Evidence map›Paper›PMID 32503801›Full record

ArticleClinical medicine (London, England)2020

Does vitamin D deficiency increase the severity of COVID-19?

E Kenneth Weir, Thenappan Thenappan, Maneesh Bhargava, Yingjie Chen

Open access · diamondAbstract read
In one paragraph

Article in Clinical medicine (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 3 pooled it
31.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

123 citing papers in PubMed, 3 syntheses or guidelines pooled it, 265 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Vitamins DFrontiers in immunology · 2022
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  18. EarlyFrontiers in immunology · 2025
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63 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

E Kenneth WeirCardiovascular Division, University of Minnesota, Minneapolis, USA weirx002@umn.edu.
Thenappan ThenappanCardiovascular Division, University of Minnesota, Minneapolis, USA.
Maneesh BhargavaDivision of Pulmonary, Allergy, Critical Care and Sleep, University of Minnesota, Minneapolis, USA.
Yingjie ChenDepartment of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, USA.
University of Minnesota · USJackson Memorial Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The severity of coronavirus 2019 infection (COVID-19) is determined by the presence of pneumonia, severe acute respiratory distress syndrome (SARS-CoV-2), myocarditis, microvascular thrombosis and/or cytokine storms, all of which involve underlying inflammation. A principal defence against uncontrolled inflammation, and against viral infection in general, is provided by T regulatory lymphocytes (Tregs). Treg levels have been reported to be low in many COVID-19 patients and can be increased by vitamin D supplementation. Low vitamin D levels have been associated with an increase in inflammatory cytokines and a significantly increased risk of pneumonia and viral upper respiratory tract infections. Vitamin D deficiency is associated with an increase in thrombotic episodes, which are frequently observed in COVID-19. Vitamin D deficiency has been found to occur more frequently in patients with obesity and diabetes. These conditions are reported to carry a higher mortality in COVID-19. If vitamin D does in fact reduce the severity of COVID-19 in regard to pneumonia/ARDS, inflammation, inflammatory cytokines and thrombosis, it is our opinion that supplements would offer a relatively easy option to decrease the impact of the pandemic.

Indexed as

BetacoronavirusPatient AcuityCoronavirus InfectionsCOVID-19Dietary SupplementsHumansPandemicsPneumonia, ViralSARS-CoV-2T-Lymphocytes, RegulatoryVitamin DVitamin D DeficiencyVitaminsVitamin DVitaminscoronavirusCOVID 19inflammationTregVitamin D

Identifiers

PMID32503801
PMCPMC7385774
OpenAlexW3034118652

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.