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Vitamin D in the prevention or treatment of COVID-19.

The Proceedings of the Nutrition Society
May 1, 2023
Adrian R Martineau
Journal ArticleReviewHuman StudyMolecular Study
Study Details

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

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
HumansCOVID-19SARS-CoV-2COVID-19 VaccinesCross-Sectional StudiesVitamin DVitaminsDietary SupplementsVitamin D Deficiency
Study Links
Quality Scores
SafetyNot Assessed
Efficacy50/10
Quality75/10
Citation Metrics
Total Citations11
Citations/Year5.5
Relative Citation Ratio2.58
NIH Percentile81.6%
Research Impact Scores
APT Score0.75
Weight Score1.37
Normalized Score0.55
Related Supplements
Vitamin D in the prevention or treatment of COVID-19. | Panacea Index