Optimal Dose of Vitamin D For Covid-19 Treatment

Highlights: • Vitamin D supplementations in different doses yield different outcomes. • Multi-day vitamin D administration of 1000-6000 IU in patients with COVID-19 has more positive impacts than a single high dose of vitamin D. • Patient morbidity, length of hospitalization, and patient mortali...

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Main Authors: Dita Mega Utami, Muhammad Abdurrahman Rasyid Ash-Siddiq, Desi Rianti Rahmahani, Muhammad Iqbal Mubarok, Muhammad Zulkifly Tasman, Jeremy Nicolas Sibarani, Habibah Teniya Ariq Fauziyah, Budi Utomo, Shifa Fauziyah
Format: Article
Language:English
Published: Universitas Airlangga 2022-12-01
Series:Folia Medica Indonesiana
Subjects:
Online Access:https://e-journal.unair.ac.id/FMI/article/view/36474
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author Dita Mega Utami
Muhammad Abdurrahman Rasyid Ash-Siddiq
Desi Rianti Rahmahani
Muhammad Iqbal Mubarok
Muhammad Zulkifly Tasman
Jeremy Nicolas Sibarani
Habibah Teniya Ariq Fauziyah
Budi Utomo
Shifa Fauziyah
author_facet Dita Mega Utami
Muhammad Abdurrahman Rasyid Ash-Siddiq
Desi Rianti Rahmahani
Muhammad Iqbal Mubarok
Muhammad Zulkifly Tasman
Jeremy Nicolas Sibarani
Habibah Teniya Ariq Fauziyah
Budi Utomo
Shifa Fauziyah
author_sort Dita Mega Utami
collection DOAJ
description Highlights: • Vitamin D supplementations in different doses yield different outcomes. • Multi-day vitamin D administration of 1000-6000 IU in patients with COVID-19 has more positive impacts than a single high dose of vitamin D. • Patient morbidity, length of hospitalization, and patient mortality improved with multi-day vitamin D administration.   Abstract: This meta-analysis aimed to determine whether there is any optimal dose of vitamin D for morbidity, length of hospitalization, and mortality in patients with COVID-19. We conducted a comprehensive search in three online databases for eligible studies until February 28, 2022. Odds ratio (OR) and standardized mean difference (SMD) were applied as summary statistics of primary outcomes. The study quality of the literatures collected was assesed using the Cochrane risk of bias tool version 2 (RoB 2). Eight randomized clinical trials (RCT) were included in the study. In our analysis, we found that there was no significant difference in morbidity when vitamin D was administered to COVID-19 patients [OR=0.50 (95% CI=0.13-1.96); SMD=-0.14 (95% CI=-0.55-0.28)]. Duration of hospitalization [SMD=-0.12 (95% CI=-0.39-0.15)] and mortality [OR 0.47 (95% CI=0.19-1.17)] of COVID-19 patients in five studies also showed no significant difference compared to patients who do not take vitamin D. However, when we analyzed two other studies, we found that in patients who did not take vitamin D, mortality was lower [SMD=0.43 (95% CI=0.29, 0.58)]. Compared to a single high dose of vitamin D, the multi-day vitamin D administration of 1000-6000 IU in patients with COVID-19 resulted in improved patient morbidity, length of hospitalization, and patient mortality.
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spelling doaj.art-ab0d2061204144359802a11e935066b02023-01-13T03:24:34ZengUniversitas AirlanggaFolia Medica Indonesiana2355-83932599-056X2022-12-0158438339210.20473/fmi.v58i4.3647434515Optimal Dose of Vitamin D For Covid-19 TreatmentDita Mega Utami0https://orcid.org/0000-0002-8806-0934Muhammad Abdurrahman Rasyid Ash-Siddiq1https://orcid.org/0000-0002-8669-8280Desi Rianti Rahmahani2https://orcid.org/0000-0003-4351-8996Muhammad Iqbal Mubarok3https://orcid.org/0000-0003-0154-2103Muhammad Zulkifly Tasman4https://orcid.org/0000-0003-4623-5342Jeremy Nicolas Sibarani5Habibah Teniya Ariq Fauziyah6https://orcid.org/0000-0003-3992-9290Budi Utomo7https://orcid.org/0000-0002-1147-3263Shifa Fauziyah8https://orcid.org/0000-0002-2928-2967Medical Program, Faculty of Medicine, Universitas Airlangga, IndonesiaMedical Program, Faculty of Medicine, Universitas Airlangga, IndonesiaMedical Program, Faculty of Medicine, Universitas Airlangga, IndonesiaMedical Program, Faculty of Medicine, Universitas Airlangga, IndonesiaMedical Program, Faculty of Medicine, Universitas Airlangga, IndonesiaMedical Program, Faculty of Medicine, Universitas Airlangga, IndonesiaMedical Program, Faculty of Medicine, Universitas Airlangga, IndonesiaDepartment of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDelima Husada Academy of Health Analyst, Gresik, East Java, IndonesiaHighlights: • Vitamin D supplementations in different doses yield different outcomes. • Multi-day vitamin D administration of 1000-6000 IU in patients with COVID-19 has more positive impacts than a single high dose of vitamin D. • Patient morbidity, length of hospitalization, and patient mortality improved with multi-day vitamin D administration.   Abstract: This meta-analysis aimed to determine whether there is any optimal dose of vitamin D for morbidity, length of hospitalization, and mortality in patients with COVID-19. We conducted a comprehensive search in three online databases for eligible studies until February 28, 2022. Odds ratio (OR) and standardized mean difference (SMD) were applied as summary statistics of primary outcomes. The study quality of the literatures collected was assesed using the Cochrane risk of bias tool version 2 (RoB 2). Eight randomized clinical trials (RCT) were included in the study. In our analysis, we found that there was no significant difference in morbidity when vitamin D was administered to COVID-19 patients [OR=0.50 (95% CI=0.13-1.96); SMD=-0.14 (95% CI=-0.55-0.28)]. Duration of hospitalization [SMD=-0.12 (95% CI=-0.39-0.15)] and mortality [OR 0.47 (95% CI=0.19-1.17)] of COVID-19 patients in five studies also showed no significant difference compared to patients who do not take vitamin D. However, when we analyzed two other studies, we found that in patients who did not take vitamin D, mortality was lower [SMD=0.43 (95% CI=0.29, 0.58)]. Compared to a single high dose of vitamin D, the multi-day vitamin D administration of 1000-6000 IU in patients with COVID-19 resulted in improved patient morbidity, length of hospitalization, and patient mortality.https://e-journal.unair.ac.id/FMI/article/view/36474vitamin d therapycovid-19morbiditymortalityhospitalizationinfectious disease
spellingShingle Dita Mega Utami
Muhammad Abdurrahman Rasyid Ash-Siddiq
Desi Rianti Rahmahani
Muhammad Iqbal Mubarok
Muhammad Zulkifly Tasman
Jeremy Nicolas Sibarani
Habibah Teniya Ariq Fauziyah
Budi Utomo
Shifa Fauziyah
Optimal Dose of Vitamin D For Covid-19 Treatment
Folia Medica Indonesiana
vitamin d therapy
covid-19
morbidity
mortality
hospitalization
infectious disease
title Optimal Dose of Vitamin D For Covid-19 Treatment
title_full Optimal Dose of Vitamin D For Covid-19 Treatment
title_fullStr Optimal Dose of Vitamin D For Covid-19 Treatment
title_full_unstemmed Optimal Dose of Vitamin D For Covid-19 Treatment
title_short Optimal Dose of Vitamin D For Covid-19 Treatment
title_sort optimal dose of vitamin d for covid 19 treatment
topic vitamin d therapy
covid-19
morbidity
mortality
hospitalization
infectious disease
url https://e-journal.unair.ac.id/FMI/article/view/36474
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