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睡眠、膳食褪黑素补充与 COVID-19。

Sleep, Dietary Melatonin Supplementation, and COVID-19.

机构信息

Société Francophone de Nutrithérapie et de Nutrigénétique Appliquée, Villeurbanne, France.

Nazarbayev University School of Medicine, Astana, Republic of Kazakhstan.

出版信息

Curr Med Chem. 2024;31(11):1298-1314. doi: 10.2174/0929867330666230224093849.

Abstract

BACKGROUND

During the COVID-19 pandemic, people suffered from major mental health problems. These include stress, anxiety, and confusion about the existing situation of home confinement. Melatonin is a popular anti-inflammatory and antioxidant molecule sold as an over-the-counter dietary supplement.

OBJECTIVE

This review discusses the indications for using melatonin in the context of the COVID-19 pandemic, including treatment.

METHODS

A comprehensive search of publications was conducted in electronic databases focusing on the administration of melatonin in COVID-19.

RESULTS

Stress has a huge negative impact on sleep routines and the quality of life of individuals. Sleep is considered an important modulator of the immune response. Thus, a lack of sleep can weaken immunity, increasing organism susceptibility to infection. For instance, shorter sleep durations are associated with a rise in suffering from the common cold. The administration of melatonin protects against viral and other pathogens and speeds clinical recovery.

CONCLUSION

In patients admitted to intensive care units, melatonin decreases the risks of severe complications, such as thrombosis and sepsis, and mortality rates. In addition, it is efficacious in lowering vessel permeability, depression, and sedation, and improving the quality of sleep, which could also help COVID-19 patients achieve better clinical outcomes.

摘要

背景

在 COVID-19 大流行期间,人们遭受了严重的心理健康问题。这些问题包括压力、焦虑和对居家隔离现状的困惑。褪黑素是一种流行的抗炎和抗氧化分子,作为非处方膳食补充剂出售。

目的

本综述讨论了在 COVID-19 大流行背景下使用褪黑素的适应症,包括治疗。

方法

在电子数据库中进行了全面的文献检索,重点关注褪黑素在 COVID-19 中的应用。

结果

压力对个人的睡眠习惯和生活质量产生了巨大的负面影响。睡眠被认为是免疫反应的重要调节剂。因此,睡眠不足会削弱免疫力,增加机体感染的易感性。例如,睡眠时间较短与患普通感冒的风险增加有关。褪黑素的给药可预防病毒和其他病原体,并加速临床康复。

结论

在入住重症监护病房的患者中,褪黑素可降低严重并发症(如血栓形成和败血症)和死亡率的风险。此外,它在降低血管通透性、抑郁和镇静以及改善睡眠质量方面也有效,这也可能有助于 COVID-19 患者获得更好的临床结果。

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