维生素 D 补充剂对运动员的益处:提高表现和降低 COVID-19 风险。
The Benefits of Vitamin D Supplementation for Athletes: Better Performance and Reduced Risk of COVID-19.
机构信息
Sunlight, Nutrition, and Health Research Center, P.O. Box 641603, San Francisco, CA 94164-1603, USA.
VitaminDWiki, 2289 Highland Loop, Port Townsend, WA 98368, USA.
出版信息
Nutrients. 2020 Dec 4;12(12):3741. doi: 10.3390/nu12123741.
The COVID-19 pandemic is having major economic and personal consequences for collegiate and professional sports. Sporting events have been canceled or postponed, and even when baseball and basketball seasons resumed in the United States recently, no fans were in attendance. As play resumed, several players developed COVID-19, disrupting some of the schedules. A hypothesis now under scientific consideration is that taking vitamin supplements to raise serum 25-hydroxyvitamin D [25(OH)D] concentrations could quickly reduce the risk and/or severity of COVID-19. Several mechanisms have been identified through which vitamin D could reduce the risks of infection and severity, death, and long-haul effects of COVID-19: (1) inducing production of cathelicidin and defensins to reduce the survival and replication of the SARS-CoV-2 virus; (2) reducing inflammation and the production of proinflammatory cytokines and risk of the "cytokine storm" that damages the epithelial layer of the lungs, heart, vascular system, and other organs; and (3) increasing production of angiotensin-converting enzyme 2, thus limiting the amount of angiotensin II available to the virus to cause damage. Clinical trials have confirmed that vitamin D supplementation reduces risk of acute respiratory tract infections, and approximately 30 observational studies have shown that incidence, severity, and death from COVID-19 are inversely correlated with serum 25(OH)D concentrations. Vitamin D supplementation is already familiar to many athletes and sports teams because it improves athletic performance and increases playing longevity. Thus, athletes should consider vitamin D supplementation to serve as an additional means by which to reduce risk of COVID-19 and its consequences.
COVID-19 大流行对大学生和职业体育造成了重大的经济和个人影响。体育赛事已经被取消或推迟,即使在美国最近棒球和篮球赛季恢复时,也没有球迷在场。随着比赛的恢复,一些球员出现了 COVID-19,打乱了一些比赛日程。目前,有一种假设正在科学界得到考虑,即服用维生素补充剂来提高血清 25-羟维生素 D [25(OH)D]浓度可以迅速降低 COVID-19 的风险和/或严重程度。已经确定了几种维生素 D 可以降低感染风险和严重程度、死亡风险以及 COVID-19 长期影响的机制:(1)诱导产生抗菌肽和防御素,以减少 SARS-CoV-2 病毒的存活和复制;(2)减少炎症和促炎细胞因子的产生,以及损害肺、心脏、血管系统和其他器官上皮层的“细胞因子风暴”的风险;(3)增加血管紧张素转换酶 2 的产生,从而限制病毒可用的血管紧张素 II 量,以造成损害。临床试验已经证实,维生素 D 补充剂可以降低急性呼吸道感染的风险,大约 30 项观察性研究表明,COVID-19 的发病率、严重程度和死亡率与血清 25(OH)D 浓度呈负相关。维生素 D 补充剂已经为许多运动员和运动队所熟悉,因为它可以提高运动表现并延长运动寿命。因此,运动员应该考虑补充维生素 D,作为降低 COVID-19 及其后果风险的另一种手段。
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