Department of Biochemistry and Hematology, Semnan University of Medical Sciences, Semnan, Iran.
Department of Bacteriology and Virology, Semnan University of Medical Sciences, Semnan, Iran.
Front Cell Infect Microbiol. 2024 Mar 8;14:1360075. doi: 10.3389/fcimb.2024.1360075. eCollection 2024.
Since there is very little information about the relationship between platelet parameters and vitamin D concentration in patients with COVID-19, the aim of this study is to investigate the relationship between serum vitamin D level and platelet parameters in patients with COVID-19 and to compare these parameters in patients with COVID-19 without vitamin D deficiency and, subsequently, the prognostic value of these parameters in cases of vitamin D deficiency.
Seven hundred and forty-three patients diagnosed with COVID-19 were enrolled in this study. Patients were divided into two groups: those with and without vitamin D deficiency. The associations between platelet indices and vitamin D levels were analyzed by Pearson's correlation analysis and a one-way ANOVA test.
Platelet count and mean platelet volume (MPV) were significantly higher in the patients with vitamin D deficiency than in the patients without vitamin D deficiency. There was a significant negative correlation between platelet count and MPV with vitamin D levels in patients with vitamin D deficiency (r = -0.835, P = 0.001 & r = -0.324, P = 0.042, respectively). Vitamin D levels in COVID-19 patients can determine the platelet count and MPV of the patients.
The aforementioned results imply that maintaining an elevated concentration of vitamin D in COVID-19 patients is important because it is associated with a decrease in MPV, which in turn reduces susceptibility to diseases such as coronary artery disease.
由于关于 COVID-19 患者血小板参数与维生素 D 浓度之间关系的信息很少,因此本研究旨在探讨 COVID-19 患者血清维生素 D 水平与血小板参数之间的关系,并比较 COVID-19 患者中维生素 D 缺乏和不缺乏患者的这些参数,随后评估这些参数在维生素 D 缺乏病例中的预后价值。
本研究纳入了 743 名确诊为 COVID-19 的患者。患者被分为两组:维生素 D 缺乏组和非缺乏组。通过 Pearson 相关分析和单因素方差分析来分析血小板指数与维生素 D 水平之间的关系。
维生素 D 缺乏组的血小板计数和平均血小板体积(MPV)明显高于非缺乏组。维生素 D 缺乏患者中,血小板计数和 MPV 与维生素 D 水平呈显著负相关(r = -0.835,P = 0.001 和 r = -0.324,P = 0.042)。COVID-19 患者的维生素 D 水平可以决定患者的血小板计数和 MPV。
上述结果表明,在 COVID-19 患者中保持较高的维生素 D 浓度很重要,因为它与 MPV 降低有关,而 MPV 降低又会降低患冠心病等疾病的易感性。