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. 2021 Dec 21;13(2):424–438. doi: 10.1093/advances/nmab128

TABLE 2.

Summarizing the effect of 3 nutrients on COVID-19 disease focusing on important outcomes including inflammation, ICU admission, oxygen requirement, and mortality1

Exposure Inflammatory markers OR, 95% CI, P value ICU admission OR, 95% CI, P value Oxygen requirement OR, 95% CI, P value Mortality OR, 95% CI, P value
Vitamin D FibrinogenD-dimerCRP (25) P = 0.001P = 0.241 P = 0.507 Risk estimate for ICU (24) Admission to ICU (26) OR: 0.03; 95% CI: 0.003, 0.2595% CI: –15.1%, 4.7%; P = 0.30 Need for mechanical ventilation (26) 95% CI: –15.1%, 1.2%; P = 0.09 14-day mortality (31) Reduced risk of COVID-19 mortality (37)In-hospital mortality (26) HR: 0.07; P = 0.017 for group 1HR: 0.37; P = 0.28 for group 2ORadj: 0.13; 95% CI: 0.05, 0.35 ; P < 0.001ORadj: 0.38; 95% CI: 0.17, 0.84 ; P = 0.01895% CI: –4.1%, 9.2%; P = 0.43
DMB Intensive care support (39) OR: 0.20; 95% CI: 0.04, 0.93 Oxygen therapy (39) OR: 0.13; 95% CI: 0.03, 0.59  —
Vitamin C IL-6 (23)↓D-dimer↓Ferritin (30)CRP (34) 95% CI:–301.72, –29.79; P = 0.04P = 0.022P = 0.006P = 0.0003 ↑PaO2/FiO2 (23)↑PaO2/FiO2(34)IMVFD28 (23) ↓FiO2 (30) 95% CI: 33.17, 122.47;P = 0.01P = 0.0007HR: 4.8; 95% CI:–2.3, 11.9; P = 0.56P = 0.186 ICU mortality in HDIVC (23) HR: 0.22; 95% CI: 0.06, 0.90; P = 0.03
Zinc  — Needed ICU (22) OR: 0.733;95% CI: 0.471,1.14; P = 0.168 ↓Needed invasive ventilation (22)Need for mechanical ventilation (27) OR: 0.804; 95% CI: 0.487, 1.33; P = 0.396P = 0.537 ↓Mortality or transfer to hospice (22)Risk of in-hospital mortality (35)Mortality rates (27) OR: 0.449; 95% CI: 0.271, 0.744; P = 0.002HR: 0.66; 95% CI: 0.41, 1.07; P = 0.09 P = 0.986

1COVID-19, coronavirus disease 2019; CRP, C-reactive protein; DMB, vitamin D, magnesium, and vitamin B-12; ICU, intensive care unit; IMVFD28, invasive mechanical ventilation free days in 28 days; HDIVC, high-dose intravenous vitamin C; PaO2/FiO2, partial pressure of oxygen/fraction of inspired oxygen.