包括营养在内的传统疗法对COVID-19的管理

Ramesh M, Arunachalam Muthuraman, Krishnan Anand
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摘要

摘要新型冠状病毒SARS-CoV-2可引起ARDS、呼吸衰竭、器官衰竭甚至死亡。与SARS-CoV-2病毒相关的免疫病理涉及促炎细胞因子的过度产生,通常被称为“细胞因子风暴”。SARS-CoV-2是导致COVID-19大流行的正义RNA病毒。这场大流行病自出现以来,席卷了大多数公共活动,使世界保持沉默。新冠肺炎的症状如咳嗽、疲劳、吞咽困难、食欲不振等,减少了患者的营养摄入。因此,需要监测感染患者的营养状况。营养缺乏使患者在临床治疗中处于高危状态。微量营养素不足导致免疫反应减弱,导致细胞因子分泌不当,分泌抗体反应改变,抗体亲和力降低;所有这些都增加了病毒感染的脆弱性。由于新冠肺炎疫情在全球范围内影响了大量人群,因此迫切需要为住院和康复的COVID-19患者提供具有营养信息的新疗法/治疗方法。住院病人营养不良、体重减轻、肌肉萎缩等的风险很高。因此,营养支持对COVID-19患者至关重要。根据最近从COVID-19资源中获得的报告;本综述描述了各种临床疗法、营养支持的参与、饮食的作用、改善的生活方式和微量营养素(锌、硒和维生素D)在COVID-19患者管理中的作用。
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Traditional Therapies Involving Nutrition for the Management of COVID-19
Abstract: The novel coronavirus SARS-CoV-2 causes ARDS, respiratory failure, organ failure, and even death. The immunopathology associated with the SARS-CoV-2 virus involves an overproduction of pro-inflammatory cytokines, commonly referred to as a "cytokine storm." SARS-CoV-2 is a positive-sense RNA virus responsible for the COVID-19 pandemic. The pandemic kept the world silent since its emergence by engulfing most public activities. The symptoms of COVID-19 like coughing, fatigue, dysphagia, and poor appetite reduce the nutritional intake among the patients. Therefore, the nutritional status of the infected patients needs monitoring. The deficiency of nutrition puts the patients at high risk during clinical therapy. Moreover, insufficient micronutrients lead to weakened immune responses, causing improper cytokine secretion, changes in secretory antibody response, and reduced antibody affinity; all of which enhance the vulnerability of viral infections. As the pandemic is affecting a large number of people all over the world, there is an urgent requirement for newer therapies/therapeutics with nutritional information for hospitalized and recovered patients of COVID-19. Hospitalized patients are highly at risk of malnutrition, weight loss, muscle loss, etc. Therefore, nutritional support is essential for COVID-19 patients. Based on the recent reports obtained from the COVID-19 resources; the present review describes the various clinical therapies, the involvement of nutritional support, the role of diet, the modified lifestyle, and micronutrients (zinc, selenium, and vitamin D) in the management of COVID-19 patients.
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