JCEM:COVID-19住院患者维生素D状况分析

2020-10-28 MedSci原创 MedSci原创

与基于人群的对照组相比,住院的COVID-19患者25OHD水平较低,这些患者缺乏症的患病率较高。研究人员没有发现维生素D浓度或维生素缺乏与疾病严重程度之间的任何关联。

维生素D状态在COVID-19患者中的作用尚有争议。近日,内分泌和代谢性疾病领域权威杂志Journal of Clinical Endocrinology & Metabolism上发表了一篇研究文章,该研究旨在评估住院的COVID-19患者血清25-羟基维生素D(25OHD)水平,并分析维生素D状况对疾病严重程度的影响。

这项回顾性病例对照研究纳入了216例COVID-19患者和197例基于人群的对照者。两组受试者均测量了血清25OHD水平。此外,还评估了血清25OHD水平与COVID-19严重程度(入住重症监护病房、需要机械通气或死亡)之间的关系。

在216名患者中,19名患者接受了维生素D补充剂治疗,并分别进行了分析。在COVID-19患者中,25OHD平均±SD水平为13.8±7.2 ng/ml,而对照组为20.9±7.4 ng/ml(p<0.0001)。男性的25OHD值低于女性,在82.2%的COVID-19病例和47.2%的人群对照者中发现维生素D缺乏症(p<0.0001)。25OHD水平与血清铁蛋白(p=0.013)和D-二聚体水平(p=0.027)成反比。维生素D缺乏症的COVID-19患者与25OHD≥20 ng/ml的患者相比,高血压和血管疾病的患病率更高,血清铁蛋白和肌钙蛋白水平升高,住院时间更长。维生素D缺乏症和COVID-19严重程度之间没有因果关系。

与基于人群的对照组相比,住院的COVID-19患者25OHD水平较低,这些患者缺乏症的患病率较高。研究人员没有发现维生素D浓度或维生素缺乏与疾病严重程度之间的任何关联。

原始出处:

José L Hernández.et al.Vitamin D Status in Hospitalized Patients With SARS-CoV-2 Infection.JCEM.2020.https://doi.org/10.1210/clinem/dgaa733

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    2021-07-30 achengzhao
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    2021-09-13 smallant2015
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    2020-10-28 Jessica

    住院的COVID-19患者25OHD水平较低,这些患者缺乏症的患病率较高。

    0

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    2020-10-28 谭金亮

    0

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    2020-10-28 124a6bfdm47暂无昵称

    学习

    0

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