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Effects of nutrients on immunomodulation in patients with severe COVID-19: Current knowledge
Authors:Bruna Teixeira da Costa  Glauber Rocha Lima Ara&#  jo  Ronaldo Teixeira da Silva J&#  nior  Luana Kauany de S&#  Santos  Vin&#  cius Lima de Souza Gon&#  alves  Daniel Bastos Alves Lima  Beatriz Rocha Cuzzuol  Jonathan Santos Apolonio  Lorena Sousa de Carvalho  Hanna Santos Marques  Camilo Santana Silva  Isadora de Souza Barcelos  M&#  rcio Vasconcelos Oliveira  Fabr&#  cio Freire de Melo
Abstract:Recent research has demonstrated that critically ill patients with coronavirus disease 2019 (COVID-19) show significant immune system dysregulation. Due to that, some nutrients that influence immunomodulation have been suggested as a form of treatment against the infection. This review collected the information on the impact of vitamins on the prognosis of COVID-19, with the intention of facilitating treatment and prevention of the disease risk status in patients. The collected information was obtained using the PubMed electronic database by searching for articles that relate COVID-19 and the mechanisms/effects of the nutrients: Proteins, glucose, lipids, vitamin B12, vitamin D, calcium, iron, copper, zinc, and magnesium, including prospective, retrospective, and support articles. The findings reveal an optimal response related mainly to omega-3, eicosapentaenoic acid, docosahexaenoic acid, calcium, and iron that might represent benefits in the treatment of critically ill patients. However, nutrient supplementation should be done with caution due to the limited availability of randomized controlled studies.
Keywords:COVID-19  Immunomodulation  Patient care  Vitamins  Nutrients  Micronutrients
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