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分析阿肯色州的 COVID-19 大流行对补充剂使用的影响及其与自我用药的结合情况。

Analysis of COVID-19 Pandemic on Supplement Usage and Its Combination with Self-Medication within the State of Arkansas.

机构信息

Department of Environmental Health Sciences, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Department of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

出版信息

J Diet Suppl. 2023;20(2):171-198. doi: 10.1080/19390211.2022.2128500. Epub 2022 Sep 30.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel coronavirus responsible for the COVID-19 pandemic that can lead to severe respiratory distress requiring hospitalization and can be fatal. Media have reported that various dietary supplements (DS) or their combination with different medications can prevent infection or decrease disease severity. Here, we analyzed data collected from 15,830 patient follow-up telephone interviews from the University of Arkansas for Medical Sciences COVID-19 testing sites from March 15 to August 1, 2020. Within the REDCap database, we recorded patient demographics and DS and medication use. In total, data on DS and medication use was available for 8,150 study participants, of whom 21.9% and 4.1% reported using DS or medications, respectively, to either prevent or treat COVID-19. The majority of respondents were female (64%) and non-Hispanic whites (44.5%). Most individuals (64.5%) who took DS were younger than 50 years of age. Products such as vitamin C (1,013, 33.2%), multivitamins (722, 23.6%), and vitamin D (294, 9.6%) were the most commonly used DS among the responders. Analysis of the DS use and symptom scores association did not provide a strong evidence of beneficial health effects of DS. The results of this study demonstrate that a significantly higher proportion of study participants considered usage of DS to mitigate or prevent COVID-19-related symptoms compared to those who preferred medications. However, lack of observable health benefits associated with ingestion of DS suggests that more rigorous research is needed to substantiate the label claims.

摘要

严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)是一种新型冠状病毒,引发了 COVID-19 大流行,可导致严重的呼吸窘迫,需要住院治疗,且可能致命。媒体报道称,各种膳食补充剂(DS)或其与不同药物的组合可以预防感染或降低疾病严重程度。在这里,我们分析了 2020 年 3 月 15 日至 8 月 1 日期间,阿肯色大学医学科学 COVID-19 检测点从 15830 名患者随访电话访谈中收集的数据。在 REDCap 数据库中,我们记录了患者的人口统计学资料以及 DS 和药物使用情况。在总共 8150 名研究参与者中,有数据可查的 DS 和药物使用情况分别为 21.9%和 4.1%,他们分别使用 DS 或药物来预防或治疗 COVID-19。大多数受访者为女性(64%)和非西班牙裔白人(44.5%)。大多数服用 DS 的人(64.5%)年龄小于 50 岁。在回答者中,最常使用的 DS 产品包括维生素 C(1013,33.2%)、多种维生素(722,23.6%)和维生素 D(294,9.6%)。DS 使用与症状评分相关性分析并未提供 DS 对健康有益的有力证据。本研究结果表明,与选择药物的参与者相比,更多的研究参与者认为使用 DS 可以减轻或预防 COVID-19 相关症状。然而,与摄入 DS 相关的健康益处并不明显,这表明需要进行更严格的研究来证实其标签声明。

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