Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK
School of Cardiovascular Medicine and Life Sciences, King's College London, London, UK.
BMJ Mil Health. 2021 Aug;167(4):280-286. doi: 10.1136/bmjmilitary-2020-001686. Epub 2021 Jan 27.
For most individuals residing in Northwestern Europe, maintaining replete vitamin D status throughout the year is unlikely without vitamin D supplementation and deficiency remains common. Military studies have investigated the association with vitamin D status, and subsequent supplementation, with the risk of stress fractures particularly during recruit training. The expression of nuclear vitamin D receptors and vitamin D metabolic enzymes in immune cells additionally provides a rationale for the potential role of vitamin D in maintaining immune homeostasis. One particular area of interest has been in the prevention of acute respiratory tract infections (ARTIs). The aims of this review were to consider the evidence of vitamin D supplementation in military populations in the prevention of ARTIs, including SARS-CoV-2 infection and consequent COVID-19 illness. The occupational/organisational importance of reducing transmission of SARS-CoV-2, especially where infected young adults may be asymptomatic, presymptomatic or paucisymptomatic, is also discussed.
对于大多数居住在北欧的人来说,如果不进行维生素 D 补充,全年保持充足的维生素 D 状态是不太可能的,而且维生素 D 缺乏仍然很常见。军事研究已经调查了维生素 D 状态与随后的补充与应力性骨折风险之间的关系,特别是在新兵训练期间。免疫细胞中核维生素 D 受体和维生素 D 代谢酶的表达也为维生素 D 在维持免疫稳态方面的潜在作用提供了依据。一个特别感兴趣的领域是预防急性呼吸道感染 (ARTIs)。本综述的目的是考虑在军事人群中补充维生素 D 预防 ARTIs(包括 SARS-CoV-2 感染和随后的 COVID-19 疾病)的证据。减少 SARS-CoV-2 传播的职业/组织重要性也在讨论中,特别是在感染的年轻成年人可能无症状、前驱症状或轻症症状时。
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