Vitamin D levels and risk of COVID-19 infection: A systematic review

Autores

  • Ana C. Coelho-Oliveira Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Instituto de Biologia Roberto Alcântara Gomes. Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. https://orcid.org/0000-0002-5491-6060
  • Bruno B. Monteiro-Oliveira Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Instituto de Biologia Roberto Alcântara Gomes. Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. Departamento de Biofísica e Biometria, Laboratório de Vibrações Mecânicas e Práticas Integrativas, Instituto de Biologia Roberto Alcantara Gomes. Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. Faculdade Bezerra de Araújo, Rio de Janeiro, RJ, Brazil.
  • Rebeca B. M. Cavalcante Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Instituto de Biologia Roberto Alcântara Gomes. Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
  • Daniel B. Santos Departamento de Biofísica e Biometria, Laboratório de Vibrações Mecânicas e Práticas Integrativas, Instituto de Biologia Roberto Alcantara Gomes. Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
  • Anelise Sonza Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.
  • Danúbia C. de Sá-Caputo Departamento de Biofísica e Biometria, Laboratório de Vibrações Mecânicas e Práticas Integrativas, Instituto de Biologia Roberto Alcantara Gomes. Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. Faculdade Bezerra de Araújo, Rio de Janeiro, RJ, Brazil.
  • Mario Bernardo-Filho Departamento de Biofísica e Biometria, Laboratório de Vibrações Mecânicas e Práticas Integrativas, Instituto de Biologia Roberto Alcantara Gomes. Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.

DOI:

https://doi.org/10.12957/bjhbs.2020.59708

Palavras-chave:

Vitamin D, COVID-19, Public health.

Resumo

Objective: Consistent independent associations between low
serum 25-hydroxyvitamin D concentrations and susceptibility
to acute respiratory tract infections have suggested a
possible involvement of vitamin D in reducing the risk of
respiratory infections and proposing its replacement as a
potential strategy for prevention or treatment in this context.
However, the role of vitamin D supplementation in the
infection by the novel coronavirus named SARS-CoV-2 is
still under investigation and no clinical evidence has been
reported to date. Methods: Electronic searches in Pubmed,
Embase and Scopus databases were conducted and three
cohort studies that analyzed the effects of interaction of
vitamin D with COVID-19, published only in English, were
included. Two reviewers, which independently examined
titles and abstracts, identified records through database search
and reference screening and irrelevant studies were excluded
based in eligibility criteria. Relevant full texts were analyzed
for eligibility, and all relevant studies were included in the
systematic review. Results: Three cohort studies were included
in this systematic review with a mean methodological
quality low. Only one study demonstrated interaction of low
vitamin D concentration in patients with a positive diagnosis
for COVID-19. Randomized clinical trials and studies of good
methodological quality are necessary to confirm the findings
of this systematic review. Conclusions: This systematic review
has not demonstrated consistent associations between low
levels of vitamin D and susceptibility to COVID-19 infection.
Further studies on vitamin D supplementation for the prevention
of COVID-19 infection should be conducted..

Referências

World Health Organization. Coronavirus disease (COVID-19)

Situation Report-134 [Internet]. 2020 [cited 2020 Jul 7].

Available from: https://www.who.int/docs/default-source/

coro%0D%0Anaviruse/situation-reports/20200602-covid-19-sitrep-

pdf %0D%0A

Sañudo B, Seixas A, Gloeckl R, et al. Potential application

of whole body vibration exercise for improving the clinical

conditions of covid-19 infected individuals: A narrative review

from the world association of vibration exercise experts (wavex)

panel. International Journal of Environmental Research and

Public Health. 2020.

da Cunha de Sá-Caputo D, Taiar R, Seixas A, et al. A Proposal

of Physical Performance Tests Adapted as Home Workout Options

during the COVID-19 Pandemic. Appl Sci [Internet]. 2020

Jul 10 [cited 2020 Jul 24];10(14):4755. Available from: https://

www.mdpi.com/2076-3417/10/14/4755

Li Z, Zheng C, Duan C, et al. Rehabilitation needs of the first

cohort of post-acute COVID-19 patients in Hubei, China.

Eur J Phys Rehabil Med [Internet]. 2020 Jul [cited 2020 Jul

;56(3):339–44. Available from: http://www.ncbi.nlm.nih.gov/

pubmed/32672029

Garg S, Kim L, Whitaker M, et al. Hospitalization Rates and

Characteristics of Patients Hospitalized with Laboratory-Confirmed

Coronavirus Disease 2019 — COVID-NET, 14 States,

March 1–30, 2020. MMWR Morb Mortal Wkly Rep [Internet].

Apr 17 [cited 2020 Jul 7];69(15):458–64. Available from:

https://www.cdc.gov/mmwr/volumes/69/wr/mm6915e3.htm

JC U. Casting Sunlight on an Epidemic [Internet]. MedPage

Today. 2020 [cited 2020 Jul 7]. Available from: https://www.

medpagetoday.com/infectiousdisease/covid19/85596

National Center for Health Statistics. Provisional Death Counts

for Coronavirus Disease (COVID-19) [Internet]. U.S. Department

of Health and Human Services. 2020 [cited 2020 Jul 7].

Available from: https://www.cdc.gov/nchs/nvss/vsrr/covid19/

index.htm

Prevention C for DC and. Preparing for COVID-19 in Nursing

Homes [Internet]. 2020 [cited 2020 Jul 7]. Available from:

https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.

html

Burrer SL, de Perio MA, Hughes MM, et al. Characteristics of

health care personnel with Covid-19 - United States, February

-April 9, 2020. Morb Mortal Wkly Rep [Internet]. 2020 Apr

[cited 2020 Jul 7];69(15):477–81. Available from: http://

www.cdc.gov/mmwr/volumes/69/wr/mm6915e6.htm?s_cid=mm6915e6_

w

Beard JA, Bearden A, Striker R. Vitamin D and the anti-viral

state. J Clin Virol [Internet]. 2011 Mar 1 [cited 2020 Jul

;50(3):194–200. Available from: https://linkinghub.elsevier.

com/retrieve/pii/S1386653210004932

Martineau AR, Jolliffe DA, Greenberg L, et al. Vitamin D supplementation

to prevent acute respiratory infections: individual

participant data meta-analysis. Health Technol Assess (Rockv)

[Internet]. 2019 Jan 1 [cited 2020 Jul 7];23(2):1–44. Available

from: https://pubmed.ncbi.nlm.nih.gov/30675873/

Forrest KYZ, Stuhldreher WL. Prevalence and correlates of

vitamin D deficiency in US adults. Nutr Res [Internet]. 2011 Jan

[cited 2020 Jul 7];31(1):48–54. Available from: https://linkinghub.

elsevier.com/retrieve/pii/S0271531710002599

Grant WB, Lahore H, McDonnell SL, et al. Evidence that vitamin

d supplementation could reduce risk of influenza and covid-19

infections and deaths [Internet]. Vol. 12, Nutrients. MDPI AG;

[cited 2020 Jul 7]. p. 988. Available from: https://www.

mdpi.com/2072-6643/12/4/988

Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement

for reporting systematic reviews and meta-analyses of studies

that evaluate healthcare interventions: explanation and elaboration.

BMJ [Internet]. 2009 Dec 4;339(jul21 1):b2700–b2700.

Available from: http://www.bmj.com/cgi/doi/10.1136/bmj.b2700

Pacheco RL, Latorraca C de OC, Martimbianco ALC, et al.

PROSPERO: base de registro de protocolos de revisões

sistemáticas. Estudo descritivo. Diagnóstico Trat [Internet].

;23(3):101–4. Available from: http://docs.bvsalud.org/biblioref/2019/01/969297/rdt_v23n3_101-104.pdf

Costantino G, Montano N, Casazza G. When should we change

our clinical practice based on the results of a clinical study?

The hierarchy of evidence. Intern Emerg Med [Internet]. 2015

Sep 10 [cited 2020 Jul 7];10(6):745–7. Available from: https://

pubmed.ncbi.nlm.nih.gov/25860505/

Merlin T, Weston A, Tooher R, Australian Government. NHMRC

additional levels of evidence and grades for recommendations

for developers of guidelines. BMC Med Res Methodol.

;9(34):1–23.

D’Avolio A, Avataneo V, Manca A, et al. 25-Hydroxyvitamin D

Concentrations Are Lower in Patients with Positive PCR for

SARS-CoV-2. Nutrients [Internet]. 2020 May 9;12(5):1359.

Available from: https://www.mdpi.com/2072-6643/12/5/1359

Meltzer DO, Best TJ, Zhang H, et al. Association of Vitamin D

Deficiency and Treatment with COVID-19 Incidence. medrxiv.

;

Hastie CE, Mackay DF, Ho F, et al. Vitamin D concentrations

and COVID-19 infection in UK Biobank. Diabetes Metab Syndr

Clin Res Rev [Internet]. 2020 Jul;14(4):561–5. Available from:

https://linkinghub.elsevier.com/retrieve/pii/S1871402120301156

Greiller CL, Martineau AR. Modulation of the immune response

to respiratory viruses by vitamin D [Internet]. Vol. 7, Nutrients.

MDPI AG; 2015 [cited 2020 Jul 15]. p. 4240–70. Available from:

www.mdpi.com/journal/nutrients

Gombart AF, Pierre A, Maggini S. A review of micronutrients

and the immune system–working in harmony to reduce the

risk of infection. Nutrients [Internet]. 2020 Jan 16 [cited 2020

Jul 15];12(1):236. Available from: https://www.mdpi.com/2072-

/12/1/236

Malek Mahdavi A. A brief review of interplay between vitamin

D and angiotensin-converting enzyme 2: Implications for a

potential treatment for COVID-19. Rev Med Virol [Internet].

;(April):1–6. Available from: http://www.ncbi.nlm.nih.gov/

pubmed/32584474

Martineau AR, Jolliffe DA, Hooper RL, et al. Vitamin D supplementation

to prevent acute respiratory tract infections: systematic

review and meta-analysis of individual participant data. BMJ

[Internet]. 2017 Feb 15 [cited 2020 Jul 15];356:i6583. Available

from: http://dx.doi.org/10.1136/bmj.i6583

Bouillon R. Vitamin D status in Africa is worse than in other

continents. Lancet Glob Heal [Internet]. 2020 Jan 1 [cited 2020

Jul 15];8(1):e20–1. Available from: https://linkinghub.elsevier.

com/retrieve/pii/S2214109X19304929

Nair R, Maseeh A. Vitamin D: The sunshine vitamin [Internet].

Vol. 3, Journal of Pharmacology and Pharmacotherapeutics.

Wolters Kluwer -- Medknow Publications; 2012 [cited 2020 Jul

. p. 118–26. Available from: /pmc/articles/PMC3356951/?report=

abstract

Merzon E, Tworowski D, Gorohovski A, et al. Low plasma

(OH) vitamin D3 level is associated with increased risk

of COVID-19 infection: an Israeli population-based study.

medRxiv [Internet]. 2020 Jan 1;2020.07.01.20144329.

Available from: http://medrxiv.org/content/early/

/07/03/2020.07.01.20144329.abstract

Singh SK, Jain R, Singh S. Vitamin D deficiency in patients

with diabetes and COVID- 19 infection. Diabetes Metab

Syndr Clin Res Rev [Internet]. 2020 Sep 3 [cited 2020 Jul

;14(5):1033–5. Available from: http://www.ncbi.nlm.nih.gov/

pubmed/32640414

Downloads

Publicado

2021-05-07

Como Citar

Coelho-Oliveira, A. C., Monteiro-Oliveira, B. B., Cavalcante, R. B. M., Santos, D. B., Sonza, A., Sá-Caputo, D. C. de, & Bernardo-Filho, M. (2021). Vitamin D levels and risk of COVID-19 infection: A systematic review. Brazilian Journal of Health and Biomedical Sciences, 19(2), 83–90. https://doi.org/10.12957/bjhbs.2020.59708

Edição

Seção

Artigos Originais