Evidence map›Paper›PMID 34273098›Full record

ArticleJournal of endocrinological investigation2022

Vitamin D supplementation and COVID-19 risk: a population-based, cohort study.

J Oristrell, J C Oliva, E Casado, I Subirana, D Domínguez, A Toloba, A Balado, M Grau

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of endocrinological investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04810949 (Effect of Vitamin D Supplementation on the Development of Respiratory Infections), which is not on this map. Cited by 89 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 5 pooled it
16.9field-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.

NCT04810949 naterminatednot on this map

Effect of Vitamin D Supplementation on the Development of Respiratory Infections (COVID-19) in Health Personnel at Hospital Clínica NOVA With Serum Values> 20ng / ml

TypeinterventionalSponsorHospital Clinica NovaRan2020 to 2021Enrolled41ConditionsCovid19, Influenza A, Influenza B, H1N1 InfluenzaArmsVitamine D3 supplementation, Diet and sun exposure
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 5 syntheses or guidelines pooled it, 126 citations in OpenAlex.

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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

J OristrellInternal Medicine Service, Corporació Sanitària Parc Taulí, Parc Taulí s/n, 08208, Sabadell, Barcelona, Catalonia. joristrell@tauli.cat.ORCID http://orcid.org/0000-0003-1486-3192
J C OlivaInstitut d'Investigació i Innovació I3PT, Sabadell, Catalonia.ORCID http://orcid.org/0000-0003-1273-2746
E CasadoRheumatology Service, Corporació Sanitària Parc Taulí, Parc Taulí s/n, 08208, Sabadell, Barcelona, Catalonia. ecasado@tauli.cat.ORCID http://orcid.org/0000-0001-8839-6430
I SubiranaCIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Catalonia.ORCID http://orcid.org/0000-0003-1676-0197
D DomínguezAgència de Qualitat i Avaluació Sanitària, Generalitat de Catalunya, Barcelona, Catalonia.ORCID http://orcid.org/0000-0002-0258-6194
A TolobaInstitut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Catalonia.ORCID http://orcid.org/0000-0003-1681-2946
A BaladoInternal Medicine Service, Corporació Sanitària Parc Taulí, Parc Taulí s/n, 08208, Sabadell, Barcelona, Catalonia.
M GrauCIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Catalonia.ORCID http://orcid.org/0000-0003-2807-8136
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESCorporació Sanitària Parc Taulí · ESGeneralitat de Catalunya · ESHospital del Mar Research Institute · ESInstitute of Research and Innovation Parc Tauli · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the associations between cholecalciferol or calcifediol supplementation, serum 25-hydroxyvitamin D (25OHD) levels and COVID-19 outcomes in a large population.

methodsAll individuals ≥ 18 years old living in Barcelona-Central Catalonia (n = 4.6 million) supplemented with cholecalciferol or calcifediol from April 2019 to February 2020 were compared with propensity score-matched untreated controls. Outcome variables were SARS-CoV2 infection, severe COVID-19 and COVID-19 mortality occuring during the first wave of the pandemic. Demographical data, comorbidities, serum 25OHD levels and concomitant pharmacological treatments were collected as covariates. Associations between cholecalciferol or calcifediol use and outcome variables were analyzed using multivariate Cox proportional regression.

resultsCholecalciferol supplementation (n = 108,343) was associated with slight protection from SARS-CoV2 infection (n = 4352 [4.0%] vs 9142/216,686 [4.2%] in controls; HR 0.95 [CI 95% 0.91-0.98], p = 0.004). Patients on cholecalciferol treatment achieving 25OHD levels ≥ 30 ng/ml had lower risk of SARS-CoV2 infection, lower risk of severe COVID-19 and lower COVID-19 mortality than unsupplemented 25OHD-deficient patients (56/9474 [0.6%] vs 96/7616 [1.3%]; HR 0.66 [CI 95% 0.46-0.93], p = 0.018). Calcifediol use (n = 134,703) was not associated with reduced risk of SARS-CoV2 infection or mortality in the whole cohort. However, patients on calcifediol treatment achieving serum 25OHD levels ≥ 30 ng/ml also had lower risk of SARS-CoV2 infection, lower risk of severe COVID-19, and lower COVID-19 mortality compared to 25OHD-deficient patients not receiving vitamin D supplements (88/16276 [0.5%] vs 96/7616 [1.3%]; HR 0.56 [CI 95% 0.42-0.76], p < 0.001).

conclusionsIn this large, population-based study, we observed that patients supplemented with cholecalciferol or calcifediol achieving serum 25OHD levels ≥ 30 ng/ml were associated with better COVID-19 outcomes.

Indexed as

COVID-19 Drug TreatmentSARS-CoV-2AgedAged, 80 and overCalcifediolCholecalciferolCohort StudiesComorbidityCOVID-19Dietary SupplementsFemaleHumansMaleMiddle AgedRenal Insufficiency, ChronicRetrospective Studies25-hydroxyvitamin DCalcifediolCholecalciferolVitamin DCalcifediolCholecalciferolCOVID-19SARS-CoV2Vitamin D

Identifiers

PMID34273098
PMCPMC8285728
OpenAlexW3181212696

What OpenQuestion holds

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Registered trials

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.