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维生素 D 补充与 COVID-19 结局:越来越多的证据,越来越少的疑问。

Vitamin D Supplementation and COVID-19 Outcomes: Mounting Evidence and Fewer Doubts.

机构信息

IRCCS AziendaOspedaliero-Universitaria di Bologna, 40138 Bologna, Italy.

Medical and Surgical Sciences Department, Alma Mater Studiorum University of Bologna, 40100 Bologna, Italy.

出版信息

Nutrients. 2022 Aug 31;14(17):3584. doi: 10.3390/nu14173584.

DOI:10.3390/nu14173584
PMID:36079842
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9460517/
Abstract

The coronavirus disease 2019 (COVID-19) has already killed more than 6 million people around the world. A growing body of epidemiological evidence suggests that low 25-hydroxy vitamin D (25-OH-vitamin D) plasma levels are associated with an increased risk of developing COVID-19 and -most importantly-with a higher risk of developing more severe COVID-19 and dying. On the other hand, vitamin D supplementation during the early phases of COVID-19 has been related to a decreased length of hospital stay, less frequent need for oxygen, and a reduced mortality rate in inpatients. This seems to be particularly true when high dosages are used. In light of this evidence, further studies are needed to define the best timing for vitamin D supplementation and the most effective dosage schedule.

摘要

新型冠状病毒病 2019(COVID-19)已在全球造成超过 600 万人死亡。越来越多的流行病学证据表明,血浆中低 25-羟维生素 D(25-OH-维生素 D)水平与患 COVID-19 的风险增加有关,且更重要的是,与患更严重 COVID-19 和死亡的风险增加有关。另一方面,COVID-19 早期补充维生素 D 与住院时间缩短、氧气需求减少以及住院患者死亡率降低有关。当使用高剂量时,这种情况似乎尤其如此。鉴于这一证据,需要进一步研究以确定维生素 D 补充的最佳时机和最有效的剂量方案。

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本文引用的文献

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N Engl J Med. 2022 Jul 28;387(4):299-309. doi: 10.1056/NEJMoa2202106.
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COVID-19 pandemic and vitamin D: rising trends in status and in daily amounts of vitamin D provided by supplements.COVID-19 大流行与维生素 D:维生素 D 状况和补充剂提供的每日维生素 D 量呈上升趋势。
BMJ Open. 2022 Aug 4;12(8):e059477. doi: 10.1136/bmjopen-2021-059477.
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Positive Effects of Vitamin D Supplementation in Patients Hospitalized for COVID-19: A Randomized, Double-Blind, Placebo-Controlled Trial.维生素 D 补充对 COVID-19 住院患者的积极影响:一项随机、双盲、安慰剂对照试验。
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Clin Nutr ESPEN. 2022 Aug;50:322-325. doi: 10.1016/j.clnesp.2022.05.027. Epub 2022 Jun 14.
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