维生素D: COVID-19治疗或预防的综述和建议证据

S. Nimesh, S. Bharat, Mehta Abhay, S. Sandeep, P. Archna
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摘要

世卫组织宣布SARS-CoV-2为全球大流行。本文的目标是评估各国饮食D的平均水平与COVID-19病例死亡率之间是否存在关联。冬季维生素d含量低是病毒流行的温床。在寒冷期间,不服用营养补充剂的人血清25-羟基维生素d [25 (OH) d]浓度可能较低。营养D可以通过多种途径减少病毒流行和大流行的机会。首先,较好的25 (OH)D浓度降低了许多持续性疾病的发病率,包括癌症、心血管疾病、持续性呼吸道感染(RTIs)、糖尿病和高血压。与健康的人相比,持续患病的患者死于呼吸道感染的风险要高得多。在2D中,营养D通过三种机制降低急性呼吸道感染(ARTIs)的风险:保持紧密连接,通过诱导抗菌肽和防御素杀死包膜病毒,通过先天免疫机器减少促炎细胞因子的产生,从而降低导致肺炎的细胞因子飓风的危险。观察性试验和补充试验表明,较高的25 (OH)D浓度与降低登革热、肝炎、疱疹病毒、乙型和丙型肝炎病毒、人类免疫缺陷病毒、流感、呼吸合胞病毒感染和肺炎的威胁相关。本文宣布的一项社区纪律试验结果表明,25 (OH)D浓度高于50 ng/ml (125 nmol/l)与<20 ng/ml相比,流感样疾病的折扣率为27%。根据现有证据,我们假设通过补充营养D来提高血清25 (OH)D浓度可能希望减少流感、肺炎和最新的COVID-19流行病的发生、严重程度和死亡机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vitamin D: A Review and Proposed Evidence for Treatment or Prevention in COVID-19
WHO declared SARS-CoV-2 a worldwide pandemic. The ambitions of this paper are to assess if there is any affiliation between mean levels of diet D in various countries and cases respectively mortality because of COVID-19. Low vitamin d repute in winter allows viral epidemics. During iciness, those who do not take nutrition d supplements are possibly to have low serum 25-hydroxyvitamin D [25 (OH)D] concentrations. Nutrition D can reduce the chance of viral epidemics and pandemics in numerous approaches. First, better 25 (OH)D concentrations lessen the chance of many continual illnesses, together with cancers, cardiovascular sickness, continual Respiratory Tract Infections (RTIs), diabetes mellitus, and high blood pressure. Patients with continual sicknesses have a drastically higher threat of dying from RTIs than otherwise wholesome human beings. In the 2D, nutrition D reduces the risk of Acute Respiratory Tract Infections (ARTIs) through three mechanisms: keeping tight junctions, killing enveloped viruses through induction of cathelicidin and defensins, and reducing the production of proinflammatory cytokines by means of the innate immune machine, thereby decreasing the hazard of a cytokine hurricane leading to pneumonia. Observational and supplementation trials have pronounced higher 25 (OH)D concentrations associated with decreased threat of dengue, hepatitis, herpes virus, hepatitis b, and c viruses, human immunodeficiency virus, influenza, breathing syncytial virus infections, and pneumonia. Effects of a community discipline trial pronounced herein indicated that 25 (OH)D concentrations above 50 ng/ml (125 nmol/l) vs. <20 ng/ml have been associated with a 27% discount in influenza- like ailments. From the available evidence, we hypothesize that raising serum 25 (OH)D concentrations through nutrition d supplementation may want to lessen the occurrence, severity, and chance of dying from influenza, pneumonia, and the cutting-edge COVID-19 epidemic.
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