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微量营养素在支持免疫应对病毒感染中的作用。

The Role of Micronutrients in Support of the Immune Response against Viral Infections.

机构信息

Pediatric Clinic, Pietro Barilla Children's Hospital, Department of Medicine and Surgery, University of Parma, via Gramsci 14, 43126 Parma, Italy.

出版信息

Nutrients. 2020 Oct 20;12(10):3198. doi: 10.3390/nu12103198.

Abstract

Viral infections are a leading cause of morbidity and mortality worldwide, and the importance of public health practices including handwashing and vaccinations in reducing their spread is well established. Furthermore, it is well known that proper nutrition can help support optimal immune function, reducing the impact of infections. Several vitamins and trace elements play an important role in supporting the cells of the immune system, thus increasing the resistance to infections. Other nutrients, such as omega-3 fatty acids, help sustain optimal function of the immune system. The main aim of this manuscript is to discuss of the potential role of micronutrients supplementation in supporting immunity, particularly against respiratory virus infections. Literature analysis showed that in vitro and observational studies, and clinical trials, highlight the important role of vitamins A, C, and D, omega-3 fatty acids, and zinc in modulating the immune response. Supplementation with vitamins, omega 3 fatty acids and zinc appears to be a safe and low-cost way to support optimal function of the immune system, with the potential to reduce the risk and consequences of infection, including viral respiratory infections. Supplementation should be in addition to a healthy diet and fall within recommended upper safety limits set by scientific expert bodies. Therefore, implementing an optimal nutrition, with micronutrients and omega-3 fatty acids supplementation, might be a cost-effective, underestimated strategy to help reduce the burden of infectious diseases worldwide, including coronavirus disease 2019 (COVID-19).

摘要

病毒感染是全球发病率和死亡率的主要原因,众所周知,包括勤洗手和接种疫苗在内的公共卫生措施对于减少其传播非常重要。此外,适当的营养可以帮助支持最佳的免疫功能,从而减轻感染的影响。几种维生素和微量元素在支持免疫系统细胞方面发挥着重要作用,从而提高了对感染的抵抗力。其他营养素,如欧米伽 3 脂肪酸,有助于维持免疫系统的最佳功能。本文的主要目的是讨论微量营养素补充在支持免疫方面的潜在作用,特别是针对呼吸道病毒感染。文献分析表明,体外和观察性研究以及临床试验都强调了维生素 A、C 和 D、欧米伽 3 脂肪酸以及锌在调节免疫反应方面的重要作用。补充维生素、欧米伽 3 脂肪酸和锌似乎是一种安全且低成本的方法,可以支持免疫系统的最佳功能,有可能降低感染的风险和后果,包括病毒性呼吸道感染。补充剂应作为健康饮食的补充,并在科学专家机构设定的建议上限范围内使用。因此,实施最佳营养,包括补充微量营养素和欧米伽 3 脂肪酸,可能是一种具有成本效益且被低估的策略,可以帮助减轻全球传染病的负担,包括 2019 年冠状病毒病(COVID-19)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcc8/7589163/39058c3a979a/nutrients-12-03198-g001.jpg

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