Efek Suplemen Vitamin D untuk Pencegahan COVID-19

Ghina Yulia, Wani Devita Gunardi

Abstract

Vitamin D in the form of 1,25-dihydroxy vitamin D (1,25D) has the function of modulating antigen presentation as well as T cell proliferation and phenotype, with the overall effect of suppressing inflammation and enhancing immune tolerance. Interventional and observational epidemiological studies provide evidence that vitamin D deficiency can increase the risk of respiratory infections such as COVID-19. COVID-19 is an infection with the SARS-CoV-2 virus that attacks the respiratory system, resulting in severe Acute Respiratory Distress Syndrome (ARDS) symptoms that can cause death. Vitamin D can naturally be obtained from food or by sunbathing, but in an infected condition, a person needs additional vitamin D from supplements. Therefore, this Literature Review was compiled with the aim of knowing the effect of vitamin D supplements in preventing COVID-19 and knowing the effect of vitamin D supplements in reducing the severity of COVID-19 symptoms. The method used is an electronic database using NCBI and PubMed. The author uses the keywords supplement d3, COVID-19, prevention. The criteria for selecting journals are based on the publication year above January 1, 2020, experimental research design, there is a comparison of vitamin D administration with controls or placebo in COVID-19 patients, and the study has been completed. Based on the established criteria, 10 journals were obtained as the main reference. The results of the literature review show that vitamin D has an important role in the body's immunity and is useful for increasing serum vitamin D levels so as to prevent and accelerate the healing of COVID-19. The dose of vitamin D for the prevention of COVID-19 in the elderly is 50,000 IU/month while the therapeutic dose for reducing mild to moderate symptoms is 10,000 IU/day for a week and continued with 5000 IU/day until recovery. However, if the patient has severe symptoms, comorbid disease and vitamin D deficiency, administer 40,000 IU/day.

Keywords

COVID-19, imunitas, SARS-CoV-2, Vitamin D

References

Hernandez FJT, Zuno GAS, Estevez GG, Bello JH, Ojeda GM, et al. Potential immunomodulatory effects of vitamin D in the prevention of severe coronavirus disease 2019: An ally for latin America (review). International Journal of Molecular Medicine. 2021;47(32):2-11.

Griffin G, Hewison M, Hopkin J, Kenny R, Quinton R, et al. Vitamin D and COVID-19: evidence and recommendations supplementation. Royal Society Publishing. 2020;7(1):1-15.

National Institutes of Health. Vitamin D fact sheet for health professionals. [Internet]. 2021 [dikutip 05 Agustus 2021]. Diunduh dari https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/

Paiz N, Alonso P, Portillo AL. Vitamin D status: can it affect the risk of infection and the severity of COVID-19 symptoms?. Current Tropical Medicine Reports. 2021;1(1):1-7.

Chen H, Lu R, Zhang YG, Sun J. Vitamin D receptor deletion leads to the destruction of tight and adherens junction in lungs. Tissue Barriers. 2018;6(1):1-3.

Shi YY, Liu TJ, Fu JH, Xu W, Wu LL, et al. Vitamin D/VDR signaling attenuates lipopolysaccharide‑induced acute lung injury by maintaining the integrity of the pulmonary epithelial barrier. Molecular Medicine Reports. 2016;13(1):1186‑94.

Yani FF. Peran vitamin d pada penyakit respiratori anak. Jurnal Kesehatan Andalas. 2019;8(1):167-71.

Bagheri M, Haghollahi F, Shariat M, Jafarabadi M, Aryamloo P, et al. Supplement usage pattern in a group of COVID-19 patients in Tehran. Journal of Family and Reproductive Health. 2020;14(3):158-64.

World Health Organization. COVID-19. [Internet]. 2020 [dikutip 05 Agustus 2021]. Diunduh dari https://covid19.who.int/region/searo/country/id

Malaguarnera L. Vitamin D3 as potential treatment adjuncts for COVID-19. Nutrients. 2020;12(3512):1-12.

Annweiler C, Hanotte B, Eprevier CGD, Sabatier JM, Lafaie L, et al. Vitamin D and survival in COVID-19 patiens: a quasi-experimental study. Journal of Steroid Biochemistry and Molecular Biology. 2020;204(105771):1-6.

Annweiler C, Beaudenon M, Simon R, Guenet M, Otekpo M, et al. Vitamin D supplementation prior to or during COVID-19 associated with better 3-month survival in geriatric patiens: extension phase of the GERIA-COVID study. Journal of Steroid Biochemistry and Molecular Biology. 2021;213(105958):1-5.

Rastogi A, Bhansali A, Khare N, Suri V, Yaddanapudi N, et al. Short term, high-dose vitamin D supplementation for COVID-19 disease: a randomized, placebo-controlled, study (SHADE study). Postgrad Med J. 2020;0(1):1-4.

Lakkireddy M, Gadiga SG, Malathi RD, Karra ML, Raju ISSVPM, et al. Impact of daily high dose oral vitamin D therapy on the inflammatory markers in patients with COVID-19 disease. Scientific Reports. 2021;11(10641):1-9.

Annweiler G, Corvaisier M, Gautier J, Dubee V, Legrand E, et al. Vitamin D supplementation associated to better survival in hospitalized frail elderly COVID-19 patiens: the GERIA-COVID quasi exprerimental study. Nutrients. 2020;12(1):1-1.

Zuno GAS, Estevez GG, Flores MGM, Ojeda GM, Bello JH, et al. Vitamin D levels in COVID-19 outpatients from westerm Mexico: clinical correlation and effect of its supplementation. Journal of Clinical Medicine. 2021;10(2378):1-4.

Sabico S, Enani MA, Sheshah E, Aljohani NJ, Aldisi DA, et al. Effects of a 2-week 5000 IU versus 1000 IU vitamin D3 supplementation on recovery of symptoms in patients with mild to moderate COVID-19: a randomized clinical trial. Nutrients. 2021;13(2170):1-4.

Murai IH, Fernandes AL, Sales LP, Pinto AJ, Goessler KF, et al. Effect of a single high dose of vitamin D3 on hospital length of stay in patients with moderate to severe COVID-19 a randomized clinical trial. JAMA. 2021;325(11):1053-60.

Ling SF, Broad E, Murphy R, Pappachan JM, Newton SP, et al. High dose cholecalciferol booster therapy is associated with a reduced risk of mortality in patients with COVID-19: a cross-sectional multi-centre observational study. Nutrients. 2020;12(3799):1-6.

Hernandez JL, Nan D, Ayala MF, Unzueta MG, Hernandez MAH, et al. Vitamin D status in hospitalized patients with SARS-CoV-2 infection. The Journal of Clinical Endocrinology & Metabolism. 2020;20(1):1-1.

Yang J, Xu J, Zhang H. Effect of vitamin D on ACE2 and vitamin D receptor expression in rats with LPS-induced acute lung injury. Chinese journal of emergency medicine. 2016;12(1):1284-89.

Fabbri A, Infante M, Ricordi C. Editorial-vitamin D status: a key modulator of innate immunity and natural defense from acute viral respiratory infections. European Review for Medical and Pharmacological Sciences. 2020;24(1):4048-52.

Grant WB, Lahore H, Mcdonnell SL, Baggerly CA, French CB, et al. Evidence that vitamin D supplementation can reducing the risk of influenza and COVID-19 infection and death. Nutrients. 2020;12(988):1-9.

Castillo ME, Costa LME, Barrios JMV, Diaz JFA, Miranda JL, et al. Effect of calcifediol treatment and best available therapy versus best available therapy on intensive care unit admission and mortality among patients hospitalized for COVID-19: a pilot randomized clinical study. Journal of steroid biochemistry and molecular biology. 2020;203(105751):1-6

Refbacks

  • There are currently no refbacks.