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                <text>Coronavirus</text>
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                <text>Dominio científico: Coronavirus</text>
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              <text>Role of Vitamin D in Risk Reduction of COVID-19: A Narrative Review</text>
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              <text>Pinki Mishra, Rizwana Parveen, Nidhi Bharal Agarwal</text>
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              <text>The world is in the midst of the COVID-19 pandemic. In addition to quarantine, public health interventions which can reduce the risk of infection and death are urgently required. This article discusses the roles of vitamin D in reducing the risk of COVID-19, and how vitamin D supplementation may be a useful risk reduction measure. Vitamin D can reduce the risk of infections through a variety of mechanisms: induction of cathelicidins and defensins that can lower the rate of viral replication and decrease the concentrations of pro-inflammatory cytokines, which are responsible for induction of inflammation, injuring lining of lungs and contributing to developing pneumonia. Evidence supporting the role of vitamin D in reducing the incidence of COVID-19 includes a) winter outbreak; b) a timeframe when concentrations of 25-hydroxyvitamin D (25(OH)D) are lowest; c) a small number of cases in the southern hemisphere toward the end of summer; d) a vitamin D deficiency found to lead to acute respiratory distress syndrome (ARDS); e) and a rise in case-fatality rates with increasing age and comorbid chronic diseases, both of which are associated with lower concentrations of 25(OH)D. It is recommended that people at risk of COVID-19 consider taking 10,000 IU/d of vitamin D3 for a few weeks to rapidly increase 25(OH)D concentrations, followed by 5,000 IU/d to reduce the risk of infection. Higher doses of vitamin D3 may be useful for treating people who are infected with COVID-19. To test these guidelines, randomized controlled trials and comprehensive population studies should be performed.</text>
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              <text>2021</text>
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              <text>covid-19, SARS-CoV-2, vitamin D, 25-hydroxyvitamin d, Acute respiratory tract infection</text>
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              <text>10.1055/s-0041-1724460</text>
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          <name>Source</name>
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              <text>Annals of the National Academy of Medical Sciences (India)</text>
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          <name>Publisher</name>
          <description>An entity responsible for making the resource available</description>
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            <elementText elementTextId="87424">
              <text>Thieme Medical and Scientific Publishers Pvt. Ltd.</text>
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          <name>Coverage</name>
          <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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              <text>Science, General works</text>
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