Vitamin D Deficiency and Comorbidities as Risk Factors of COVID-19 Infection: A Systematic Review and Meta-analysis

Autor: Pinki Mishra, Rizwana Parveen, Ram Bajpai, Nidhi Agarwal
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Preventive Medicine and Public Health, Vol 55, Iss 4, Pp 321-333 (2022)
Druh dokumentu: article
ISSN: 1975-8375
2233-4521
DOI: 10.3961/jpmph.21.640
Popis: Objectives Extensive evidence links low vitamin D status and comorbidities with coronavirus disease 2019 (COVID-19) outcomes, but the results of published studies are contradictory. Therefore, we investigated the association of lower levels of vitamin D and comorbidities with the risk of COVID-19 infection. Methods We searched MEDLINE (via PubMed), Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov for articles published until August 20, 2021. Sixteen eligible studies were identified (386 631 patients, of whom 181 114 were male). We included observational cohort and case-control studies that evaluated serum levels of vitamin D in COVID-19-positive and COVID-19-negative patients. Mean differences (MDs) with 95% confidence intervals (CIs) were calculated. Results Significantly lower vitamin D levels were found in COVID-19-positive patients (MD, −1.70; 95% CI, −2.74 to −0.66; p=0.001), but with variation by study design (case-control: −4.04; 95% CI, −5.98 to −2.10; p
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