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Impact of Vitamin D Deficiency on COVID-19-A Prospective Analysis from the CovILD Registry.

Identifieur interne : 000505 ( Main/Exploration ); précédent : 000504; suivant : 000506

Impact of Vitamin D Deficiency on COVID-19-A Prospective Analysis from the CovILD Registry.

Auteurs : Alex Pizzini [Autriche] ; Magdalena Aichner [Autriche] ; Sabina Sahanic [Autriche] ; Anna Böhm [Autriche] ; Alexander Egger [Autriche] ; Gregor Hoermann [Autriche, Allemagne] ; Katharina Kurz [Autriche] ; Gerlig Widmann [Autriche] ; Rosa Bellmann-Weiler [Autriche] ; Günter Weiss [Autriche] ; Ivan Tancevski [Autriche] ; Thomas Sonnweber [Autriche] ; Judith Löffler-Ragg [Autriche]

Source :

RBID : pubmed:32932831

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English descriptors

Abstract

The novel Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is a global health concern. Vitamin D (VITD) deficiency has been suggested to alter SARS-CoV-2 susceptibility and the course of disease. Thus, we aimed to investigate associations of VITD status to disease presentation within the CovILD registry. This prospective, multicenter, observational study on long-term sequelae includes patients with COVID-19 after hospitalization or outpatients with persistent symptoms. Eight weeks after PCR confirmed diagnosis, a detailed questionnaire, a clinical examination, and laboratory testing, including VITD status, were evaluated. Furthermore, available laboratory specimens close to hospital admission were used to retrospectively analyze 25-hydroxyvitamin D levels at disease onset. A total of 109 patients were included in the analysis (60% males, 40% females), aged 58 ± 14 years. Eight weeks after the onset of COVID-19, a high proportion of patients presented with impaired VITD metabolism and elevated parathyroid hormone (PTH) levels. PTH concentrations were increased in patients who needed intensive care unit (ICU) treatment, while VITD levels were not significantly different between disease severity groups. Low VITD levels at disease onset or at eight-week follow-up were not related to persistent symptom burden, lung function impairment, ongoing inflammation, or more severe CT abnormalities. VITD deficiency is frequent among COVID-19 patients but not associated with disease outcomes. However, individuals with severe disease display a disturbed parathyroid-vitamin-D axis within their recovery phase. The proposed significance of VITD supplementation in the clinical management of COVID-19 remains elusive.

DOI: 10.3390/nu12092775
PubMed: 32932831


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Le document en format XML

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<country xml:lang="fr">Autriche</country>
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<wicri:regionArea>Department of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, 6020 Innsbruck</wicri:regionArea>
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<name sortKey="Sonnweber, Thomas" sort="Sonnweber, Thomas" uniqKey="Sonnweber T" first="Thomas" last="Sonnweber">Thomas Sonnweber</name>
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<name sortKey="Loffler Ragg, Judith" sort="Loffler Ragg, Judith" uniqKey="Loffler Ragg J" first="Judith" last="Löffler-Ragg">Judith Löffler-Ragg</name>
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<nlm:affiliation>Department of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.</nlm:affiliation>
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<title level="j">Nutrients</title>
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<term>Aged (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Coronavirus Infections (blood)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (virology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Nutritional Status (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Parathyroid Hormone (blood)</term>
<term>Pneumonia, Viral (blood)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Prospective Studies (MeSH)</term>
<term>Registries (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Vitamin D (analogs & derivatives)</term>
<term>Vitamin D (blood)</term>
<term>Vitamin D Deficiency (blood)</term>
<term>Vitamin D Deficiency (epidemiology)</term>
<term>Vitamin D Deficiency (virology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Carence en vitamine D (sang)</term>
<term>Carence en vitamine D (virologie)</term>
<term>Carence en vitamine D (épidémiologie)</term>
<term>Enregistrements (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Hormone parathyroïdienne (sang)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (sang)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (sang)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Vitamine D (analogues et dérivés)</term>
<term>Vitamine D (sang)</term>
<term>État nutritionnel (MeSH)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en">
<term>Vitamin D</term>
</keywords>
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<term>Parathyroid Hormone</term>
<term>Vitamin D</term>
</keywords>
<keywords scheme="MESH" qualifier="analogues et dérivés" xml:lang="fr">
<term>Vitamine D</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Vitamin D Deficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Vitamin D Deficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Carence en vitamine D</term>
<term>Hormone parathyroïdienne</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
<term>Vitamine D</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Carence en vitamine D</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Vitamin D Deficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Carence en vitamine D</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Betacoronavirus</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nutritional Status</term>
<term>Pandemics</term>
<term>Prospective Studies</term>
<term>Registries</term>
<term>Risk Factors</term>
<term>Severity of Illness Index</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Betacoronavirus</term>
<term>Enregistrements</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">The novel Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is a global health concern. Vitamin D (VITD) deficiency has been suggested to alter SARS-CoV-2 susceptibility and the course of disease. Thus, we aimed to investigate associations of VITD status to disease presentation within the CovILD registry. This prospective, multicenter, observational study on long-term sequelae includes patients with COVID-19 after hospitalization or outpatients with persistent symptoms. Eight weeks after PCR confirmed diagnosis, a detailed questionnaire, a clinical examination, and laboratory testing, including VITD status, were evaluated. Furthermore, available laboratory specimens close to hospital admission were used to retrospectively analyze 25-hydroxyvitamin D levels at disease onset. A total of 109 patients were included in the analysis (60% males, 40% females), aged 58 ± 14 years. Eight weeks after the onset of COVID-19, a high proportion of patients presented with impaired VITD metabolism and elevated parathyroid hormone (PTH) levels. PTH concentrations were increased in patients who needed intensive care unit (ICU) treatment, while VITD levels were not significantly different between disease severity groups. Low VITD levels at disease onset or at eight-week follow-up were not related to persistent symptom burden, lung function impairment, ongoing inflammation, or more severe CT abnormalities. VITD deficiency is frequent among COVID-19 patients but not associated with disease outcomes. However, individuals with severe disease display a disturbed parathyroid-vitamin-D axis within their recovery phase. The proposed significance of VITD supplementation in the clinical management of COVID-19 remains elusive.</div>
</front>
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<Year>2020</Year>
<Month>09</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>09</Month>
<Day>24</Day>
</DateRevised>
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<ISSN IssnType="Electronic">2072-6643</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>12</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2020</Year>
<Month>Sep</Month>
<Day>11</Day>
</PubDate>
</JournalIssue>
<Title>Nutrients</Title>
<ISOAbbreviation>Nutrients</ISOAbbreviation>
</Journal>
<ArticleTitle>Impact of Vitamin D Deficiency on COVID-19-A Prospective Analysis from the CovILD Registry.</ArticleTitle>
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<AbstractText>The novel Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is a global health concern. Vitamin D (VITD) deficiency has been suggested to alter SARS-CoV-2 susceptibility and the course of disease. Thus, we aimed to investigate associations of VITD status to disease presentation within the CovILD registry. This prospective, multicenter, observational study on long-term sequelae includes patients with COVID-19 after hospitalization or outpatients with persistent symptoms. Eight weeks after PCR confirmed diagnosis, a detailed questionnaire, a clinical examination, and laboratory testing, including VITD status, were evaluated. Furthermore, available laboratory specimens close to hospital admission were used to retrospectively analyze 25-hydroxyvitamin D levels at disease onset. A total of 109 patients were included in the analysis (60% males, 40% females), aged 58 ± 14 years. Eight weeks after the onset of COVID-19, a high proportion of patients presented with impaired VITD metabolism and elevated parathyroid hormone (PTH) levels. PTH concentrations were increased in patients who needed intensive care unit (ICU) treatment, while VITD levels were not significantly different between disease severity groups. Low VITD levels at disease onset or at eight-week follow-up were not related to persistent symptom burden, lung function impairment, ongoing inflammation, or more severe CT abnormalities. VITD deficiency is frequent among COVID-19 patients but not associated with disease outcomes. However, individuals with severe disease display a disturbed parathyroid-vitamin-D axis within their recovery phase. The proposed significance of VITD supplementation in the clinical management of COVID-19 remains elusive.</AbstractText>
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<LastName>Pizzini</LastName>
<ForeName>Alex</ForeName>
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<Affiliation>Department of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.</Affiliation>
</AffiliationInfo>
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<LastName>Aichner</LastName>
<ForeName>Magdalena</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Sahanic</LastName>
<ForeName>Sabina</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.</Affiliation>
</AffiliationInfo>
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<LastName>Böhm</LastName>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Laboratory Medicine, Medical University of Vienna, 1090 Vienna, Austria.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>MLL Munich Leukemia Laboratory, Klinikum Großhadern, 81377 Munich, Germany.</Affiliation>
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</AffiliationInfo>
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<LastName>Bellmann-Weiler</LastName>
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<Affiliation>Department of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.</Affiliation>
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<AffiliationInfo>
<Affiliation>Christian Doppler Laboratory for Iron Metabolism and Anemia Research, Medical University of Innsbruck, 6020 Innsbruck, Austria.</Affiliation>
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<Affiliation>Department of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.</Affiliation>
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<name sortKey="Sahanic, Sabina" sort="Sahanic, Sabina" uniqKey="Sahanic S" first="Sabina" last="Sahanic">Sabina Sahanic</name>
<name sortKey="Sonnweber, Thomas" sort="Sonnweber, Thomas" uniqKey="Sonnweber T" first="Thomas" last="Sonnweber">Thomas Sonnweber</name>
<name sortKey="Tancevski, Ivan" sort="Tancevski, Ivan" uniqKey="Tancevski I" first="Ivan" last="Tancevski">Ivan Tancevski</name>
<name sortKey="Weiss, Gunter" sort="Weiss, Gunter" uniqKey="Weiss G" first="Günter" last="Weiss">Günter Weiss</name>
<name sortKey="Weiss, Gunter" sort="Weiss, Gunter" uniqKey="Weiss G" first="Günter" last="Weiss">Günter Weiss</name>
<name sortKey="Widmann, Gerlig" sort="Widmann, Gerlig" uniqKey="Widmann G" first="Gerlig" last="Widmann">Gerlig Widmann</name>
</country>
<country name="Allemagne">
<region name="Bavière">
<name sortKey="Hoermann, Gregor" sort="Hoermann, Gregor" uniqKey="Hoermann G" first="Gregor" last="Hoermann">Gregor Hoermann</name>
</region>
</country>
</tree>
</affiliations>
</record>

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Data generation: Thu Oct 15 09:49:45 2020. Site generation: Wed Jan 27 17:10:23 2021