Evidence map›Paper›PMID 36396686›Full record

Observational studyScientific reports2022

Vitamin D status and severity of COVID-19.

Nete Munk Nielsen, Thor Grønborg Junker, Sanne Grundvad Boelt, Arieh S Cohen, Kassandra L Munger, Egon Stenager, Alberto Ascherio, Lasse Boding, Anders Hviid

Erratum issuedOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  4. High-dose vitamin DRespiratory research · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Nete Munk NielsenDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark. NMN@ssi.dk.
Thor Grønborg JunkerDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Sanne Grundvad BoeltSection for Clinical Mass Spectrometry, Danish Center for Neonatal Screening, Department of Congenital Disorders, Statens Serum Institut, Copenhagen, Denmark.
Arieh S CohenTest Center Denmark, Statens Serum Institut, Copenhagen, Denmark.
Kassandra L MungerDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Egon StenagerFocused Research Unit in Neurology, Department of Neurology, Hospital of Southern Jutland, University of Southern Denmark, Aabenraa, Denmark.
Alberto AscherioDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Lasse BodingThe Danish National Biobank, Statens Serum Institut, Copenhagen, Denmark.
Anders HviidDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Statens Serum Institut · DKHarvard University · USDanmarks Nationalbank · DKRegion of Southern Denmark · DKSygehus Sønderjylland · DKUniversity of Copenhagen · DK

Funding

Novo Nordisk Foundation Center for Basic Metabolic Research NNF20SA0062871
6 · The paper itself

Abstract

We explored the association between COVID-19 severity and vitamin D status using information from Danish nation-wide health registers, the COVID-19 surveillance database and stored blood samples from the national biobank. 25-hydroxyvitamin D (25(OH)D) was measured using tandem mass spectroscopy. The association between 25(OH)D levels and COVID-19 severity, classified hierarchical as non-hospitalized, hospitalized but not admitted to an intensive care unit (ICU), admitted to ICU, and death, was evaluated by proportional odds ratios (POR) assuming proportionality between the four degrees of severity. Among 447 adults tested SARS-CoV-2 positive in the spring of 2020, low levels of 25(OH)D were associated with a higher risk of severe COVID-19. Thus, odds of experiencing more severe COVID-19 among individuals with insufficient (25 to < 50 nmol/L) and sufficient (≥ 50 nmol/L) 25(OH)D levels were approximately 50% of that among individuals with deficient levels (< 25 nmol/L) (POR = 0.49 (95% CI 0.25-0.94), POR = 0.51 (95% CI 0.27-0.96), respectively). Dividing sufficient vitamin D levels into 50 to < 75 nmol/L and ≥ 75 nmol/L revealed no additional beneficial effect of higher 25(OH)D levels. In this observational study, low levels of 25(OH)D were associated with a higher risk of severe COVID-19. A possible therapeutic role of vitamin D should be evaluated in well-designed interventional studies.

Indexed as

COVID-19Vitamin D DeficiencyAdultHumansSARS-CoV-2Vitamin DVitaminsVitamin DVitamins

Identifiers

PMID36396686
PMCPMC9672358
OpenAlexW4309513375

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.