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维生素 D 缺乏对高危人群 COVID-19 的影响。

The implications of vitamin D deficiency on COVID-19 for at-risk populations.

机构信息

Department of Nutrition Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA. D. Clegg is with the College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.

出版信息

Nutr Rev. 2021 Jan 9;79(2):227-234. doi: 10.1093/nutrit/nuaa092.

Abstract

Novel coronavirus disease 2019 (COVID-19) has spread to > 10 000 000 individuals in a short time. With no pharmacological agents successfully implemented to control the outbreak, the use of less invasive nonpharmacological agents, such as vitamin D, are increasingly being studied. This purpose of this article is to determine the current knowledge about the risk of COVID-19 development for populations at risk for vitamin D deficiency, including individuals living with overweight and obesity, those of older age, and racial or ethnic minorities. Despite the documented impact of vitamin D on viral disease prevention, many subgroups at risk for contracting COVID-19 are also known to have increased rates of vitamin D deficiency. Because vitamin D is most commonly obtained from sunlight, when interpreted alongside the stay-at-home orders, the importance of identifying safe approaches to obtain sufficient vitamin D is apparent. Furthermore, elucidating the cause-and-effect relationship between vitamin D and COVID-19, including optimal dosing for COVID-19 outcomes, is also warranted for immediate investigation.

摘要

新型冠状病毒病 2019(COVID-19)在短时间内已传播到超过 1000 万人。由于没有成功实施任何药物来控制疫情,因此越来越多地研究使用侵入性较小的非药物手段,如维生素 D。本文的目的是确定目前有关维生素 D 缺乏风险人群(包括超重和肥胖人群、老年人以及少数族裔)发生 COVID-19 风险的相关知识。尽管有文献记载维生素 D 对预防病毒病有影响,但许多已知易患 COVID-19 的亚组人群维生素 D 缺乏率也较高。由于维生素 D 主要通过阳光获得,结合居家令来看,确定获得足够维生素 D 的安全方法至关重要。此外,阐明维生素 D 与 COVID-19 之间的因果关系,包括 COVID-19 结局的最佳剂量,也需要立即进行调查。

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