Evidence map›Paper›PMID 40321789›Full record

ArticleClinical and experimental vaccine research2025

Impact of vitamin D and zinc sufficiency on immune responses following COVID-19 vaccinations among healthcare workers.

Collins Amadi, Stephenson D Lawson, Johnbosco Chidozie Okafor, Ezra Agbo

Abstract read
In one paragraph

Article in Clinical and experimental vaccine research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Collins AmadiDepartment of Chemical Pathology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.ORCID https://orcid.org/0000-0002-5824-9496
Stephenson D LawsonDepartment of Medical Microbiology & Parasitology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.ORCID https://orcid.org/0000-0001-7984-334X
Johnbosco Chidozie OkaforDepartment of Chemical Pathology, University of Uyo Teaching Hospital, Port Harcourt, Nigeria.ORCID https://orcid.org/0000-0002-5201-2295
Ezra AgboDepartment of Chemical Pathology, Federal Medical Center, Abuja, Nigeria.ORCID https://orcid.org/0009-0001-7923-7312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Vitamin D and zinc sufficiency are theoretically acclaimed to influence immune-boosting potentials following various immunizations. Herein, we explored the impact of these micronutrients on immune responses following Oxford-AstraZeneca coronavirus disease 2019 (COVID-19) vaccination among Nigerians. Methods: Two hundred healthcare workers (HCs) who presented at the Rivers State University Teaching Hospital were recruited during the first dose and followed up 4 weeks post-first and post-second doses. Data (serum vitamin D/zinc, COVID-19 anti-spike immunoglobulin G [ASIgG]) were determined on the day of the first dose and repeated 4 weeks post-first dose and 4 weeks post-second dose. Vitamin D (VitD) status, assessed using serum 25(OH)D, was categorized as sufficient (≥50 nmol/L) or insufficient/deficient (<50 nmol/L) while zinc status was categorized as sufficient (≥11.3 µmol/L) or insufficient (<11.3 µmol/L). Post-second dose ASIgG titer status was categorized as optimal (>7,352 AU/mL) or sub-optimal (<7,352 AU/mL) as defined by the World Health Organization. Statistical significance was defined as p<0.05. Results: HCs with both VitD and zinc sufficiency (n=97) had higher ASIgG titer levels (4 weeks post-first dose=15,977±367.88 AU/mL; 4 weeks post-second dose=22,603±451.18 AU/mL) after the first and second doses compared to only the VitD sufficient (n=58) cohorts (4 weeks post-first dose=4,680±154.77 AU/mL; 4 weeks post-second dose=7,850±200.60 AU/mL) and the zinc-sufficient (n=63) cohorts (4 weeks post-first dose=5,770±160.41 AU/mL; 4 weeks post-second dose=8,100±206.91 AU/mL) (p<0.05). The VitD and zinc-sufficient HCs were also more likely to achieve optimal ASIgG titer levels (odds ratio, 2.97; 95% confidence interval, 2.11-4.123; p<0.001) 4 weeks post-second dose following adjustment for confounders. Conclusion: VitD and zinc sufficiency had a positive impact on immune responses following AstraZeneca COVID-19 vaccination.

Indexed as

COVID-19COVID-19 vaccinationImmune responsesVitamin DZinc

Identifiers

PMID40321789
PMCPMC12046084

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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.