TREATMENT OPTIONS FOR COVID-19 WITH VITAMIN D SUPPLEMENTS

Introduction. Recently, the study of the relationship between vitamin D deficiency and adequate immune response has been of particular interest, particularly in the context of the COVID-19 pandemic and its impact on disease prognosis. Confirmation that vitamin D affects the functioning of the immune...

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Main Authors: Tetiana V. Fartushok, Nadiia V. Fartushok, Serhii Z. Baran
Format: Article
Language:English
Published: State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department 2025-01-01
Series:Клінічна та профілактична медицина
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Online Access:https://cp-medical.com/index.php/journal/article/view/527
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author Tetiana V. Fartushok
Nadiia V. Fartushok
Serhii Z. Baran
author_facet Tetiana V. Fartushok
Nadiia V. Fartushok
Serhii Z. Baran
author_sort Tetiana V. Fartushok
collection DOAJ
description Introduction. Recently, the study of the relationship between vitamin D deficiency and adequate immune response has been of particular interest, particularly in the context of the COVID-19 pandemic and its impact on disease prognosis. Confirmation that vitamin D affects the functioning of the immune system was the detection of calcitriol receptors in cells of the immune system, as well as the ability of mononuclear phagocytes to produce 1,25(OH)2D3. The increase in the expression of antimicrobial peptides by immunocytes with the participation of vitamin D is accompanied by the simultaneous suppression of the production of pro-inflammatory cytokines interleukin-1β (IL-1β), IL-12 and tumour necrosis factor-α. Vitamin D also inhibits the proliferation of B-lymphocytes, their differentiation into plasma cells and the production of immunoglobulins, promotes the induction of regulatory T cells, which leads to a decrease in the production of pro-inflammatory cytokines (IL-17, IL-21) and an increase in the production of anti-inflammatory cytokines (IL-10). The anti-inflammatory role of vitamin D explains its protective properties in the event of immune hyperreactivity and "cytokine storm" in a subgroup of patients with a severe course of COVID-19.Aim. To analyze the role of vitamin D in the prevention of COVID-19. Materials and methods. Thirty thrеe articles were analyzed using the following Keywords: phosphorus-calcium metabolism, immune system, COVID-19, and vitamin D. A review of the available literature was conducted through PubMed, the National Library of Medicine, and Medscape. Results. A two-step meta-analysis of participants who had at least СOVID-19 showed that vitamin D supplementation prevented the development of SARS in people with vitamin D deficiency and in those who did not receive bolus doses of vitamin D. The study involved 11,321 participants aged from 0 to 95 years. The addition of vitamin D reduced the risk of acute respiratory infections in all subjects. Enhancement of protective mechanisms was observed in those who received vitamin D daily or weekly without additional bolus doses, but not in those who received one or more bolus doses. Conclusions. Adults (including pregnant or breastfeeding women), adolescents and children over 4 years of age should consider daily administration of a dietary supplement containing 10 mcg (400 IU) of vitamin D between October and early March, as during this time of year the synthesis vitamin D in the human body s insufficient.
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spelling doaj-art-aaa9888cdaa44e6eab7ca6c341f168aa2025-08-20T02:38:21ZengState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative DepartmentКлінічна та профілактична медицина2616-48682025-01-01117118010.31612/2616-4868.1.2025.20527TREATMENT OPTIONS FOR COVID-19 WITH VITAMIN D SUPPLEMENTSTetiana V. Fartushok0Nadiia V. Fartushok1Serhii Z. Baran2Danylo Halytsky Lviv National Medical University, Lviv, Ukraine Lviv Medical University, Lviv, UkraineMunicipal Non-Commercial Enterprise “Kyiv City Clinical Hospital No. 18”, Kyiv, UkraineIntroduction. Recently, the study of the relationship between vitamin D deficiency and adequate immune response has been of particular interest, particularly in the context of the COVID-19 pandemic and its impact on disease prognosis. Confirmation that vitamin D affects the functioning of the immune system was the detection of calcitriol receptors in cells of the immune system, as well as the ability of mononuclear phagocytes to produce 1,25(OH)2D3. The increase in the expression of antimicrobial peptides by immunocytes with the participation of vitamin D is accompanied by the simultaneous suppression of the production of pro-inflammatory cytokines interleukin-1β (IL-1β), IL-12 and tumour necrosis factor-α. Vitamin D also inhibits the proliferation of B-lymphocytes, their differentiation into plasma cells and the production of immunoglobulins, promotes the induction of regulatory T cells, which leads to a decrease in the production of pro-inflammatory cytokines (IL-17, IL-21) and an increase in the production of anti-inflammatory cytokines (IL-10). The anti-inflammatory role of vitamin D explains its protective properties in the event of immune hyperreactivity and "cytokine storm" in a subgroup of patients with a severe course of COVID-19.Aim. To analyze the role of vitamin D in the prevention of COVID-19. Materials and methods. Thirty thrеe articles were analyzed using the following Keywords: phosphorus-calcium metabolism, immune system, COVID-19, and vitamin D. A review of the available literature was conducted through PubMed, the National Library of Medicine, and Medscape. Results. A two-step meta-analysis of participants who had at least СOVID-19 showed that vitamin D supplementation prevented the development of SARS in people with vitamin D deficiency and in those who did not receive bolus doses of vitamin D. The study involved 11,321 participants aged from 0 to 95 years. The addition of vitamin D reduced the risk of acute respiratory infections in all subjects. Enhancement of protective mechanisms was observed in those who received vitamin D daily or weekly without additional bolus doses, but not in those who received one or more bolus doses. Conclusions. Adults (including pregnant or breastfeeding women), adolescents and children over 4 years of age should consider daily administration of a dietary supplement containing 10 mcg (400 IU) of vitamin D between October and early March, as during this time of year the synthesis vitamin D in the human body s insufficient.https://cp-medical.com/index.php/journal/article/view/527phosphorus-calcium metabolismimmunе systemcovid-19vitamin d
spellingShingle Tetiana V. Fartushok
Nadiia V. Fartushok
Serhii Z. Baran
TREATMENT OPTIONS FOR COVID-19 WITH VITAMIN D SUPPLEMENTS
Клінічна та профілактична медицина
phosphorus-calcium metabolism
immunе system
covid-19
vitamin d
title TREATMENT OPTIONS FOR COVID-19 WITH VITAMIN D SUPPLEMENTS
title_full TREATMENT OPTIONS FOR COVID-19 WITH VITAMIN D SUPPLEMENTS
title_fullStr TREATMENT OPTIONS FOR COVID-19 WITH VITAMIN D SUPPLEMENTS
title_full_unstemmed TREATMENT OPTIONS FOR COVID-19 WITH VITAMIN D SUPPLEMENTS
title_short TREATMENT OPTIONS FOR COVID-19 WITH VITAMIN D SUPPLEMENTS
title_sort treatment options for covid 19 with vitamin d supplements
topic phosphorus-calcium metabolism
immunе system
covid-19
vitamin d
url https://cp-medical.com/index.php/journal/article/view/527
work_keys_str_mv AT tetianavfartushok treatmentoptionsforcovid19withvitamindsupplements
AT nadiiavfartushok treatmentoptionsforcovid19withvitamindsupplements
AT serhiizbaran treatmentoptionsforcovid19withvitamindsupplements