SCVSA Department, University of Parma, Parma, Italy.
Laboratory Medicine Service, San Raffaele Hospital, Milano, Italy.
Int J Vitam Nutr Res. 2021 Jun;91(3-4):200-203. doi: 10.1024/0300-9831/a000687. Epub 2020 Nov 2.
The world is currently overwhelmed by a novel coronavirus disease (COVID-19). Clinically, COVID-19 shows a broad range of manifestations: from asymptomatic to severe and possibly lethal interstitial pneumonia. Several studies suggested the involvement of Vitamin-D (VitD) in reducing the risk of COVID-19 infections/severity. However, most of them are based on circumstantial evidences, like the association between latitude-related sunlight exposure and mortality rate, while studies based on patients' VitD measurements are still scarce. Therefore, we retrospectively analyzed the VitD levels (measured as 25-hydroxyvitamin-D) from a cohort of 347 patients admitted to a northern Italian Hospital as suspected COVID-19s. Of them, 128 were positive (83 males, aged 62.7 ± 14.2 and 45 females, aged 69.3 ± 15.6) and 219 were negative (107 males, aged 62.8 ± 19.5 and 112 females, aged 54.3 ± 20.1). The averaged VitD levels were similar in the two groups: 21.8 ± 16.1 ng/mL and 22.8 ± 14.0 ng/mL for the COVID-19 positive and negative group respectively (-value: 0.39), as well as the percentage of individuals having VitD levels below 30 ng/mL: 78.9% and 73.5% for the COVID-19 positive and negative group respectively. Because a large portion of patients were below the suggested 30 ng/mL threshold, we can't exclude that VitD supplementation, restoring normal levels, might be beneficial in reducing the risk of infection.
目前,全世界正面临着一种新型冠状病毒病(COVID-19)。临床上,COVID-19 表现出广泛的症状:从无症状到严重,甚至可能致命的间质性肺炎。一些研究表明维生素 D(VitD)参与降低 COVID-19 感染/严重程度的风险。然而,大多数研究都是基于间接证据,例如与纬度相关的阳光照射与死亡率之间的关联,而基于患者 VitD 测量的研究仍然很少。因此,我们回顾性分析了 347 名因疑似 COVID-19 而入住意大利北部一家医院的患者的 VitD 水平(以 25-羟维生素 D 表示)。其中 128 例为阳性(83 名男性,年龄 62.7±14.2 岁;45 名女性,年龄 69.3±15.6 岁),219 例为阴性(107 名男性,年龄 62.8±19.5 岁;112 名女性,年龄 54.3±20.1 岁)。两组患者的 VitD 水平相似:COVID-19 阳性组为 21.8±16.1ng/ml,COVID-19 阴性组为 22.8±14.0ng/ml(-值:0.39),VitD 水平低于 30ng/ml 的患者比例也相似:COVID-19 阳性组为 78.9%,COVID-19 阴性组为 73.5%。由于很大一部分患者的 VitD 水平低于建议的 30ng/ml 阈值,因此我们不能排除 VitD 补充,使其恢复正常水平,可能有助于降低感染风险。