The effect of standard-dose wintertime vitamin D supplementation on influenza infection in immunized nursing home elderly residents

Aim To investigate whether three-month oral vitamin D supplementation (800 IU in drops) reduces the risk of in - fluenza infection in elderly nursing home residents vacci - nated against influenza. Methods This cross-sectional observational study enrolled 97 participants (73.2% women) who received one dose of seasonal trivalent 2016-2017 influenza vaccine. The patients were randomized into an experimental group, which re - ceived vitamin D supplementation for three months start - ing on the day of vaccination, and a control group, which did not receive vitamin D supplementation. The primary outcome was the number of influenza infections labora - tory-confirmed using a rapid point-of-care test based on nasal swabs collected during vitamin D supplementation. The secondary outcome was serum 25-hydroxyvitamin D level at the end of the study. Results The mean age ±standard deviation was 78.5± 8.8 years. All participants had vitamin D deficiency at baseline. Twenty-three participants who developed signs of respira - tory infections during the study were tested for influenza virus. Although the number of influenza-positive partici - pants was lower in the group receiving vitamin D supple - mentation as compared with the control group (5 vs 12), this difference was not significant. Vitamin D supplemen - tation failed to increase 25(OH)D levels after three months of supplementation. Conclusion Elderly nursing home residents in Zagreb County have a significant vitamin D deficiency. The recom - mended national supplementation of 800 IU daily failed to lead to vitamin D sufficiency and did not reduce the risk of influenza infection among the vaccinated elderly.