营养与免疫:对 COVID-19 的启示。

Nutrition and immunity: lessons for COVID-19.

机构信息

School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.

NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust and University of Southampton, Southampton, UK.

出版信息

Eur J Clin Nutr. 2021 Sep;75(9):1309-1318. doi: 10.1038/s41430-021-00949-8. Epub 2021 Jun 23.

Abstract

The role of the immune system is to protect the individual against pathogenic organisms. Nutrition is one of multiple factors that determines the immune response and good nutrition is important in supporting the immune response. Immunity can be impaired in older people, particularly those who are frail, in those living with obesity, in those who are malnourished and in those with low intakes of micronutrients. The immune impairments associated with nutritional inadequacy increase susceptibility to infection and permit infections to become more severe, even fatal. The adverse impact of poor nutrition on the immune system, including its inflammatory component, may be one of the explanations for the higher risk of more severe outcomes from infection with SARS-CoV-2 seen in older people and in those living with obesity. Studies of individual micronutrients including vitamin D and zinc suggest roles in reducing severity of infection with SARS-CoV-2. Good nutrition is also important in promoting a diverse gut microbiota, which in turn supports the immune system. The importance of nutrition in supporting the immune response also applies to assuring robust responses to vaccination. There are many lessons from the study of nutrition and immunity that are relevant for the battle with SARS-CoV-2.

摘要

免疫系统的作用是保护个体免受病原体的侵害。营养是决定免疫反应的多个因素之一,良好的营养对于支持免疫反应很重要。老年人的免疫力可能会受到损害,尤其是那些身体虚弱、肥胖、营养不良和微量营养素摄入不足的人。与营养不足相关的免疫功能障碍会增加感染的易感性,并使感染变得更加严重,甚至致命。营养不良对免疫系统的不良影响,包括其炎症成分,可能是老年人和肥胖人群感染 SARS-CoV-2 后出现更严重后果风险较高的原因之一。对包括维生素 D 和锌在内的个别微量营养素的研究表明,它们在减轻 SARS-CoV-2 感染的严重程度方面发挥了作用。良好的营养对于促进多样化的肠道微生物群也很重要,而肠道微生物群反过来又支持免疫系统。营养对于支持免疫反应的重要性也适用于确保对疫苗接种产生强大的反应。从营养和免疫的研究中吸取了许多经验教训,这些经验教训对于与 SARS-CoV-2 的斗争具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe32/8416655/10922c8b1321/41430_2021_949_Fig1_HTML.jpg

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