Association of Vitamin D and magnesium levels with severity and mortality in patients with COVID-19.

Mariela M García-Zendejas, Edgar A Cano-Torres, Luis E Simental-Mendía
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Abstract

Objective: The study aimed to determine the association between serum magnesium and Vitamin D levels with the severity and mortality by coronavirus disease 19 (COVID-19) in hospitalized patients.

Method: Men and women over 18 years of age with probable COVID-19 were enrolled in a case-control study. Patients with a positive or negative test for Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were allocated into case or control groups, respectively. Vitamin D deficiency was defined by concentrations < 20 ng/mL and hypomagnesemia by serum levels < 1.8 mg/dL.

Results: A total of 54 patients, 30 women and 24 men, were enrolled and allocated into the groups with (n = 27) and without (n = 27) COVID-19. The logistic regression analysis showed that Vitamin D deficiency (odds ratio [OR] = 6.13; 95% confidence intervals [CI]: 1.32-28.34) and insufficiency (OR = 0.12; 95% CI: 0.02-0.60) are significantly associated with hospitalization. However, Vitamin D disorders and hypomagnesemia were not associated with mortality.

Conclusions: The results of the present study revealed that Vitamin D disturbances, but not hypomagnesemia, are associated with the severity of SARS-CoV-2.

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维生素 D 和镁水平与 COVID-19 患者病情严重程度和死亡率的关系。
研究目的该研究旨在确定血清镁和维生素 D 水平与住院患者冠状病毒病 19(COVID-19)的严重程度和死亡率之间的关系:一项病例对照研究招募了18岁以上可能感染COVID-19的男性和女性患者。严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)检测呈阳性或阴性的患者分别被分为病例组和对照组。维生素 D 缺乏的定义是血清中的维生素 D 含量低于 20 毫微克/毫升,而低镁血症的定义是血清中的维生素 D 含量低于 1.8 毫克/分升:共有54名患者(30名女性和24名男性)入组,并被分配到COVID-19组(27人)和非COVID-19组(27人)。逻辑回归分析表明,维生素 D 缺乏(比值比 [OR] = 6.13;95% 置信区间 [CI]:1.32-28.34)和不足(比值比 [OR] = 0.12;95% 置信区间 [CI]:0.02-0.60)与住院治疗显著相关。然而,维生素D紊乱和低镁血症与死亡率无关:本研究结果表明,维生素 D 干扰与 SARS-CoV-2 的严重程度有关,但与低镁血症无关。
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