Perspective: Vitamin D supplementation prevents rickets and acute respiratory infections when given as daily maintenance but not as intermittent bolus: implications for COVID-19

نویسندگان

چکیده

ABSTRACT The value of vitamin D supplementation in the treatment or prevention various conditions is often viewed with scepticism as a result contradictory results randomised trials. It now becoming apparent that there pattern to these inconsistencies. A recent large trial has shown high-dose intermittent bolus therapy ineffective at preventing rickets – condition most unequivocally caused by deficiency. There plausible biological explanation since replacement induces long-term expression catabolic enzyme 24-hydroxylase and fibroblast growth factor 23, both which have inactivating effects. Meta-analyses acute respiratory infection trials tuberculosis other also support efficacy low dose daily maintenance rather than dosing. This particularly relevant during current COVID-19 pandemic given well-documented associations between risk We would urge clinicians take note findings give strong widespread use supplementation.

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ژورنال

عنوان ژورنال: Clinical Medicine

سال: 2021

ISSN: ['1473-4893', '1470-2118']

DOI: https://doi.org/10.7861/clinmed.2021-0035