1. The role of vitamin D in prevention OF COVID-19 and its severity: an umbrella review.
- Author
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Margarucci LM, Montanari E, Gianfranceschi G, Caprara C, Valeriani F, Piccolella A, Lombardi V, Scaramucci E, and Romano Spica V
- Subjects
- Humans, SARS-CoV-2, Vitamin D, Vitamins therapeutic use, COVID-19, Vitamin D Deficiency prevention & control
- Abstract
Background and Aim: Vitamin D is known to modulate immune response and its deficiency was associated with respiratory distress in patients hospitalized for pneumonia. Nevertheless, numerous reviews on vitamin D in COVID-19 patients have shown conflicting results, as previously reported also for other respiratory diseases (e.g., influenza)., Methods: This umbrella review aims to assess whether low serum 25-OHD is associated with susceptibility to COVID 19, their severity, and mortality. A total of 1559 studies were excluded after the title, abstract and full-text articles screening and 9 papers were included in this review: 2 systematic reviews and 7 metanalysis., Results: The findings of this review that summarized studies from 5 WHO regions (European Region, Region of the Americas, South-East Asia Region, Eastern Mediterranean Region, Western Pacific Region) to exclusion only African region, show that low serum 25-OHD levels are associated with higher infection risks for COVID-19., Conclusions: Although the umbrella findings indicate a potential role of vitamin D deficiency in COVID-19 severity in hospitalized patients and showing an association between Vitamin D supplementation and COVID-19 severity, however, more robust data from randomized controlled trials are further needed to confirm a possible association with the mortality rates.
- Published
- 2021
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