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紫外线 B(UVB)辐射可降低 COVID-19 死亡率的证据。

Evidence of protective role of Ultraviolet-B (UVB) radiation in reducing COVID-19 deaths.

机构信息

Faculty of Economics and Business, Goethe University Frankfurt, Theodor-W.-Adorno-Platz 4, 60629, Frankfurt, Germany.

出版信息

Sci Rep. 2020 Oct 19;10(1):17705. doi: 10.1038/s41598-020-74825-z.

DOI:10.1038/s41598-020-74825-z
PMID:33077792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7572372/
Abstract

Prior studies indicate the protective role of Ultraviolet-B (UVB) radiation in human health, mediated by vitamin D synthesis. In this observational study, we empirically outline a negative association of UVB radiation as measured by ultraviolet index (UVI) with the number of COVID-19 deaths. We apply a fixed-effect log-linear regression model to a panel dataset of 152 countries over 108 days (n = 6524). We use the cumulative number of COVID-19 deaths and case-fatality rate (CFR) as the main dependent variables and isolate the UVI effect from potential confounding factors. After controlling for time-constant and time-varying factors, we find that a permanent unit increase in UVI is associated with a 1.2 percentage points decline in daily growth rates of cumulative COVID-19 deaths [p < 0.01] and a 1.0 percentage points decline in the CFR daily growth rate [p < 0.05]. These results represent a significant percentage reduction in terms of daily growth rates of cumulative COVID-19 deaths (- 12%) and CFR (- 38%). We find a significant negative association between UVI and COVID-19 deaths, indicating evidence of the protective role of UVB in mitigating COVID-19 deaths. If confirmed via clinical studies, then the possibility of mitigating COVID-19 deaths via sensible sunlight exposure or vitamin D intervention would be very attractive.

摘要

先前的研究表明,紫外线-B(UVB)辐射通过维生素 D 合成对人体健康具有保护作用。在这项观察性研究中,我们根据紫外线指数(UVI)经验性地概述了 UVB 辐射与 COVID-19 死亡人数之间的负相关关系。我们将一个包含 152 个国家 108 天数据的面板数据集(n=6524)应用于固定效应对数线性回归模型。我们将 COVID-19 死亡人数和病死率(CFR)的累计数作为主要因变量,并将 UVI 效应与潜在的混杂因素隔离开来。在控制了时不变和时变因素后,我们发现 UVI 每增加一个单位,COVID-19 死亡人数的日增长率就会下降 1.2 个百分点[P<0.01],CFR 的日增长率就会下降 1.0 个百分点[P<0.05]。这些结果代表 COVID-19 死亡人数的日增长率(-12%)和 CFR(-38%)有显著的百分比降低。我们发现 UVI 与 COVID-19 死亡之间存在显著的负相关关系,这表明 UVB 在减轻 COVID-19 死亡方面具有保护作用。如果通过临床研究得到证实,那么通过合理的阳光照射或维生素 D 干预来减轻 COVID-19 死亡的可能性将非常有吸引力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3081/7572372/51b69a23ad75/41598_2020_74825_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3081/7572372/5a087a874609/41598_2020_74825_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3081/7572372/7383cc23e6d8/41598_2020_74825_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3081/7572372/51b69a23ad75/41598_2020_74825_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3081/7572372/5a087a874609/41598_2020_74825_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3081/7572372/7383cc23e6d8/41598_2020_74825_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3081/7572372/51b69a23ad75/41598_2020_74825_Fig3_HTML.jpg

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