Hemilä Harri
Department of Public Health, University of Helsinki, Helsinki FI-00014, Finland.
Nutrients. 2017 Mar 29;9(4):339. doi: 10.3390/nu9040339.
In the early literature, vitamin C deficiency was associated with pneumonia. After its identification, a number of studies investigated the effects of vitamin C on diverse infections. A total of 148 animal studies indicated that vitamin C may alleviate or prevent infections caused by bacteria, viruses, and protozoa. The most extensively studied human infection is the common cold. Vitamin C administration does not decrease the average incidence of colds in the general population, yet it halved the number of colds in physically active people. Regularly administered vitamin C has shortened the duration of colds, indicating a biological effect. However, the role of vitamin C in common cold treatment is unclear. Two controlled trials found a statistically significant dose-response, for the duration of common cold symptoms, with up to 6-8 g/day of vitamin C. Thus, the negative findings of some therapeutic common cold studies might be explained by the low doses of 3-4 g/day of vitamin C. Three controlled trials found that vitamin C prevented pneumonia. Two controlled trials found a treatment benefit of vitamin C for pneumonia patients. One controlled trial reported treatment benefits for tetanus patients. The effects of vitamin C against infections should be investigated further.
在早期文献中,维生素C缺乏与肺炎有关。在其被发现后,许多研究调查了维生素C对各种感染的影响。总共148项动物研究表明,维生素C可能减轻或预防由细菌、病毒和原生动物引起的感染。研究最广泛的人类感染是普通感冒。服用维生素C并不会降低普通人群感冒的平均发病率,但它能使体育活动人群的感冒次数减半。定期服用维生素C可缩短感冒持续时间,这表明其具有生物学效应。然而,维生素C在普通感冒治疗中的作用尚不清楚。两项对照试验发现,对于普通感冒症状的持续时间,维生素C存在统计学上显著的剂量反应,每天服用高达6 - 8克维生素C时可见此效果。因此,一些普通感冒治疗研究的阴性结果可能是由于每天服用3 - 4克维生素C的低剂量所致。三项对照试验发现维生素C可预防肺炎。两项对照试验发现维生素C对肺炎患者有治疗益处。一项对照试验报告了维生素C对破伤风患者的治疗益处。维生素C抗感染的作用应进一步研究。