血栓形成与2019冠状病毒病:营养的潜在作用。

Thrombosis and COVID-19: The Potential Role of Nutrition.

作者信息

Tsoupras Alexandros, Lordan Ronan, Zabetakis Ioannis

机构信息

Department of Biological Sciences, University of Limerick, Limerick, Ireland.

Bernal Institute, University of Limerick, Limerick, Ireland.

出版信息

Front Nutr. 2020 Sep 25;7:583080. doi: 10.3389/fnut.2020.583080. eCollection 2020.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), responsible for the coronavirus disease (COVID-19), is a contagion that has rapidly spread around the globe. COVID-19 has caused significant loss of life and disrupted global society at a level never before encountered. While the disease was predominantly characterized by respiratory symptoms initially, it became clear that other systems including the cardiovascular and neurological systems were also involved. Several thrombotic complications were reported including venous thrombosis, vasculitis, cardiomyopathy, and stroke. Thrombosis and inflammation are implicated in various non-communicable diseases (NCDs). This is of significant concern as people with pre-existing conditions such as cardiovascular disorders, renal disorders, obesity, metabolic syndrome, and diabetes are at greater risk of severe COVID-19 infection. Consequently, the research surrounding the use of anticoagulants, antiplatelet, and antithrombotic strategies for prophylaxis and treatment of COVID-19 is of critical importance. The adoption of a healthy diet, physical exercise, and lifestyle choices can reduce the risk factors associated with NCDs and the thrombo-inflammatory complications. In this review, these thrombotic complications and potential foods, nutraceuticals, and the antithrombotic constituents within that may prevent the onset of severe thrombotic complications as a result of infection are discussed. While nutrition is not a panacea to tackle COVID-19, it is apparent that a patient's nutritional status may affect patient outcomes. Further intensive research is warranted to reduce to incidence of thrombotic complications.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发了冠状病毒病(COVID-19),是一种已在全球迅速传播的传染病。COVID-19已造成重大生命损失,并以前所未有的程度扰乱了全球社会。虽然该疾病最初主要表现为呼吸道症状,但很明显其他系统包括心血管和神经系统也受到影响。报告了几种血栓形成并发症,包括静脉血栓形成、血管炎、心肌病和中风。血栓形成和炎症与各种非传染性疾病(NCD)有关。这令人高度担忧,因为患有心血管疾病、肾脏疾病、肥胖症、代谢综合征和糖尿病等基础疾病的人感染严重COVID-19的风险更高。因此,围绕使用抗凝剂、抗血小板和抗血栓策略预防和治疗COVID-19的研究至关重要。采用健康的饮食、体育锻炼和生活方式选择可以降低与非传染性疾病和血栓炎症并发症相关的风险因素。在这篇综述中,将讨论这些血栓形成并发症以及可能预防因感染导致严重血栓形成并发症发作的潜在食物、营养保健品和其中的抗血栓成分。虽然营养不是应对COVID-19的万灵药,但显然患者的营养状况可能会影响患者的治疗结果。有必要进行进一步深入研究以降低血栓形成并发症的发生率。

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