[HTML][HTML] Evidence that vitamin D supplementation could reduce risk of influenza and COVID-19 infections and deaths

WB Grant, H Lahore, SL McDonnell, CA Baggerly… - Nutrients, 2020 - mdpi.com
WB Grant, H Lahore, SL McDonnell, CA Baggerly, CB French, JL Aliano, HP Bhattoa
Nutrients, 2020mdpi.com
The world is in the grip of the COVID-19 pandemic. Public health measures that can reduce
the risk of infection and death in addition to quarantines are desperately needed. This article
reviews the roles of vitamin D in reducing the risk of respiratory tract infections, knowledge
about the epidemiology of influenza and COVID-19, and how vitamin D supplementation
might be a useful measure to reduce risk. Through several mechanisms, vitamin D can
reduce risk of infections. Those mechanisms include inducing cathelicidins and defensins …
The world is in the grip of the COVID-19 pandemic. Public health measures that can reduce the risk of infection and death in addition to quarantines are desperately needed. This article reviews the roles of vitamin D in reducing the risk of respiratory tract infections, knowledge about the epidemiology of influenza and COVID-19, and how vitamin D supplementation might be a useful measure to reduce risk. Through several mechanisms, vitamin D can reduce risk of infections. Those mechanisms include inducing cathelicidins and defensins that can lower viral replication rates and reducing concentrations of pro-inflammatory cytokines that produce the inflammation that injures the lining of the lungs, leading to pneumonia, as well as increasing concentrations of anti-inflammatory cytokines. Several observational studies and clinical trials reported that vitamin D supplementation reduced the risk of influenza, whereas others did not. Evidence supporting the role of vitamin D in reducing risk of COVID-19 includes that the outbreak occurred in winter, a time when 25-hydroxyvitamin D (25 (OH) D) concentrations are lowest; that the number of cases in the Southern Hemisphere near the end of summer are low; that vitamin D deficiency has been found to contribute to acute respiratory distress syndrome; and that case-fatality rates increase with age and with chronic disease comorbidity, both of which are associated with lower 25 (OH) D concentration. To reduce the risk of infection, it is recommended that people at risk of influenza and/or COVID-19 consider taking 10,000 IU/d of vitamin D 3 for a few weeks to rapidly raise 25 (OH) D concentrations, followed by 5000 IU/d. The goal should be to raise 25 (OH) D concentrations above 40–60 ng/mL (100–150 nmol/L). For treatment of people who become infected with COVID-19, higher vitamin D 3 doses might be useful. Randomized controlled trials and large population studies should be conducted to evaluate these recommendations.
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