Department of Pharmacology, Toxicology and Clinical Pharmacology, Iuliu Hațieganu University of Medicine and Pharmacy, 400337 Cluj-Napoca, Romania.
Nutrients. 2023 Aug 5;15(15):3470. doi: 10.3390/nu15153470.
The coronavirus disease 2019 (COVID-19) pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) has become a global health crisis and pushed researchers and physicians to discover possible treatments to improve the outcome of their patients. Vitamin D, known for its role in immune system function, has been hypothesized to play a role in COVID-19 treatment. A systematic review and meta-analysis were conducted to evaluate the efficacy of vitamin D supplementation in COVID-19, focusing on length of hospital stay (LOS), admission to the intensive care unit (ICU), and mortality. Thirteen randomized controlled trials (RCTs) were included, and the meta-analysis revealed that high-dose vitamin D supplementation showed potential benefits in reducing the length of hospital stay and ICU admission rates for patients with COVID-19. However, the overall effect on mortality did not reach statistical significance. While this systematic review suggests the potential benefits of high-dose vitamin D supplementation in reducing hospital stays and ICU admission in COVID-19 patients, caution is warranted due to the high heterogeneity and limitations of the included studies. Further large-scale randomized controlled trials with consistent study characteristics are needed to provide more robust evidence regarding the therapeutic benefits of vitamin D supplementation in COVID-19 outcomes.
由严重急性呼吸系统综合症冠状病毒 2 型(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)大流行已成为全球卫生危机,促使研究人员和医生寻找可能的治疗方法,以改善患者的预后。维生素 D 以其在免疫系统功能中的作用而闻名,据推测它在 COVID-19 的治疗中发挥作用。进行了一项系统评价和荟萃分析,以评估维生素 D 补充剂在 COVID-19 中的疗效,重点是住院时间(LOS)、入住重症监护病房(ICU)和死亡率。共纳入了 13 项随机对照试验(RCT),荟萃分析显示,高剂量维生素 D 补充剂可能有助于缩短 COVID-19 患者的住院时间和 ICU 入院率。然而,总体死亡率的影响没有达到统计学意义。虽然这项系统评价表明高剂量维生素 D 补充剂在降低 COVID-19 患者住院时间和 ICU 入院率方面具有潜在益处,但由于纳入研究的高度异质性和局限性,需要谨慎对待。需要进一步开展具有一致研究特征的大规模随机对照试验,以提供关于维生素 D 补充治疗 COVID-19 结局的疗效的更有力证据。