Evidence map›Paper›PMID 36085364›Full record

ArticlePediatric research2023

Vitamin D deficiency and vitamin D receptor FokI polymorphism as risk factors for COVID-19.

Nancy M S Zeidan, Hanan M Abd El Lateef, Dalia M Selim, Suzan A Razek, Ghada A B Abd-Elrehim, Mohamed Nashat, Noha ElGyar, Nevin M Waked, Attia A Soliman, Ahmed A Elhewala and 28 more

Open access · hybridAbstract read
In one paragraph

Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Review
  16. Association ofGenes · 2023
    Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

38 authors at 13 institutions in 3 countries.

Nancy M S ZeidanDepartment of Pediatrics, Faculty of Medicine, Cairo University, Giza, Egypt.
Hanan M Abd El LateefDepartment of Pediatrics, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Dalia M SelimDepartment of Pediatrics, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Suzan A RazekDepartment of Pediatrics, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Ghada A B Abd-ElrehimDepartment of Pediatrics, Faculty of Medicine, Sohag University, Sohag, Egypt.
Mohamed NashatDepartment of Pediatrics, Faculty of Medicine, Aswan University, Aswan, Egypt.
Noha ElGyarDepartment of Pediatrics, Faculty of Medicine, Assuit University, Assuit, Egypt.
Nevin M WakedDepartment of Pediatrics, Faculty of Medicine, October 6 University, 6th of October City, Egypt.
Attia A SolimanDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed A ElhewalaDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamed M M ShehabDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed A A IbraheemDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Hassan ShehataDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Yousif M YousifDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Nagwa E AkeelDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mustafa I A HashemDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Amani A AhmedDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed A EmamDepartment of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt. ahmedemam1111@yahoo.com.
Mohamed M AbdelmohsenDepartment of Pediatrics, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Mohamed F AhmedDepartment of Pediatrics, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Ahmed S E SalehDepartment of Otorhinolaryngology, Faculty of Medicine, Benha University, Benha, Egypt.
Heba H EltrawyDepartment of Chest Diseases, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Gehan H ShahinDepartment of Clinical Pathology, Faculty of Medicine, Cairo University, Giza, Egypt.
Rehab M NabilDepartment of Clinical Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Thoraya A HosnyDepartment of Clinical Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamed R AbdelhamedDepartment of Clinical Pathology, Al-Azhar Faculty of Medicine, Cairo, Egypt.
Mona R AfifyDepartment of Medical Microbiology and Parasitology, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
Mohanned T AlharbiDepartment of Medical Microbiology and Parasitology, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
Mohammed K NagshabandiDepartment of Medical Microbiology and Parasitology, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
Muyassar K TarabulsiDepartment of Medical Microbiology and Parasitology, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
Sherif F OsmanDepartment of Radiology, Texas Tech University Health Sciences Center, El Paso, TX, USA.
Amal S M Abd-ElrazekDepartment of Radio-Diagnosis, Menoufia University, Shibin Al Kawm, Egypt.
Manal M RashadDepartment of Anesthesia, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Sonya A A El-GaalyDepartment of Internal Medicine, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Said A B GadDepartment of Internal Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamed Y MohamedDepartment of Psychiatry, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Khalil AbdelkhalekDepartment of Pediatrics, Faculty of Medicine, Cairo University, Giza, Egypt.
Aly A YousefDepartment of Pediatrics, Faculty of Medicine, Helwan University, Helwan, Egypt.
Zagazig University · EGAin Shams University · EGAl-Azhar University · EGJeddah University · SACairo University · EGAssiut University · EGAswan University · EGBenha University · EGHelwan University · EGMenoufia University · EGOctober 6 University · EGSohag University · EGTexas Tech University Health Sciences Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the sparse data on vitamin D status in pediatric COVID-19, we investigated whether vitamin D deficiency could be a risk factor for susceptibility to COVID-19 in Egyptian children and adolescents. We also investigated whether vitamin D receptor (VDR) FokI polymorphism could be a genetic marker for COVID-19 susceptibility.

methodsOne hundred and eighty patients diagnosed to have COVID-19 and 200 matched control children and adolescents were recruited. Patients were laboratory confirmed as SARS-CoV-2 positive by real-time RT-PCR. All participants were genotyped for VDR Fok1 polymorphism by RT-PCR. Vitamin D status was defined as sufficient for serum 25(OH) D at least 30 ng/mL, insufficient at 21-29 ng/mL, deficient at <20 ng/mL.

resultsNinety-four patients (52%) had low vitamin D levels with 74 (41%) being deficient and 20 (11%) had vitamin D insufficiency. Vitamin D deficiency was associated with 2.6-fold increased risk for COVID-19 (OR = 2.6; [95% CI 1.96-4.9]; P = 0.002. The FokI FF genotype was significantly more represented in patients compared to control group (OR = 4.05; [95% CI: 1.95-8.55]; P < 0.001).

conclusionsVitamin D deficiency and VDR Fok I polymorphism may constitute independent risk factors for susceptibility to COVID-19 in Egyptian children and adolescents. IMPACT: Vitamin D deficiency could be a modifiable risk factor for COVID-19 in children and adolescents because of its immune-modulatory action. To our knowledge, ours is the first such study to investigate the VDR Fok I polymorphism in Caucasian children and adolescents with COVID-19. Vitamin D deficiency and the VDR Fok I polymorphism may constitute independent risk factors for susceptibility to COVID-19 in Egyptian children and adolescents. Clinical trials should be urgently conducted to test for causality and to evaluate the efficacy of vitamin D supplementation for prophylaxis and treatment of COVID-19 taking into account the VDR polymorphisms.

Indexed as

COVID-19Receptors, CalcitriolVitamin D DeficiencyAdolescentChildGenetic Predisposition to DiseaseGenotypeHumansRisk FactorsSARS-CoV-2Vitamin DReceptors, CalcitriolVDR protein, humanVitamin D

Identifiers

PMID36085364
PMCPMC9461391
OpenAlexW4295219635

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.