Association of vitamin D deficiency with clinical presentation of COVID-19

Background The coronavirus disease 2019 (COVID-19) is a respiratory virus, the spread of which has caused a global pandemic with catastrophic consequences. The current study aimed to investigate the association between vitamin D deficiency and the clinical presentation of COVID-19. Patients and meth...

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Main Authors: Mazen Almehmadi, Abdullah Turjoman, Ahmad El-Askary, Alaa Shafie, Fatimah Rebh, Muhannad Alenazi, Mustafa Halawi, Amal F. Gharib
Format: Article
Language:English
Published: SAGE Publishing 2021-08-01
Series:European Journal of Inflammation
Online Access:https://doi.org/10.1177/20587392211038315
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author Mazen Almehmadi
Abdullah Turjoman
Ahmad El-Askary
Alaa Shafie
Fatimah Rebh
Muhannad Alenazi
Mustafa Halawi
Amal F. Gharib
author_facet Mazen Almehmadi
Abdullah Turjoman
Ahmad El-Askary
Alaa Shafie
Fatimah Rebh
Muhannad Alenazi
Mustafa Halawi
Amal F. Gharib
author_sort Mazen Almehmadi
collection DOAJ
description Background The coronavirus disease 2019 (COVID-19) is a respiratory virus, the spread of which has caused a global pandemic with catastrophic consequences. The current study aimed to investigate the association between vitamin D deficiency and the clinical presentation of COVID-19. Patients and methods The current study included 166 COVID-19 patients recruited from Prince Mohammad Bin Abdulaziz Hospital in Riyadh, Saudi Arabia. The study was conducted from October 2020 to January 2021. Patients were diagnosed by positive polymerase chain reaction (PCR) results. History and clinical data were collected for all subjects. In addition, laboratory analysis was done to estimate blood levels of 25 hydroxyvitamin D (25(OH)D), C-reactive protein (CRP), ferritin, parathyroid hormone (PTH), alanine aminotransferase (ALT), D-dimer, calcium, and relative lymphocytic count. COVID-19 patients were divided into three subgroups according to their vitamin D status. Patients were considered sufficient when their vitamin D level was above 30 ng/mL. Patients with vitamin D levels below 20 ng/mL were considered deficient. Patients with vitamin D levels ranging from 20 ng/mL to 30 ng/mL were considered insufficient. Results Our results showed that 81 patients (49%) were deficient in vitamin D, and 48 patients (29%) were insufficient in vitamin D. Only 37 patients (22%) had normal vitamin D levels. Moreover, a significant difference was found regarding the inflammatory markers of COVID-19 severity. Also, vitamin D levels were inversely correlated with the markers used for monitoring the condition of COVID-19 patients: ferritin, CRP, and D-dimer. Conclusion Our results showed that vitamin D deficiency was associated with increased levels of inflammatory markers of COVID-19 infection.
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spelling doaj.art-09ebd75762894d72befab9fa3795eb492022-12-21T22:09:52ZengSAGE PublishingEuropean Journal of Inflammation2058-73922021-08-011910.1177/20587392211038315Association of vitamin D deficiency with clinical presentation of COVID-19Mazen AlmehmadiAbdullah TurjomanAhmad El-AskaryAlaa ShafieFatimah RebhMuhannad AlenaziMustafa HalawiAmal F. GharibBackground The coronavirus disease 2019 (COVID-19) is a respiratory virus, the spread of which has caused a global pandemic with catastrophic consequences. The current study aimed to investigate the association between vitamin D deficiency and the clinical presentation of COVID-19. Patients and methods The current study included 166 COVID-19 patients recruited from Prince Mohammad Bin Abdulaziz Hospital in Riyadh, Saudi Arabia. The study was conducted from October 2020 to January 2021. Patients were diagnosed by positive polymerase chain reaction (PCR) results. History and clinical data were collected for all subjects. In addition, laboratory analysis was done to estimate blood levels of 25 hydroxyvitamin D (25(OH)D), C-reactive protein (CRP), ferritin, parathyroid hormone (PTH), alanine aminotransferase (ALT), D-dimer, calcium, and relative lymphocytic count. COVID-19 patients were divided into three subgroups according to their vitamin D status. Patients were considered sufficient when their vitamin D level was above 30 ng/mL. Patients with vitamin D levels below 20 ng/mL were considered deficient. Patients with vitamin D levels ranging from 20 ng/mL to 30 ng/mL were considered insufficient. Results Our results showed that 81 patients (49%) were deficient in vitamin D, and 48 patients (29%) were insufficient in vitamin D. Only 37 patients (22%) had normal vitamin D levels. Moreover, a significant difference was found regarding the inflammatory markers of COVID-19 severity. Also, vitamin D levels were inversely correlated with the markers used for monitoring the condition of COVID-19 patients: ferritin, CRP, and D-dimer. Conclusion Our results showed that vitamin D deficiency was associated with increased levels of inflammatory markers of COVID-19 infection.https://doi.org/10.1177/20587392211038315
spellingShingle Mazen Almehmadi
Abdullah Turjoman
Ahmad El-Askary
Alaa Shafie
Fatimah Rebh
Muhannad Alenazi
Mustafa Halawi
Amal F. Gharib
Association of vitamin D deficiency with clinical presentation of COVID-19
European Journal of Inflammation
title Association of vitamin D deficiency with clinical presentation of COVID-19
title_full Association of vitamin D deficiency with clinical presentation of COVID-19
title_fullStr Association of vitamin D deficiency with clinical presentation of COVID-19
title_full_unstemmed Association of vitamin D deficiency with clinical presentation of COVID-19
title_short Association of vitamin D deficiency with clinical presentation of COVID-19
title_sort association of vitamin d deficiency with clinical presentation of covid 19
url https://doi.org/10.1177/20587392211038315
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