Vitamin D in the prevention or treatment of COVID-19.
Study Goal
The researchers aimed to evaluate the potential role of vitamin D supplementation in preventing or treating COVID-19.
Results Summary
Observational studies suggest protective associations between higher vitamin D levels and reduced COVID-19 risk and severity, but randomized controlled trials show inconsistent results, and genetic studies found no significant link. Current evidence does not support routine vitamin D use for COVID-19 prevention or treatment.
Population
General population in relation to COVID-19 outcomes.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
vitamin D supplementation | increase | innate antiviral responses | in vitro cell cultures | - | induces | #1 |
active vitamin D metabolite 1,25-dihydroxyvitamin D | decrease | immunopathological inflammation | in vitro cell cultures | - | regulates | #2 |
higher circulating 25-hydroxyvitamin D [25(OH)D] concentrations | decrease | risk of COVID-19 | human participants | - | protective associations | #3 |
vitamin D supplement use | decrease | risk of COVID-19 | human participants | - | protective associations | #4 |
higher circulating 25-hydroxyvitamin D [25(OH)D] concentrations | decrease | severity of COVID-19 | human participants | - | protective associations | #5 |
vitamin D supplement use | decrease | severity of COVID-19 | human participants | - | protective associations | #6 |
genetically predicted circulating 25(OH)D concentrations | no change | COVID-19 outcomes | human participants | - | null results | #7 |
prophylactic vitamin D supplementation | no change | risk of COVID-19 | human participants | - | inconsistent findings | #8 |
therapeutic vitamin D supplementation | no change | severity of COVID-19 | human participants | - | inconsistent findings | #9 |
vitamin D supplements | no change | prevention of COVID-19 | human participants | - | insufficient evidence to support routine use | #10 |
vitamin D supplements | no change | treatment of COVID-19 | human participants | - | insufficient evidence to support routine use | #11 |
vitamin D supplements | no change | augment immunogenicity of SARS-CoV-2 vaccination | human participants | - | insufficient evidence to support routine use | #12 |
This review summarises evidence relating to a potential role for vitamin D supplementation in the prevention or treatment of coronavirus disease 2019 (COVID-19). Laboratory studies show that the active vitamin D metabolite 1,25-dihydroxyvitamin D induces innate antiviral responses and regulates immunopathological inflammation with potentially favourable implications for the host response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Meta-analyses of cross-sectional, case-control and longitudinal studies report consistent protective associations between higher circulating 25-hydroxyvitamin D [25(OH)D] concentrations or vitamin D supplement use and reduced risk and severity of COVID-19. However, Mendelian randomisation studies testing for associations between genetically predicted circulating 25(OH)D concentrations and COVID-19 outcomes have yielded consistently null results. Positive findings from observational epidemiological studies may therefore have arisen as a result of residual or unmeasured confounding or reverse causality. Randomised controlled trials of prophylactic or therapeutic vitamin D supplementation to reduce risk or severity of COVID-19 reporting to date have yielded inconsistent findings. Results of further intervention studies are pending, but current evidence is insufficient to support routine use of vitamin D supplements as a therapeutic or prophylactic agent for COVID-19, or as an adjunct to augment immunogenicity of SARS-CoV-2 vaccination. Accordingly, national and international bodies have not made any recommendations regarding a role for vitamin D in the prevention or treatment of COVID-19.