Evidence map›Paper›PMID 35666716›Full record

ArticlePloS one2022

The association between vitamin D status and COVID-19 in England: A cohort study using UK Biobank.

Liang-Yu Lin, Amy Mulick, Rohini Mathur, Liam Smeeth, Charlotte Warren-Gash, Sinéad M Langan

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Liang-Yu LinFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0003-4720-6738
Amy MulickFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Rohini MathurFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Liam SmeethFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Charlotte Warren-GashFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0003-4524-3180
Sinéad M LanganFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
London School of Hygiene & Tropical Medicine · GB

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Wellcome TrustWellcome Trust 201375/Z/16/ZWellcome Trust 201440/Z/16/ZWellcome Trust 205039/Z/16/Z
6 · The paper itself

Abstract

backgroundRecent studies indicate that vitamin D supplementation may decrease respiratory tract infections, but the association between vitamin D and COVID-19 is still unclear.

objectiveTo explore the association between vitamin D status and infections, hospitalisation, and mortality due to COVID-19.

methodsWe used UK Biobank, a nationwide cohort of 500,000 individuals aged between 40 and 69 years at recruitment between 2006 and 2010. We included people with at least one serum vitamin D test, living in England with linked primary care and inpatient records. The primary exposure was serum vitamin D status measured at recruitment, defined as deficiency at <25 nmol/L, insufficiency at 25-49 nmol/L and sufficiency at ≥ 50 nmol/L. Secondary exposures were self-reported or prescribed vitamin D supplements. The primary outcome was laboratory-confirmed or clinically diagnosed SARS-CoV-2 infections. The secondary outcomes included hospitalisation and mortality due to COVID-19. We used multivariable Cox regression models stratified by summertime months and non-summertime months, adjusting for demographic factors and underlying comorbidities.

resultsWe included 307,512 participants (54.9% female, 55.9% over 70 years old) in our analysis. During summertime months, weak evidence existed that the vitamin D deficiency group had a lower hazard of being diagnosed with COVID-19 (hazard ratio [HR] = 0.86, 95% confidence interval [CI] = 0.77-0.95). During non-summertime, the vitamin D deficiency group had a higher hazard of COVID-19 compared with the vitamin D sufficient group (HR = 1.14, 95% CI = 1.01-1.30). No evidence was found that vitamin D deficiency or insufficiency was associated with either hospitalisation or mortality due to COVID-19 in any time strata.

conclusionWe found no evidence of an association between historical vitamin D status and hospitalisation or mortality due to COVID-19, along with inconsistent results for any association between vitamin D and diagnosis of COVID-19. However, studies using more recent vitamin D measurements and systematic COVID-19 testing are needed.

Indexed as

COVID-19Vitamin D DeficiencyAdultAgedBiological Specimen BanksCohort StudiesCOVID-19 TestingEnglandFemaleHumansMaleMiddle AgedSARS-CoV-2Vitamin DVitaminsVitamin DVitamins

Identifiers

PMID35666716
PMCPMC9170112
OpenAlexW4281868010

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.