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                            COVID-19 rapid evidence summary: vitamin D for COVID-19 COVID-19 rapid evidence summary: vitamin D for COVID-19 | Advice | NICE 1. Home 2. NICE Guidance 3. NICE Advice 4. Evidence summaries COVID-19 rapid evidence summary: vitamin D for COVID-19 Evidence summary [ES28] Published: 29 June 2020 AdviceThis evidence summary has been updated and replaced by the COVID-19 rapid guideline on vitamin D (NG187).
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                            2020National Institute for Health and Care Excellence - Clinical Guidelines
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                            NarrativeNarrative based
                            EvidenceEvidence based
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                            COVID-19 rapid guideline: vitamin D COVID-19 rapid guideline: vitamin D NICE guideline Published: 17 December 2020 www.nice.org.uk/guidance/ng187 © NICE 2022. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of-rights).Your responsibility Your responsibility The recommendations in this guideline represent the view of NICE, arrived at after assess and reduce the environmental impact of implementing NICE recommendations wherever possible. COVID-19 rapid guideline: vitamin D (NG187)© NICE 2022. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of-rights).Page 2 of15Contents Contents Overview
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                            2022NICE COVID-19 rapid evidence summary
                            COVID-19 rapid guideline: vitamin D 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 vitamin D use in the context of COVID19. It is for adults, young people and children in hospitals and community settings. Vitamin D is important for bone and muscle health. It may also have a role in the body's immune response
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                            2023Less Is More
                            Vitamin D 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 Vitamin D, supplementation with low (800 IU daily) or high (3200 IU daily) dosing of Vitamin D 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
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                            2021Tools for Practice
                            COVID-19 and Vitamin D: 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 Vitamin D: Partners in Crime, or Simply Associates? Clinical Question: Does Vitamin D help prevent or treat COVID-19? Bottom Line: While observational evidence suggests an association between low vitamin D levels and COVID-19 infection, it is unclear if this is simply reflective of overall
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                            2020Oxford COVID-19 Evidence Service
                            Vitamin D: A rapid review of the evidence for treatment or prevention in COVID-19 Vitamin D: 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 vitamin D in COVID-19. There was no evidence related to vitamin D 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
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                            2020MaHTAS Covid-19 Rapid Evidence Updates
                            Use of High Dose Vitamin D and its Association with COVID-19 Vitamin D is an essential fat-soluble vitamin obtained from the diet or can be produced in the skin. Dietary vitamin D can be obtained through naturally occurring vitamin D2 (ergocalciferol) or D3 (cholecalciferol) in food, dietary supplementation, or food fortification. Vitamin D enters of COVID-19 infections, and the safety and effectiveness of the treatment related to vitamin D. 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
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                            2024PLoS ONE
                            Vitamin D 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
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                            Therapeutic high-dose vitamin D for vitamin D-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 vitamin D-deficient COVID-19. ClinicalTrials.gov id: NCT04952857 registered dated 7 July 2021. What is already known on this topic-vitamin D has immunomodulatory role. Observational and isolated intervention studies show some benefit in COVID-19. Targeted therapeutic vitamin D supplementation
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                            2023EvidenceUpdates
                            Vitamin D 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. Vitamin D is associated with severity of viral infections and has an immune-modulatory effect in immune response. Observational studies showed a negative association of low vitamin D levels and COVID-19 severity and mortality outcomes. In this study, we aimed to determine whether daily supplementation of vitamin D 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
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                            Impact of vitamin D supplementation on the clinical outcomes of COVID-19 pneumonia patients: a single-center randomized controlled trial. Vitamin D 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 vitamin D 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 vitamin D supplementation (alfacalcidol, two mcg orally daily) until discharge and a control group. The clinical outcomes were pneumonia
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                            Exploring trial publication and research waste in COVID-19 randomised trials of hydroxychloroquine, corticosteroids, and vitamin D: 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 vitamin D as treatments for COVID-19, registered between 1
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                            2024Scientific reports
                            Randomized trial of influence of vitamin D 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 vitamin D, there was a 14.3% difference in positive
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                            2023Biomedicines
                            Effect of Single High Dose Vitamin D Substitution in Hospitalized COVID-19 Patients with Vitamin D Deficiency on Length of Hospital Stay. Vitamin D 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. Vitamin D 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 vitamin D followed by treatment as usual (TAU) of daily vitamin D daily until discharge versus placebo plus TAU in hospitalized patients with COVID-19 and 25
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                            2023BMJ Best Practice
                            to the skeletal effects, it is now recognised that vitamin D 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. Vitamin D deficiency/insufficiency has been associated with increased risk for morbidity and mortality associated with COVID-19.Both vitamin D deficiency and vitamin D 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
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                            2022EvidenceUpdates
                            Changes in the immune response against SARS-CoV-2 in individuals with severe COVID-19 treated with high dose of vitamin D 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). Vitamin D 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 (vitamin D) for 14 days, in comparison with 2000 IU/day. After supplementation, mean serum 25
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                            2022EvidenceUpdates
                            High-dose versus standard-dose vitamin D supplementation in older adults with COVID-19 (COVIT-TRIAL): A multicenter, open-label, randomized controlled superiority trial Vitamin D 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 VITamin d 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
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                            2022BMJ
                            Prevention of covid-19 and other acute respiratory infections with cod liver oil supplementation, a low dose vitamin D supplement: quadruple blinded, randomised placebo controlled trial. To determine if daily supplementation with cod liver oil, a low dose vitamin D 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 vitamin D supplements. 5 mL/day of cod liver oil (10 µg of vitamin D, 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
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                            2022BMJ
                            Effect of a test-and-treat approach to vitamin D 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 vitamin D status (25-hydroxyvitamin D (25(OH)D) <75 nmol/L) on risk of all cause acute respiratory tract infection and covid 19. Phase 3 open label randomised controlled trial. United Kingdom. 6200 people aged ≥16 years who were not taking vitamin D 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 vitamin D (800 IU/day, n=1550) or higher dose vitamin D (3200 IU/day, n=1550) to those with blood 25(OH)D