A study suggests that people who have had Covid-19 should monitor their vitamin D levels closely. Vidhyaa / The National
A study suggests that people who have had Covid-19 should monitor their vitamin D levels closely. Vidhyaa / The National
A study suggests that people who have had Covid-19 should monitor their vitamin D levels closely. Vidhyaa / The National
A study suggests that people who have had Covid-19 should monitor their vitamin D levels closely. Vidhyaa / The National

Could low vitamin D levels increase long Covid risk?


Marwa Hassan
  • English
  • Arabic

The potential relationship between vitamin D levels and the risk of developing long Covid is gaining increasing attention in the scientific community.

A recent study presented at the 25th European Congress of Endocrinology in Istanbul suggests that people who have had Covid-19 should monitor their vitamin D levels closely, as low levels may be linked to a higher risk of long Covid.

Long Covid, also known as post-Covid-19 syndrome, is a relatively new health concern that emerged during the global pandemic.

The condition is characterised by the lingering effects of Covid-19, persisting for more than 12 weeks after the initial infection.

It is estimated that 50 per cent to 70 per cent of patients who were admitted to hospital due to Covid-19 could be affected.

Despite its prevalence, there is still much to understand about long Covid and the factors that may exacerbate its symptoms.

Vitamin D deficiency has been identified as a risk factor for severe outcomes in Covid-19 patients admitted to hospital, including the need for intubation and mechanical ventilation, and even death. However, its role in long Covid has been largely unexplored until now.

The study, which was supported by Abiogen Pharma SpA, was conducted by researchers from the Vita-Salute San Raffaele University and IRCCS San Raffaele Hospital in Milan.

  • Sufferers from long Covid often report having difficulty in falling or staying asleep. Alamy
    Sufferers from long Covid often report having difficulty in falling or staying asleep. Alamy
  • Chest pain can be one of the more acute symptom of long Covid. Getty Images
    Chest pain can be one of the more acute symptom of long Covid. Getty Images
  • Fatigue is a common long-term symptom. Getty Images
    Fatigue is a common long-term symptom. Getty Images
  • Anxiety and depression can persist after being infected with coronavirus.
    Anxiety and depression can persist after being infected with coronavirus.
  • One of the first reported symptoms of Covid-19 was a lack of taste and smell, which can persist even after testing negative for the virus. Getty Images
    One of the first reported symptoms of Covid-19 was a lack of taste and smell, which can persist even after testing negative for the virus. Getty Images
  • So-called brain fog is a common long-term symptom of Covid-19. Getty Images
    So-called brain fog is a common long-term symptom of Covid-19. Getty Images
  • Even the most active people can suffer from prolonged joint and muscle pain after contracting Covid-19. Getty Images
    Even the most active people can suffer from prolonged joint and muscle pain after contracting Covid-19. Getty Images
  • Some people complain of feeling tightness in the chest for months after supposedly having recovered from Covid-19. Getty Images
    Some people complain of feeling tightness in the chest for months after supposedly having recovered from Covid-19. Getty Images

The team examined 100 patients aged 51 to 70, some with long Covid and others without. They measured the patients' vitamin D levels at two points: when they were first admitted to hospital for Covid-19 and six months after discharge.

The findings revealed that patients with long Covid had lower levels of vitamin D compared to those without the disease.

This difference was particularly pronounced in patients who reported symptoms of “brain fog” — confusion, forgetfulness and poor concentration — at the six-month follow-up.

Only patients who had been admitted to hospital for Covid-19 but who had not required intensive care were included in the study. Those with bone conditions were excluded.

The two groups of patients, those with and without long Covid, were matched in terms of age, sex, pre-existing chronic diseases and Covid-19 severity.

Scientists are taking a deeper look into the impact of vitamin D on post-Covid-19 health conditions. Photo: Danny Lawson
Scientists are taking a deeper look into the impact of vitamin D on post-Covid-19 health conditions. Photo: Danny Lawson

“Previous studies on the role of vitamin D in long Covid were not conclusive mainly due to many confounding factors,” explained lead investigator Andrea Giustina.

“The highly controlled nature of our study helps us better understand the role of vitamin D deficiency in long Covid, and establish that there is likely a link between vitamin D deficiency and long Covid.”

While the findings are promising, Dr Giustina stresses that larger studies were needed to validate the link. The research team is now focusing on investigating whether vitamin D supplements could potentially reduce the risk of long Covid.

“Our study shows that Covid-19 patients with low vitamin D levels are more likely to develop long Covid but it is not yet known whether vitamin D supplements could improve the symptoms or reduce this risk altogether,” he noted.

This continuing research highlights the importance of understanding the role of vitamin D in both acute Covid-19 cases and the post-recovery phase.

Ten tax points to be aware of in 2026

1. Domestic VAT refund amendments: request your refund within five years

If a business does not apply for the refund on time, they lose their credit.

2. E-invoicing in the UAE

Businesses should continue preparing for the implementation of e-invoicing in the UAE, with 2026 a preparation and transition period ahead of phased mandatory adoption. 

3. More tax audits

Tax authorities are increasingly using data already available across multiple filings to identify audit risks. 

4. More beneficial VAT and excise tax penalty regime

Tax disputes are expected to become more frequent and more structured, with clearer administrative objection and appeal processes. The UAE has adopted a new penalty regime for VAT and excise disputes, which now mirrors the penalty regime for corporate tax.

5. Greater emphasis on statutory audit

There is a greater need for the accuracy of financial statements. The International Financial Reporting Standards standards need to be strictly adhered to and, as a result, the quality of the audits will need to increase.

6. Further transfer pricing enforcement

Transfer pricing enforcement, which refers to the practice of establishing prices for internal transactions between related entities, is expected to broaden in scope. The UAE will shortly open the possibility to negotiate advance pricing agreements, or essentially rulings for transfer pricing purposes. 

7. Limited time periods for audits

Recent amendments also introduce a default five-year limitation period for tax audits and assessments, subject to specific statutory exceptions. While the standard audit and assessment period is five years, this may be extended to up to 15 years in cases involving fraud or tax evasion. 

8. Pillar 2 implementation 

Many multinational groups will begin to feel the practical effect of the Domestic Minimum Top-Up Tax (DMTT), the UAE's implementation of the OECD’s global minimum tax under Pillar 2. While the rules apply for financial years starting on or after January 1, 2025, it is 2026 that marks the transition to an operational phase.

9. Reduced compliance obligations for imported goods and services

Businesses that apply the reverse-charge mechanism for VAT purposes in the UAE may benefit from reduced compliance obligations. 

10. Substance and CbC reporting focus

Tax authorities are expected to continue strengthening the enforcement of economic substance and Country-by-Country (CbC) reporting frameworks. In the UAE, these regimes are increasingly being used as risk-assessment tools, providing tax authorities with a comprehensive view of multinational groups’ global footprints and enabling them to assess whether profits are aligned with real economic activity. 

Contributed by Thomas Vanhee and Hend Rashwan, Aurifer

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Q1 Suppose you had $100 in a savings account and the interest rate was 2 per cent per year. After five years, how much do you think you would have in the account if you left the money to grow?
a) More than $102
b) Exactly $102
c) Less than $102
d) Do not know
e) Refuse to answer

Q2 Imagine that the interest rate on your savings account was 1 per cent per year and inflation was 2 per cent per year. After one year, how much would you be able to buy with the money in this account?
a) More than today
b) Exactly the same as today
c) Less than today
d) Do not know
e) Refuse to answer

Q4 Do you think that the following statement is true or false? “Buying a single company stock usually provides a safer return than a stock mutual fund.”
a) True
b) False
d) Do not know
e) Refuse to answer

The “Big Three” financial literacy questions were created by Professors Annamaria Lusardi of the George Washington School of Business and Olivia Mitchell, of the Wharton School of the University of Pennsylvania. 

Answers: Q1 More than $102 (compound interest). Q2 Less than today (inflation). Q3 False (diversification).

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Updated: May 13, 2023, 8:02 AM