An Epidemiological Investigation to evaluate the link between hypovitaminosis D and COVID-19.

Singh, Shruti; Nimavat, Nirav; Singh, Chandramani; Ranjan, Alok; Mahto, Mala; Singh, Sunil Kumar; Kumar, Amarjeet; Pradhan, Swetalina · J Family Med Prim Care · 2022

case_control · Level III

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Abstract

The COVID-19 pandemic has become a global threat, with an inexplicable course of action and suboptimal response to the multitudes of therapies being tried. Vitamin D's pleiotropic effects (immunomodulatory, anti-inflammatory, and antiviral) have lately received considerable attention in the scientific community, and it has been shown to be helpful in the defense against viral respiratory infections. To find out the association between vitamin D and COVID-19. Overall, 360 (156 COVID-19 +ve and 204 COVID-19 -ve) subjects were investigated in this hospital-based case-control study. The study participants were taken from the COVID-19 wards and Flu clinic of a dedicated COVID hospital between August 1 and September 15, 2020. The demographics and clinical data including alcohol and smoking history along with serum vitamin D levels were recorded. Binary logistic regression analysis was performed to assess the association between age, gender, alcohol intake, smoking history, vitamin D status, and COVID-19. There was no significant difference in the mean vitamin D levels between cases and controls. Bivariate analysis of predictors and COVID-19 revealed that predictors such as advanced age, BMI, alcohol intake, smoking habit, diabetes, hypertension, and vitamin D deficiency were significantly associated with COVID-19. This study showed that serum vitamin D status might be able to reduce the impact of COVID-19, although more studies are required to establish clear causality.