Micronutrient Status Involved in Immunity in Elderly Patients With COVID-19

Study Overview
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Brief Summary
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During the ongoing COVID-19 pandemic, age was clearly the major factor of mortality. Increasing age was strongly associated with this risk, with the upper 80 years age group having more than 12-fold increased risk compared with those aged 50-59 years. Male gender was also associated with a doubling of risk. The elderly subject is particularly exposed to global denutrition with risk of micronutrients deficiencies such as vitamins and trace elements. Those deficits expose to lower immunity. In addition, viral infection as COVID-19 can also worsen these deficits. In general, low levels or intakes of micronutrients such as Zn, Se and vitamin A have been associated with adverse clinical outcomes during viral infections. This notion has been confirmed in a recent review proposing that besides vitamins A and D also B vitamins, vitamin C, omega-3 polyunsaturated fatty acids, as well as selenium, zinc and iron should be considered in the assessment of micronutrients in COVID-19 patients. In this context, the MicroCovAging study will evaluate copper, zinc and selenium, vitamin A, D and E status in elderly subjects affected by COVID- 19 and to correlate this status with prognosis of this disease.

Official Title
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Micronutrient Status Involved in Immunity in Elderly Patients With COVID-19

Conditions
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Covid19

Intervention / Treatment
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* Biological: Selenium, Zinc and Copper, Vitamin A, D, E plasma concentrations during patient hospitalization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hospitalized adult patient ≥ 50 years at the time of admission, Suffering from confirmed COVID-19 (positive quantitative PCR for SARS-CoV-2 and/or chest scanner suggestive of COVID-19), Informed and non-opposed to the research. Patient will be informed of the study by his medical doctor during hospitalization or by post thanks to a generic information sheet dedicated to COVID-19 researches. Exclusion Criteria: Adult patient < 50 years at the time of admission Negative quantitative PCR for SARS-Cov-2

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Over 50 year's COVID-19 patients hospitalized at HCL from 1st March to 29th May 2020.<br> | Biological: Selenium, Zinc and Copper, Vitamin A, D, E plasma concentrations during patient hospitalization<br>* Micronutrient assays on heparinized plasma.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Selenium, Zinc and Copper, Vitamin A, D and E plasma concentrations of 229 over 50 year's patients hospitalized suffering from COVID-19. |  | Up to 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Covid19, Micronutriments, Elderly