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新型冠状病毒肺炎(COVID-19)、肠道与营养问题

COVID-19, the Gut, and Nutritional Implications.

机构信息

Department of Internal Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.

Division of General Internal Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN, USA.

出版信息

Curr Nutr Rep. 2023 Jun;12(2):263-269. doi: 10.1007/s13668-023-00465-0. Epub 2023 Mar 10.

Abstract

PURPOSE OF REVIEW

Our goal is to provide the most recent and accurate scientific evidence available regarding COVID-19's interaction with the human gut and the role of nutrition/nutritional supplementation in the prevention and treatment of the disease.

RECENT FINDINGS

Gastrointestinal symptoms of COVID-19 are common and often persist even after classically defined illness resolution. Nutritional status and content have been shown to impact infection risk and severity. Well-balanced diets are associated with decreased infection risk/severity, and early nutrition is associated with better outcomes in the critically ill. No specific vitamin supplementation regimen has shown consistent benefit for infection treatment or prevention. The impact of COVID-19 extends far past the pulmonary system, and its impact on the gut should not be ignored. For those interested in adopting lifestyle modifications to prevent severe COVID-19 infection/side effects, consideration should be made for adoption of a well-balanced diet (e.g., Mediterranean style), utilization of probiotics, and addressing nutritional/vitamin deficiencies. Future, high-quality research is needed in this arena.

摘要

目的综述

我们的目标是提供关于 COVID-19 与人类肠道相互作用以及营养/营养补充在疾病预防和治疗中的作用的最新和最准确的科学证据。

最近的发现

COVID-19 的胃肠道症状很常见,即使在经典定义的疾病缓解后也常常持续存在。营养状况和含量已被证明会影响感染风险和严重程度。均衡的饮食与降低感染风险/严重程度有关,早期营养与危重症患者的更好结局有关。没有特定的维生素补充方案显示出对感染治疗或预防的一致益处。COVID-19 的影响远远超出了肺部系统,其对肠道的影响不应被忽视。对于那些有兴趣通过生活方式改变来预防严重 COVID-19 感染/副作用的人,应考虑采用均衡饮食(例如,地中海式饮食)、使用益生菌,并解决营养/维生素缺乏问题。未来,该领域需要高质量的研究。

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本文引用的文献

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Components of the Mediterranean Diet and Risk of COVID-19.地中海饮食的组成部分与新冠病毒病的风险
Front Nutr. 2022 Jan 24;8:805533. doi: 10.3389/fnut.2021.805533. eCollection 2021.
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