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在 COVID-19 大流行期间,维生素 D 的显著发展,但总体上仍需谨慎:一项叙述性评论。

Notable Developments for Vitamin D Amid the COVID-19 Pandemic, but Caution Warranted Overall: A Narrative Review.

机构信息

Institute for Translational Medicine and Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104-5158, USA.

出版信息

Nutrients. 2021 Feb 26;13(3):740. doi: 10.3390/nu13030740.

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel contagion that has infected over 113 million people worldwide. It is responsible for the coronavirus disease (COVID-19), which has cost the lives of 2.5 million people. Ergo, the global scientific community has been scrambling to repurpose or develop therapeutics to treat COVID-19. Dietary supplements and nutraceuticals are among those under consideration due to the link between nutritional status and patient outcomes. Overall, poor vitamin D status seems to be associated with an increased risk of COVID-19. Severely ill COVID-19 patients appear to be deficient or have suboptimal levels of serum 25-hydroxyvitamin D, a measure of vitamin D status. Consequently, vitamin D is now the subject of several prophylactic and therapeutic clinical trials. In this review, the general status of nutraceuticals and dietary supplements amid the pandemic is appraised, with a particular focus on vitamin D. Consumers should be aware of misinformation and unsubstantiated promises for products marketed for COVID-19 protection. However, maintaining a healthy diet and lifestyle will likely maintain health including optimum immune function that may affect patient outcomes. Those who are deficient in key nutrients such as vitamin D should consider lifestyle changes and potentially supplementation in consultation with their physician and/or registered dieticians.

摘要

严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 是一种新型传染病,已在全球感染超过 1.13 亿人。它是导致冠状病毒病 (COVID-19) 的罪魁祸首,COVID-19 已导致 250 万人死亡。因此,全球科学界一直在竞相重新利用或开发治疗 COVID-19 的药物。由于营养状况与患者预后之间存在关联,膳食补充剂和营养保健品也在考虑之列。总体而言,维生素 D 状况不佳似乎与 COVID-19 风险增加有关。重症 COVID-19 患者似乎缺乏或血清 25-羟维生素 D 水平不足,血清 25-羟维生素 D 是衡量维生素 D 状况的指标。因此,维生素 D 目前是几项预防和治疗性临床试验的主题。在这篇综述中,评估了大流行期间营养保健品和膳食补充剂的一般状况,特别关注了维生素 D。消费者应该注意针对 COVID-19 保护而销售的产品的错误信息和未经证实的承诺。然而,保持健康的饮食和生活方式可能有助于保持健康,包括最佳的免疫功能,这可能会影响患者的预后。那些缺乏关键营养素(如维生素 D)的人应该考虑改变生活方式,并在咨询医生和/或注册营养师后考虑补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1832/7996924/82174609a7d9/nutrients-13-00740-g001.jpg

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