COVID-19 rapid guideline: vitaminD Cookies on the NICE website and servicesCookies are files saved on your phone, tablet or computer when you visit a website.We use cookies to store information about how you use the NICE website and services, such as the pages you visit.For more information, view our cookie statement.(Opens in a new window)Accept all cookiesReject cookiesEssential cookiesThese July 2022GuidanceTools and resourcesEvidenceHistoryOverviewRecommendationsRationaleContextUpdate informationDownload guidance (PDF)GuidanceNext This guideline covers vitaminD use in the context of COVID‑19. It is for adults, young people and children in hospitals and community settings. VitaminD is important for bone and muscle health. It may also have a role in the body's immune response
VitaminD supplementation and risk of acute respiratory infection or Covid-19. Skip to contentHomeAboutIndexFeedbackSearch for:Less Is MoreVitamin D supplementation and risk of acute respiratory infection or Covid-19.FEBRUARY 1, 2023/BCAYLEYSummary: For patients with low levels of VitaminD, supplementation with low (800 IU daily) or high (3200 IU daily) dosing of VitaminD may not be associated with and reduction in the risk of acute respiratory infection or Covid-19 over 6 months of follow-up.https://pubmed.ncbi.nlm.nih.gov/36215226/Strength of Recommendation = BSaveEmailPrintCategories: Strength of Recommendation BTags: Prevention, PulmonaryPost navigationCT or invasive angiography for stable chest pain and suspected CAD.ASA or LMWH for thromboprophylaxis after fracture.SIMPLER, BETTER MEDICINEIndexing
COVID-19 and VitaminD: Partners in Crime, or Simply Associates? February 8, 2021 COVID-19 Rapid Reviews Along with regular Tools for Practice, the PEER team will be writing rapid reviews to address COVID-19 topics relevant for primary care. The evidence is changing rapidly and it is possible that as you read this, new evidence will already be available. We will try our best to stay in front and keep you up-to-date during these challenging times. COVID-19 and VitaminD: Partners in Crime, or Simply Associates? Clinical Question: Does VitaminD help prevent or treat COVID-19? Bottom Line: While observational evidence suggests an association between low vitaminD levels and COVID-19 infection, it is unclear if this is simply reflective of overall
VitaminD: A rapid review of the evidence for treatment or prevention in COVID-19VitaminD: A rapid review of the evidence for treatment or prevention in COVID-19 - The Centre for Evidence-Based Medicine The Centre for Evidence-Based MedicineEvidence Service to support the COVID-19 responseNavigate this website * Home * COVID-19 Evidence * Open Evidence Reviews * Blog * Home * COVID-19 Evidence on vitaminD in COVID-19. There was no evidence related to vitaminD deficiency predisposing to COVID-19, nor were there studies of supplementation for preventing or treating COVID-19 (Search date upto 4th of April 2020, clinicaltrials.gov searched upto on 23rd April).There is some evidence that daily vitamin D3 supplementation over weeks to months may prevent other acute respiratory infections
Use of High Dose VitaminD and its Association with COVID-19VitaminD is an essential fat-soluble vitamin obtained from the diet or can be produced in the skin. Dietary vitaminD can be obtained through naturally occurring vitamin D2 (ergocalciferol) or D3 (cholecalciferol) in food, dietary supplementation, or food fortification. VitaminD enters of COVID-19 infections, and the safety and effectiveness of the treatment related to vitaminD. This review is requested by the Director General of Health Malaysia. There was no article retrieved from the scientific databases such as Medline, EBM Reviews, EMBASE via OVID, PubMed and from the general search engines [Google Scholar and US Food and Drug
VitaminD regulates COVID-19 associated severity by suppressing the NLRP3 inflammasome pathway. The role of vitamin D3 (VitD3) in modulating innate and adaptive immunity has been reported in different disease contexts. Since the start of the coronavirus disease-2019 (COVID-19) pandemic, the role of VitD3 has been highlighted in many correlational and observational studies. However, the exact mechanisms of action are not well identified. One of the mechanisms via which VitD3 modulates innate immunity is by regulating the NLRP3-inflammasome pathway, being a main underlying cause of SARS-CoV-2-induced hyperinflammation. Blood specimens of severe COVID-19 patients with or without VitD3 treatment were collected during their stay in the intensive care unit and patients were followed up for 29 days
Therapeutic high-dose vitaminD for vitaminD-deficient severe COVID-19 disease: randomized, double-blind, placebo-controlled study (SHADE-S). efficacy of therapeutic cholecalciferol supplementation for severe COVID-19 is sparingly studied. effect of single high-dose cholecalciferol supplementation on sequential organ failure assessment (SOFA) score in moderate-to-severe COVID-19. participants cholecalciferol supplementation on ICU admission can improve SOFA score at Day 7 and reduce in-hospital mortality in vitaminD-deficient COVID-19. ClinicalTrials.gov id: NCT04952857 registered dated 7 July 2021. What is already known on this topic-vitaminD has immunomodulatory role. Observational and isolated intervention studies show some benefit in COVID-19. Targeted therapeutic vitaminD supplementation
VitaminD Supplementation and Clinical Outcomes in Severe COVID-19 Patients-Randomized Controlled Trial COVID-19 symptoms vary from asymptomatic cases to moderate and severe illness with patients needing hospitalization and intensive care treatment. VitaminD is associated with severity of viral infections and has an immune-modulatory effect in immune response. Observational studies showed a negative association of low vitaminD levels and COVID-19 severity and mortality outcomes. In this study, we aimed to determine whether daily supplementation of vitaminD during intensive care unit (ICU) stay in COVID-19 patients with severe illness affects clinically relevant outcomes. Patients with COVID-19 disease in need of respiratory support admitted to the ICU were eligible for inclusion. Patients
Impact of vitaminD supplementation on the clinical outcomes of COVID-19 pneumonia patients: a single-center randomized controlled trial. VitaminD supplementation for infectious diseases has been discussed, but its role in COVID-19 is unclear. Therefore, this study examined the clinical outcomes of COVID-19 pneumonia patients who received vitaminD supplementation. This prospective, open-label , randomized controlled trial was conducted in a university hospital between July 2020 and March 2022. The inclusion criteria were patients aged ≥ 18 years with COVID-19 pneumonia patients. The patients were randomized into two groups: an intervention group receiving vitaminD supplementation (alfacalcidol, two mcg orally daily) until discharge and a control group. The clinical outcomes were pneumonia
Exploring trial publication and research waste in COVID-19 randomised trials of hydroxychloroquine, corticosteroids, and vitaminD: a meta-epidemiological cohort study. The global research response to the COVID-19 pandemic was impressive, but also led to an infodemic and considerable research waste. Registered, but unpublished trials added to this noise. We aimed to determine the proportion of registered randomised trials of common COVID-19 treatments that were published and to describe the characteristics of these trials to examine the association between trial characteristics, publication status and research waste. This meta-epidemiological cohort study used a sample of randomised trials of corticosteroids, hydroxychloroquine or vitaminD as treatments for COVID-19, registered between 1
Randomized trial of influence of vitaminD on the prevention and improvement of symptomatic COVID-19. We aimed to investigate the preventive effect of vitamin D2 on COVID-19 and the improvement of symptoms after COVID-19 infection. The study recruited 228 health care workers who tested negative PCR or antigen for COVID-19. Subjects were randomly allocated to vitamin D2 or non-intervention ). There was no difference in the COVID-19 symptoms between the two groups. The mean 25(OH)D level significantly increased from 14.1 to 31.1 ng/mL after administration (P < 0.001). The difference between the two groups was not significant for the concentrations of CRP, C1q and inflammatory cytokines on the thirtieth day of the trial. According to the second level of vitaminD, there was a 14.3% difference in positive
Effect of Single High Dose VitaminD Substitution in Hospitalized COVID-19 Patients with VitaminD Deficiency on Length of Hospital Stay. VitaminD and its role in the coronavirus-19 disease (COVID-19) pandemic has been controversially discussed, with inconclusive evidence about vitamin D3 (cholecalciferol) supplementation in COVID-19 patients. VitaminD metabolites play an important role in the initiation of the immune response and can be an easily modifiable risk factor in 25-hydroxyvitamin D (25(OH)D)-deficient patients. This is a multicenter, randomized, placebo-controlled double-blind trial to compare the effect of a single high dose of vitaminD followed by treatment as usual (TAU) of daily vitaminD daily until discharge versus placebo plus TAU in hospitalized patients with COVID-19 and 25
to the skeletal effects, it is now recognised that vitaminD deficiency increases the risk of many chronic diseases, including cancer, autoimmune diseases, type 2 diabetes, heart disease and hypertension, neurocognitive dysfunction, infectious diseases (including respiratory tract infections, tuberculosis, and COVID-19), and schizophrenia. VitaminD deficiency/insufficiency has been associated with increased risk for morbidity and mortality associated with COVID-19.Both vitaminD deficiency and vitaminD insufficiency are corrected by giving vitamin D2 or vitamin D3 in treatment doses followed by lifelong maintenance doses; adequate, sensible sunlight exposure should be encouraged. Additional replacement with 1,25-dihydroxyvitamin D or one of its active analogues is necessary for those with disorders
Changes in the immune response against SARS-CoV-2 in individuals with severe COVID-19 treated with high dose of vitaminD Main cause of severe illness and death in COVID-19 patients appears to be an excessive but ineffectual inflammatory immune response that may cause severe acute respiratory distress syndrome (ARDS). VitaminD may favour an anti-inflammatory environment and improve cytotoxic response against some infectious diseases. A multicenter, single-blind, prospective, randomized clinical trial was approved in patients with COVID-19 pneumonia and levels of 25-hydroxyvitamin D (25(OH)D) of 14.8 ng/ml (SD: 6.18) to test antiviral efficacy, tolerance and safety of 10,000 IU/day of cholecalciferol (vitaminD) for 14 days, in comparison with 2000 IU/day. After supplementation, mean serum 25
High-dose versus standard-dose vitaminD supplementation in older adults with COVID-19 (COVIT-TRIAL): A multicenter, open-label, randomized controlled superiority trial VitaminD supplementation has been proposed as a treatment for Coronavirus Disease 2019 (COVID-19) based on experimental data and data from small and uncontrolled observational studies. The COvid19 and VITamind TRIAL (COVIT -TRIAL) study was conducted to test whether a single oral high dose of cholecalciferol (vitamin D3) administered within 72 hours after the diagnosis of COVID-19 improves, compared to standard-dose cholecalciferol, the 14-day overall survival among at-risk older adults infected with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). This multicenter, randomized, controlled, open-label
Prevention of covid-19 and other acute respiratory infections with cod liver oil supplementation, a low dose vitaminD supplement: quadruple blinded, randomised placebo controlled trial. To determine if daily supplementation with cod liver oil, a low dose vitaminD supplement, in winter, prevents SARS-CoV-2 infection, serious covid-19, or other acute respiratory infections in adults in Norway . Quadruple blinded, randomised placebo controlled trial. Norway, 10 November 2020 to 2 June 2021. 34 601 adults (aged 18-75 years), not taking daily vitaminD supplements. 5 mL/day of cod liver oil (10 µg of vitaminD, n=17 278) or placebo (n=17 323) for up to six months. Four co-primary endpoints were predefined: the first was a positive SARS-CoV-2 test result determined by reverse transcriptase
Effect of a test-and-treat approach to vitaminD supplementation on risk of all cause acute respiratory tract infection and covid-19: phase 3 randomised controlled trial (CORONAVIT). To determine the effect of population level implementation of a test-and-treat approach to correction of suboptimal vitaminD status (25-hydroxyvitamin D (25(OH)D) <75 nmol/L) on risk of all cause acute respiratory tract infection and covid19. Phase 3 open label randomised controlled trial. United Kingdom. 6200 people aged ≥16 years who were not taking vitaminD supplements at baseline. Offer of a postal finger prick test of blood 25(OH)D concentration with provision of a six month supply of lower dose vitaminD (800 IU/day, n=1550) or higher dose vitaminD (3200 IU/day, n=1550) to those with blood 25(OH)D