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. 2021 May 10;13(5):1589. doi: 10.3390/nu13051589

Table 3.

COVID-19 Incidence as outcome.

Author [Ref] Micronutrient in question Odds Ratio (OR) (95% Confidence Interval); % Population Infected (Infected/Population Size) Key Findings
Supplementation Deficiency
Supplemented Non-supplemented Quintile 1 Quintile 2 Quintile 3
Baktash [20] Vitamin D
  • Significantly lower vitamin D levels in the cases ˠ (27.00 nmol/L) compared to non-cases ˠ (52.00 nmol/L, p = 0.0008).

D’Avolio [23] Vitamin D
  • Significantly lower 25(OH)D levels in cases (11.1 ng/mL) to non-cases (24.6 ng/mL, p = 0.004).

  • Significant difference in 25(OH)D levels in cases ˠ compared with the 2019 non-cases ˠ (24.6 ng/mL, p < 0.001); but no difference between the 2019 and 2020 non-cases ˠ (p = 0.076).

Fasano [48] Vitamin D 0.56 (0.32- 0.99) *,a;
4.0% (13/329)
Reference; 8.0% (92/1157) *
  • 44% a lowered odds of incidence when patients reported vitamin D supplementation, compared to non-supplementation (p = 0.048).

Im [25] Vitamin D3 NR; 12.4% (12/97) # NR; 32.5%
(26/80) #
NR; 52.2% (12/23) #
  • Significant difference in proportions of cases and controls with deficiency (p = 0.003) and severe deficiency (p = 0.001).

  • Significantly lower mean 25(OH)D levels in cases (15.7 ± 7.9 ng/dL) than in controls (25.0 ± 13.2 ng/dL, p < 0.001).

Mardani [31] Vitamin D
  • Significantly lower mean Vitamin D levels in to cases ˠ (18.5 ng/mL) than in non-cases ˠ (30.2 ng/mL, p < 0.0001).

Meltzer [32] Vitamin D NR; 12.3% (39/317) NR; 18.6% (32/172)
  • No difference in proportion of cases ˠ and non-cases ˠ between non-deficient and deficient groups (p = 0.06).

Merzon [33] Vitamin D ᶧ Reference; 69.4% (79/1139) # 1.59 (1.29–2.02); 10.6% (598/5648) # 1.58 (1.13–2.09); 10.3% (105/1020)#
  • 58% to 59% b increase in odds of incidence for the deficient and insufficient group respectively, compared to those with sufficient vitamin D levels.

  • 50% b increase in odds of incidence for the those with low vitamin D levels, compared to those with normal vitamin D levels.

  • Significantly lower mean (±SD) vitamin D levels in cases ˠ (19 ± 8.42 ng/mL) than non-cases ˠ (20.55 ± 9.84 ng/mL, p = 0.026).

Vitamin D ᶲ Reference; 69.4% (79/1139) 1.50 (1.13–1.98) b; 10.5% (703/6668) *
Raisi-Estabragh [38] Vitamin D
  • No difference in median (±IQR) vitamin D levels, adjusted for seasonality between cases ˠ (33.88 ± 27.01 nmol/L) and non-cases ˠ (35.45 ± 26.78 nmol/L).

Ye [43] Vitamin D Reference; 35.6% (36/101) # 3.13 (1.47–6.66); 63.4% (26/41) #
  • 213% increase in odds of incidence for those deficient in Vitamin D, compared to those not deficient.

  • Significant difference in median (IQR) 25(OH)D (nmol/L) levels between cases ˠ (55.6 (41.9–66.1) nmol/L) and healthy controls (71.8 (57.8–83.7) nmol/L, p < 0.05).

Jothimani [26] Zinc NR; 33.3% (20/60) # NR; 84.4% (27/32) #
  • Significantly lower median (IQR) zinc levels cases ˠ (74.5 (53.4–94.6) mg/dL) compared to controls [105.8 (95.65–120.90) mg/dL, p < 0.001).

* between-group p < 0.05; # between group p-value not reported; ˠ cases refer to COVID-19 positive individuals, non-cases refer to COVID-19 negative individuals; ᶧ quintiles classification: sufficiency, insufficiency and deficiency; ᶲ quintiles classification: normal and low; a age-adjusted; b adjusted for demographic variables, and psychiatric and somatic disorders.