Id |
Subject |
Object |
Predicate |
Lexical cue |
T253 |
0-4 |
Sentence |
denotes |
5.5. |
T254 |
5-22 |
Sentence |
denotes |
New Perspectives: |
T255 |
23-97 |
Sentence |
denotes |
Is There a Potential for Vitamin D Supplementation in Preventing COVID-19? |
T256 |
98-241 |
Sentence |
denotes |
At the time of writing (3 July 2020), the COVID-19 pandemic has claimed over 500,000 lives worldwide with over 11 million confirmed infections. |
T257 |
242-399 |
Sentence |
denotes |
Different regions of the world have been differently affected by the pandemic, with Northern Italy setting an unfortunate record for incidence and mortality. |
T258 |
400-692 |
Sentence |
denotes |
Different factors might explain these geographical variations, such as the earlier spread of the virus in certain countries or the different preventive measures adopted, the different climates and air-pollution levels, or the different age-composition and social proximity of the communities. |
T259 |
693-772 |
Sentence |
denotes |
A North–South gradient in COVID-19 distribution has been noticed [174,175,176]. |
T260 |
773-908 |
Sentence |
denotes |
Areas along a latitude of 30–50° N with similar low-humidity, temperate weather, showed significant community spread of COVID-19 [177]. |
T261 |
909-1059 |
Sentence |
denotes |
Marik and colleagues calculated the case-fatality rate in each state of the US and found increasing mortality with increasing latitude (>40° N) [178]. |
T262 |
1060-1214 |
Sentence |
denotes |
More recently, another study reported a highly significant, positive correlation between lower death rates and a country’s proximity to the equator [179]. |
T263 |
1215-1431 |
Sentence |
denotes |
Rhodes et al. described that more northerly countries are currently showing relatively high COVID-19 mortality, with an estimated 4.4% increase in mortality for each 1-degree latitude north of 28 degrees North [180]. |
T264 |
1432-1597 |
Sentence |
denotes |
Vitamin D deficiency is less common in countries where the sun exposure is consistent throughout the year or where the use of vitamin D fortified food is widespread. |
T265 |
1598-1747 |
Sentence |
denotes |
Various authors suggested that vitamin D deficiency might play a role in the variability of COVID-19 impact on different countries [175,176,177,181]. |
T266 |
1748-1936 |
Sentence |
denotes |
Ilie and colleagues searched literature for mean vitamin D level in each country and observed a negative correlation between vitamin D levels and number of COVID-19 cases and deaths [181]. |
T267 |
1937-2109 |
Sentence |
denotes |
Ali described a significant negative correlation between mean vitamin D levels and COVID-19 cases per one million population in European countries, as of 20 May 2020 [182]. |
T268 |
2110-2291 |
Sentence |
denotes |
Moreover, a wide variation in the severity of SARS-CoV2 infection’s clinical presentation has been noticed, ranging from absent or minimal symptoms to critical conditions and death. |
T269 |
2292-2473 |
Sentence |
denotes |
To date, although some risk factors have been identified (age, co-morbidities, etc.), it is not yet completely understood why some patients develop more severe symptoms than others. |
T270 |
2474-2841 |
Sentence |
denotes |
Considering our knowledge on the role of vitamin D in modulating the immune system and in inhibiting a hyper activation of the inflammatory response, together with data from observational and clinical studies on vitamin D supplementation, various authors have also suggested a potential role of vitamin D in reducing the severity of the disease [183,184,185,186,187]. |
T271 |
2842-3010 |
Sentence |
denotes |
Vitamin D is especially known for its ability to reduce the “cytokine storm” that contributes to the pathogenesis of various viral infections, including COVID-19 [188]. |
T272 |
3011-3756 |
Sentence |
denotes |
To date, we only have preliminary observations regarding the association of vitamin D deficiency and frequency and severity of COVID-19; the above mentioned study from Ilie and colleagues found a correlation between mean vitamin D levels in each country and COVID-19 cases and deaths [181]; D’Avolio and colleagues investigated vitamin D concentrations in a small cohort of 107 patients with a positive naso-pharyngeal swab for SARS-CoV2 in Switzerland, and found significantly lower vitamin D levels in patients than in controls with negative swabs [187]; Lau et al. described a high frequency of vitamin D insufficiency (84.6%) in COVID-19 patients admitted to ICU in New Orleans, with a 100% frequency in patients younger than 75 years [188]. |
T273 |
3757-3996 |
Sentence |
denotes |
Interestingly, a recent pilot study demonstrated that administration of a high dose of 25-hydroxyvitamin D significantly reduced the need for intensive care unit treatment of patients requiring hospitalization due to proven COVID-19 [189]. |
T274 |
3997-4153 |
Sentence |
denotes |
Calcifediol seems to be able to reduce severity of the disease, but larger trials with groups properly matched will be required to show a definitive answer. |