School of Healthy Aging, Aesthetics and Regenerative Medicine, Faculty of Medicine and Health Sciences, UCSI University, Kuala Lumpur, Malaysia.
Phytother Res. 2024 Feb;38(2):1071-1088. doi: 10.1002/ptr.8096. Epub 2024 Jan 2.
A sudden outbreak of the COVID-19 pandemic was a big blow to the world community on every level. Created by a novel coronavirus, SARS-CoV-2, which was previously unknown to the human immune system. The expert opinion almost immediately united on the fact that the most effective way of fighting the pandemic would be by building immunity artificially via a mass immunization program. However, it took about a year for the approval of the first vaccine against COVID-19. In the meantime, a big part of the general population started adapting nutritious diet plans and dietary supplements to boost natural immunity as a potential prophylactic strategy against SARS-CoV-2 infection. Whether they originate from mainstream medicine, such as synthetic supplements, or traditional herbal remedies in the form of single or poly-herbs, these supplements may comprise various components that exhibit immunomodulatory, anti-inflammatory, antioxidant, and antimicrobial characteristics. There is a substantial body of predictions and expert opinions suggesting that enhancing one's diet with dietary supplements containing additional nutrients and bioactive compounds like vitamins, minerals, amino acids, fatty acids, phytochemicals, and probiotics can enhance the immune system's ability to develop resistance against COVID-19, although none of them have any conclusive evidence nor officially recommended by World Health Organization (WHO). The current review critically acclaims the gap between public perception-based preference and real evidence-based study to weigh the actual benefit of dietary supplements in relation to COVID-19 prevention and management.
COVID-19 大流行的突然爆发对世界各国在各个层面都造成了巨大的打击。由一种新型冠状病毒 SARS-CoV-2 引起,这种病毒对人类免疫系统来说是前所未知的。专家意见几乎立即就达成了一致,即对抗大流行最有效的方法是通过大规模免疫接种计划人为地建立免疫力。然而,第一批 COVID-19 疫苗的批准大约花了一年的时间。在此期间,很大一部分普通人群开始采用营养饮食计划和膳食补充剂来增强自然免疫力,作为预防 SARS-CoV-2 感染的潜在策略。这些补充剂要么来自主流医学,如合成补充剂,要么来自单味或多味草药的传统草药形式,它们可能包含各种具有免疫调节、抗炎、抗氧化和抗菌特性的成分。有大量的预测和专家意见表明,用含有额外营养和生物活性化合物的膳食补充剂来增强饮食,如维生素、矿物质、氨基酸、脂肪酸、植物化学物质和益生菌,可以增强免疫系统抵抗 COVID-19 的能力,尽管它们都没有确凿的证据,也没有世界卫生组织(WHO)正式推荐。目前的综述批判性地评价了基于公众认知的偏好和基于实际证据的研究之间的差距,以权衡膳食补充剂在 COVID-19 预防和管理方面的实际益处。