DOI record:
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"DOI": "10.1093/nutrit/nuad105",
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"abstract": "<jats:title>Abstract</jats:title>\n <jats:sec>\n <jats:title>Context</jats:title>\n <jats:p>Coronavirus disease 2019 (COVID-19) could induce the “cytokine storm” due to overactivation of immune system and accompanied by acute respiratory distress syndrome as a serious complication. Vitamin C has been effective in improving lung function of patients by reducing inflammation.</jats:p>\n </jats:sec>\n <jats:sec>\n <jats:title>Objective</jats:title>\n <jats:p>The aim was to explore the therapeutic effects of high-dose vitamin C supplementation for patients with COVID-19 using meta-analysis.</jats:p>\n </jats:sec>\n <jats:sec>\n <jats:title>Data Sources</jats:title>\n <jats:p>Published studies were searched from PubMed, Cochrane Library, Web of Science, EMBASE, and China National Knowledge Infrastructure databases up to August 2022 using the terms “vitamin C” and “COVID-19”. Data analyses were performed independently by 2 researchers using the PRISMA guidelines.</jats:p>\n </jats:sec>\n <jats:sec>\n <jats:title>Data Extraction</jats:title>\n <jats:p>Heterogeneity between the included studies was assessed using I2 statistics. When I2 ≥50%, the random-effects model was used; otherwise, a fixed-effects model was applied. Stata 14.0 software was used to pool data by standardized mean differences (SMDs) with 95% CIs or odds ratios (ORs) with 95% CIs.</jats:p>\n </jats:sec>\n <jats:sec>\n <jats:title>Data Analysis</jats:title>\n <jats:p>The 14 studies had a total of 751 patients and 1583 control participants in 7 randomized controlled trials and 7 retrospective studies. The vitamin C supplement significantly increased ferritin (SMD = 0.272; 95% CI: 0.059 to 0.485; P = 0.012) and lymphocyte count levels (SMD = 0.376; 95% CI: 0.153 to 0.599; P = 0.001) in patients with COVID-19. Patients administered vitamin C in the length of intensive care unit staying (SMD = 0.226; 95% CI: 0.073 to 0.379; P = 0.004). Intake of vitamin C prominently alleviate disease aggravation (OR = 0.344, 95%CI: 0.135 to 0.873, P = 0.025).</jats:p>\n </jats:sec>\n <jats:sec>\n <jats:title>Conclusions</jats:title>\n <jats:p>High-dose vitamin C supplementation can alleviate inflammatory response and hinder the aggravation of COVID-19.</jats:p>\n </jats:sec>",
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