Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties, [PROMISE], University of Palermo, 90127 Palermo, Italy.
COVID Unit, Department of Internal Medicine, National Relevance and High Specialization Hospital Trust ARNAS Civico, Di Cristina, Benfratelli, 90127 Palermo, Italy.
Nutrients. 2021 Apr 12;13(4):1261. doi: 10.3390/nu13041261.
More than one year has passed since the first cases of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome (SARS)-CoV-2 coronavirus were reported in Wuhan (China), rapidly evolving into a global pandemic. This infectious disease has become a major public health challenge in the world. Unfortunately, to date, no specific antivirals have been proven to be effective against COVID-19, and although a few vaccines are available, the mortality rate is not decreasing but is still increasing. One therapeutic strategy has been focused on infection prevention and control measures. In this regard, the use of nutraceutical supports may play a role against some aspect of the infection, particularly the inflammatory state and the immune system function of patients, thus representing a strategy to control the worst outcomes of this pandemic. For this reason, we performed an overview including meta-analyses and systematic reviews to assess the association among melatonin, vitamin C, vitamin D, zinc supplementation and inflammatory markers using three databases, namely, MEDLINE, PubMed Central and the Cochrane Library of Systematic Reviews. According to the evidence available, an intake of 50,000 IU/month of vitamin D showed efficacy in CRP. An amount of 1 to 2 g per day of vitamin C demonstrated efficacy both in CRP and endothelial function, and a dosage of melatonin ranging from 5 to 25 mg /day showed good evidence of efficacy in CRP, TNF and IL6. A dose of 50 mg/day of elemental zinc supplementation showed positive results in CRP. Based on the data reported in this review, the public health system could consider whether it is possible to supplement the current limited preventive measures through targeted nutraceutical large-scale administration.
自新型冠状病毒(SARS-CoV-2)引发的 2019 年冠状病毒病(COVID-19)首例病例在武汉(中国)报告以来,已经过去了一年多时间,该病毒迅速演变为全球大流行。这种传染病已成为全球主要的公共卫生挑战。不幸的是,迄今为止,尚无针对 COVID-19 的特效抗病毒药物,尽管有几种疫苗可用,但死亡率并未下降,反而仍在上升。一种治疗策略集中在感染预防和控制措施上。在这方面,使用营养支持可能会在某种程度上对感染产生影响,特别是对患者的炎症状态和免疫系统功能,从而成为控制这种大流行最坏结果的策略。出于这个原因,我们进行了一项包括荟萃分析和系统评价的综述,以评估三种数据库(即 MEDLINE、PubMed Central 和 Cochrane 系统评价图书馆)中褪黑素、维生素 C、维生素 D、锌补充剂和炎症标志物之间的关联。根据现有证据,每天摄入 50,000 IU 维生素 D 可有效降低 CRP。每天 1 至 2 克的维生素 C 可有效降低 CRP 和内皮功能,每天 5 至 25 毫克的褪黑素剂量可有效降低 CRP、TNF 和 IL6。每天 50 毫克的元素锌补充剂可有效降低 CRP。基于本综述中报告的数据,公共卫生系统可以考虑是否有可能通过针对性的营养补充剂大规模管理来补充当前有限的预防措施。