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Figure 1

Flowchart of the course of selection of documents in the systematic review of the literature on vitamin D and COVID, following PRISMA.
Flowchart of the course of selection of documents in the systematic review of the literature on vitamin D and COVID, following PRISMA.

Analyses reviewing effect of Vitamin D on COVID-19 infection, population-level studies.

AUTHORS COUNTRY DESIGN SAMPLE SIZE CENTRE UTCOME (S-SEVERITY/M- MORTALITY/ I-INCIDENCE) Association (YES/NO) EFFECT OF VITAMIN D ON COVID-19
EKO
Moozhipurath RK et al (42) Germany EKO 6524 152 I YES Positive association. UVB radiation (indirect vitamin D) was associated with lower death rates and case fatality rates
Jüni P et al (43) Canada EKO 375 609 144 I NO No associations of epidemic growth of COVID-19 with latitude and temperature
Ilie et al (44) UK EKO / 20 S,M YES Positive association. Significant correlation between low mean vitamin D levels for both COVID-19 fatalities and cases
Singh et al (45) India EKO / 20 I YES Positive association. Significant inverse correlation between vitamin D levels and case rates
Notari A et al (46) Spain EKO / 50 I YES Positive association. Lower mean annual levels of vitamin D were linearly related to increased COVID-19 infection risk
Li M et al (47) USA EKO / 154 I YES Positive association, vitamin D was associated with reduced COVID-19 infection risk

Analyses reviewing the effect of Vitamin D on COVID-19 infection, individual-level studies.

AUTHORS COUNTRY DESIGN SAMPLE SIZE CENTRE UTCOME (S-SEVERITY/M- MORTALITY/ I-INCIDENCE) Association (YES/NO) EFFECT OF VITAMIN D ON COVID-19
EXPERIMENTAL STUDIES
Entrenas Castillo M et al (20) Spain RCT 76 1 S,M YES Positive association. In the treatment group, 2% required admission to the ICU, in the control group 50%
Murai IH et al (21) Brazil DB RCT 240 2 S,M NO No association. Increased 25(OH) D levels in severe COVID patients, did not reduce hospital length of stay or any other relevant outcomes compared to placebo
Rastogi A et al (22) India RCT 40 1 / YES Positive association. With vitamin D supplementation more COVID patients turned COVID-19 PCR test negative with significant decrease in fibrinogen
Annweiler G et al (23) France QES 77 1 S,M YES Positive association. Regular bolus vitamin D supplementation was associated with less severe COVID-19 and better survival in frail elderly nursing home residents
OBSERVATIONAL STUDIES
De Smet D et al (24) Belgium ROCS 186 1 S,M YES Positive association. Vitamin D deficiency is correlated with the risk for hospitalization for COVID-19 pneumonia and predisposes to more advanced radiological disease stages
Jain A et al (25) India ROCS 154 1 / YES Positive association. Vitamin D deficiency in COVID-19 asymptomatic group 32.96% and 96.82% in symptomatic group
Merzon E et al (26) Israel ROCS 14000 / S,I YES Positive association. The results demonstrated that low vitamin D levels are an independent risk factor for COVID-19 infection and hospitalization due to COVID-19
Israel A et al (27) Israel ROCS 576455 / I YES Positive association. Highly significant correlation between prevalence of vitamin D deficiency and COVID-19 incidence
Meltzer DO et al (28) USA ROCS 489 / I YES Positive association. The relative risk of testing positive for COVID-19 was 1.77 times greater for patients with deficient vitamin D status compared with patients with sufficient vitamin D status before disease
Kaufman HW et al (29) USA ROCS 190000 50 I YES Positive association. The SARS-CoV-2 positivity rate was higher in patients with 25(OH)D deficiency
Hastie CE et al (30) UK ROCS 502624 / I NO No association. Pre-infection blood samples did not support the vitamin D and the SARS-CoV-2 link
Daneshkhah A et al (31) USA ROCS 4526 6 I NO Positive association. Vitamin D status of a country’s elderly population was associated with the number of severe cases of Covid-19 in that country
Hernandez et al (32) Spain ROCS 413 1 S YES Positive association. 25(OH)D levels are lower in hospitalized COVID-19 patients than in population
Fasano et al (33) Italy ROCS 2693 1 S YES Positive association. Vitamin D supplementation was protective for developing COVID-19 in patient with Parkinson disease
Maghbooli Z et al (34) Iran ROCS 235 1 S YES Positive association between sufficient vitamin D levels and the reduction in clinical severity for COVID-19
D’Avolio A et al (35) Swizerland ROCS 107 1 I YES Positive association. Significantly lower 25(OH)D levels were found in PCR-positive for SARS-CoV-2 patients compared with negative patients
Carpagnano GE et al (36) Italy ROCS 42 1 S,M YES Positive association. Significantly higher mortality rate among patients with vitamin D deficiency in the ICU
Baktash V et al (37) UK ROCS 105 1 S,M YES Positive association. Patients with vitamin D deficiency and COVID-19 may demonstrate worse morbidity outcomes
Mardani Ret al (38) Iran ROCS 123 1 I YES Positive association. Angiotensin-converting enzyme (ACE) concentration showed a higher quantity among individuals with COVID-19 with insufficient vitamin D concentration
Radujkovic A et al (39) Germany ROCS 185 1 S,M YES Positive association. Vitamin D deficiency was associated with higher risk of invasive mechanical ventilation and death
Karahan S et al (40) Turkey ROCS 149 1 S,M YES Positive association. Mean serum 25(OH)D was significantly lower in patients with severe-critical COVID-19 compared with moderate COVID-19
Faniyi AA (41) UK ROCS 392 1 I YES Positive association. UK health professionals with vitamin D deficiency were more likely to be seropositive for COVID-19 antibodies
eISSN:
1854-2476
Lingua:
Inglese
Frequenza di pubblicazione:
4 volte all'anno
Argomenti della rivista:
Medicine, Clinical Medicine, Hygiene and Environmental Medicine