEPT HI, DOI [DOI 10.1007/S40520-020-01677-Y, 10.1101/2020.04.08.20058578, DOI 10.1101/2020.04.08.20058578]