Vitamin D in prophylactics of contamination and development of severe forms of the new coronavirus infection COVID-19
M.L. MAKSIMOV1, 2, 3, 4, A.A. ZVEGINTSEVA1, 2, M.A. ISLAMOVA2, T.YU. KULAGINA1, 2
1Republic Clinical Hospital of the Republic of Tatarstan, Kazan
2 Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, , Kazan
3Kazan (Volga) Federal University, Kazan
4Russian National Research Medical University named after N.I. Pirogov, Moscow
Contact details:
Maksimov M.L. — MD, Professor, Head of the Department of Clinical Pharmacology and Pharmacotherapy, Professor of the Department of Pharmacology of RNRMU named after N.I. Pirogov, Professor of the Department of Fundamentals of Clinical Medicine
Address: 36 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7-916-1145955, e-mail: maksim_maksimov@mail.ru
Today, over 182 mln people worldwide are infected with the new coronavirus infection and over 3 mln people have died of it. Quarantine measures cannot comprehensively prevent further spread of SARS-CoV-2, as they do not involve the inner mechanisms of antiviral protection; thus, it is necessary to consider other prophylactic methods of contamination and development of severe forms of COVID-19. Low levels of vitamin D in blood determine a more unfavorable course of the disease and are associated with a large number of lethal outcomes of COVID-19. Also, low levels of this vitamin correlate with higher vulnerability to SARS-CoV-2. Meta analysis of 25 randomized studies showed that intake of vitamin D reliably reduces the risk of ARVI contamination by 12% on average and also reduces the risk of repeated ARVI contamination in persons having at least one ARVI episode in a year. It is essential to use the available methods of COVID-19 prophylactics, one of which is adequate provision with vitamin D.
Key words: new coronavirus infection, vitamin D, prophylactics of COVID-19, ARVI, SARS-CoV-2, claciferol, calcitriol, immune response, antiviral immunity.
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