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‘No evidence’ vitamin D supplements help prevent or treat Covid, says NICE

A new review by NICE has concluded that there is no sufficient evidence to support taking vitamin D supplements to specifically prevent or treat Covid-19.

It concluded that people should continue to follow Government advice on daily vitamin D supplementation, which is to take daily 10 microgram vitamin D supplement to protect musculoskeletal health.

At the same time, Royal Society has said that it is ‘possible’ that higher rates of Vitamin D deficiency could explain why black, Asian and ethnic minority patients face worse outcomes and is urging the Government to strengthen its advice on avoiding vitamin D deficiency.

It had been suggested that the high rates of infection and death among black, Asian and ethnic minority people may be related to vitamin D deficiency.

The NICE review said: ‘There is no evidence to support taking vitamin D supplements to specifically prevent or treat Covid-19. However, all people should continue to follow UK Government advice on daily vitamin D supplementation to maintain bone and muscle health during the Covid-19 pandemic.’

The Royal Society went slightly further. Professor Charles Bangham, chair of immunology at Imperial College London and a member of the group working on its Vitamin D paper – which was released almost two weeks ago – said: ‘Although the direct evidence on Vitamin D in Covid-19 is lacking, it is quite plausible that the same will hold for this virus.

‘It is possible that higher rates of Vitamin D deficiency could be one reason why people with darker skin are affected more seriously by the disease – but there are a lot of other factors as well so we need to collect this data.’

It is also recommending that hospitals consider assaying serum Vitamin D levels in patients with Covid-19, but stresses that more research is required to test the possibility that Vitamin D deficiency predisposes to the virus. This is particularly crucial for groups with a high risk of mortality from it, such as the ‘institutionalised elderly’ and people with a BAME background.

Further recommendations are that hospitals consider assaying serum Vitamin D levels in patients with Covid-19.

Meanwhile, PHE, SACN and NICE will continue to monitor and assess emerging evidence in this field.

The UK’s rates of Vitamin D deficiency are among the highest in Europe.


          

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