Associations between pre-infection serum vitamin D concentrations and Omicron COVID-19 incidence, severity and reoccurrence in elderly individuals.

Autor:	Chen J; Bone Metabolism and Development Research Center, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, Zhejiang Province317000, People's Republic of China.; Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, People's Republic of China., Lu F; Bone Metabolism and Development Research Center, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, Zhejiang Province317000, People's Republic of China.; Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, People's Republic of China., Shen B; Department of Clinical Laboratory, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, People's Republic of China., Xu H; Health Management Center, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, People's Republic of China., Chen Y; Department of Clinical Laboratory, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, People's Republic of China., Hu Q; Bone Metabolism and Development Research Center, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, Zhejiang Province317000, People's Republic of China.; Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, People's Republic of China., Xu A; Department of Orthopedics, Linhai Second People's Hospital of Taizhou, Linhai, Zhejiang, China., Tung TH; Department of Clinical Research, Enze Medical Center, Taizhou, China., Hong D; Bone Metabolism and Development Research Center, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, Zhejiang Province317000, People's Republic of China.; Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, People's Republic of China.
Jazyk:	angličtina
Zdroj:	Public health nutrition [Public Health Nutr] 2024 Oct 07; Vol. 27 (1), pp. e197. Date of Electronic Publication: 2024 Oct 07.
DOI:	10.1017/S1368980024001873
Abstrakt:	Objective: Previous studies suggest a link between vitamin D status and COVID-19 susceptibility in hospitalised patients. This study aimed to investigate whether vitamin D concentrations in elderly individuals were associated with their susceptibility to Omicron COVID-19 incidence, the severity of the disease and the likelihood of reoccurrence during the era of the post-'zero-COVID-19' policies in China. Design: In this retrospective study, participants were categorised into three groups based on their 25(OH)D concentrations: deficiency (< 20 ng/ml), insufficiency (20 to < 30 ng/ml) and sufficiency (≥ 30 ng/ml). The demographic and clinical characteristics, comorbidities and the incidence rate, reoccurrence rate and severity of Omicron COVID-19 were retrospectively recorded and analysed by using hospital information system data and an online questionnaire survey. Setting: China. Participants: 222 participants aged 60 years or older from a health management centre. Results: Our findings revealed significant differences in the incidence ( P = 0·03) and recurrent rate ( P = 0·02) of Omicron COVID-19 among the three groups. Participants with lower 25(OH)D concentrations (< 20 ng/ml) exhibited higher rates of initial incidence and reoccurrence and a greater percentage of severe and critical cases. Conversely, individuals with 25(OH)D concentrations ≥ 30 ng/ml had a higher percentage of mild cases ( P = 0·003). Binary and ordinal logistic regression models indicated that vitamin D supplementation was not a significant risk factor for COVID-19 outcomes. Conclusions: In the elderly population, pre-infection vitamin D deficiency was associated with increased susceptibility to incidence, severity of illness and reoccurrence rates of Omicron COVID-19.
Databáze:	MEDLINE
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