Врачи: пациенты с нехваткой витамина D тяжелее переносят COVID-19. Чем еще опасен дефицит витамина D и как его восполнить?

{"article":{"error":null,"payload":{"id":204,"slug":"vrachi-patsientyi-s-nehvatkoj-vitamina-d-tyazhelee","title":"Врачи: пациенты с нехваткой витамина D тяжелее переносят COVID-19. Чем еще опасен дефицит витамина D и как его восполнить?","description":"Больше всего от дефицита витамина D страдают жители стран Северного полушария – в том числе и России.","href":"/news/vrachi-patsientyi-s-nehvatkoj-vitamina-d-tyazhelee/","published":{"display":"12 ноября 2020","rfc3339":"2020-11-12T14:22:18+00:00"},"image":{"isTouch":{"retina":"https://vseapteki.ru/cropping/thumbnails/250/167/phoneMedium_retina/","default":"https://vseapteki.ru/cropping/thumbnails/250/167/phoneMedium_default/"},"isFromTablet":{"retina":null,"default":null}},"modified":{"display":"12 ноября 2020, 14:22:30","rfc3339":"2020-11-12T14:22:30.354651+00:00"},"content":"\u003cp\u003eДефицит витамина D приводит к более тяжелому течению COVID-19 – об этом в своем исследовании \u003ca href=\"https://news.mail.ru/society/44076001/\" target=\"_blank\"\u003eсообщают\u003c/a\u003e врачи из Имперского колледжа Лондона. «Все аптеки» разобрались, чем еще может грозить недостаток витамина D в организме, почему этот витамин так важен для нас и как поддерживать его уровень в норме.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eВитамин D в аптеках поблизости\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/list/vitamin_d/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cp class=\"article-picture\" data-name=\"contentimage\" data-id=\"215\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/253/215/phoneMedium_retina/\" title=\"\"\u003e\u003c/p\u003e\n\u003ch2\u003eЧто такое витамин D и зачем он нужен? \u003c/h2\u003e\n\u003cp\u003eНа научном языке это вещество называется «колекальциферол». Большинство людей знает его как солнечный витамин: он вырабатывается организмом в ответ на попадание ультрафиолетового излучения солнца на кожу. Еще витамин D содержится в рыбе и рыбьем жире, желтке яйца, витаминизированных молочных и зерновых продуктах.\u003c/p\u003e\n\u003cp\u003eВитамин D помогает организму усваивать кальций, укрепляет кости, поддерживает мышечный тонус и стимулирует активность иммунной системы.\u003c/p\u003e\n\u003ch2\u003eЧем опасна нехватка витамина D?\u003c/h2\u003e\n\u003cp\u003eПервые признаки дефицита витамина D – ломота, боли в костях или мышцах. Если вовремя не обратить на них внимание, недостаток витамина в крови может привести к росту риска смерти от сердечно-сосудистых заболеваниям, раку, когнитивным нарушениям у пожилых детей и тяжелой форме астмы у детей. \u003c/p\u003e\n\u003cp\u003eКроме того, нехватка витамина D опасна, если у вас диабета 1-го и 2-го типа, гипертония, непереносимость глюкозы или рассеянный склероз – в этом случае дефицит может усугубить состояние здоровья.\u003c/p\u003e\n\u003ch2\u003eПочему возникает дефицит витамина D?\u003c/h2\u003e\n\u003cp\u003eДефицит витамина D может возникнуть по нескольким причинам. Самые популярные из них:\u003c/p\u003e\n\u003col\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003e\u003cstrong\u003eВ рационе мало продуктов, содержащих витамин D\u003c/strong\u003e. Это особенно вероятно, если человек придерживается веганской диеты, ведь большинство природных источников витамина D – животного происхождения (рыба, рыбий жир, яичные желтки, обогащенное молоко и говяжья печень). \u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003e\u003cstrong\u003eНе хватает солнечного света\u003c/strong\u003e. Организм вырабатывает витамин D, когда на кожу попадает солнечный свет. Риск дефицита выше, если вы часто сидите дома (а у нас давно самоизоляция и удаленка), живете в северных широтах (зимой светлеет поздно, темнеет рано), носите закрытую одежду или головные уборы по религиозным соображениям или злоупотребляете средствами, которые предотвращают попадание ультрафиолета на кожу.\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003e\u003cstrong\u003eОжирение\u003c/strong\u003e. Витамин D извлекается из крови жировыми клетками, уменьшая его выброс в кровоток. Люди с индексом массы тела 30 или выше часто имеют низкий уровень витамина D.\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\u003c/ol\u003e\n\u003ch2\u003eКак понять, что мне не хватает витамина D?\u003c/h2\u003e\n\u003cp\u003eСамый точный способ – сдать анализ крови на 25-гидрокси-витамин D. Норма для здоровых людей – от 20 нг/мл (нанограмм на миллилитр) до 50 нг/мл. Если анализ покажет 12 нг/мл или меньше, это резкий дефицит витамина D – его нужно лечить.\u003c/p\u003e\n\u003ch2\u003eКак восполнить дефицит витамина D? \u003c/h2\u003e\n\u003cp\u003eЛечат дефицит витамина D коррекцией диеты (больше рыбы, желтка и молока) и приемом пищевых добавок. \u003c/p\u003e\n\u003cp\u003eДля добавок ключевым показателем является количество международных единиц (ME). Для взрослых в возрасте от 18 до 70 лет норма потребления витамина D – 600 ME в день, старше 70 – 800 ME. Безопасный верхний предел суточного приема – 4000 ME, но при выраженном дефиците витамина для коррекции врачи могут назначить и более 4000 ME в сутки.\u003c/p\u003e\n\u003ch2\u003eИ все-таки, дефицит витамина D и правда так опасен во время пандемии?\u003c/h2\u003e\n\u003cp\u003eДефицит витамина D опасен всегда, но, действительно, во время пандемии он стал возможным фактором осложнения течения COVID-19. Многочисленные исследования в течение года заканчивались следующими выводами: полноценное поступление витамина D может улучшить результаты лечения пациентов с коронавирусом, витамин D может снизить тяжесть болезни и риски осложнений, а еще пациенты с нормальным уровнем витамина D в организме реже сталкиваются с опасными осложнениями коронавируса (например, затрудненным дыханием и потерей сознания). \u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eОднако важно помнить\u003c/strong\u003e: большие дозы витамина D – не панацея от коронавируса и любых других болезней. Более того, избыточные прием добавок с витамином D может вызвать серьезные побочные эффекты. Поэтому перед тем, как принимать такие добавки, \u003cstrong\u003eобязательно проконсультируйтесь с врачом\u003c/strong\u003e.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eВитамин D в аптеках поблизости\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/list/vitamin_d/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch3\u003eЧитайте также:\u003c/h3\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/udalenka-ubivaet-10-ugroz-vashemu-zdorovyu-pri-rab/\"\u003e\u003cstrong\u003eУдаленка убивает: 10 угроз вашему здоровью при работе из дома\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/kak-ne-nabrat-ves-v-izolyatsii/\" target=\"_blank\"\u003e\u003cstrong\u003eКак не набрать вес во время и после изоляции​\u003c/strong\u003e\u003c/a\u003e​​​​​​\u003c/p\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/vitaminyi-iz-apteki-ili-fruktyi-chto-vyibrat-i-che/\"\u003e\u003cstrong\u003eФрукты или витамины из аптеки? Что выбрать и чем заменить\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e"},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basket":{"error":null,"payload":{"empty":true,"hasUnavailable":false,"products":[],"recentlyAdded":[],"info":{"countPharmacy":0,"deliveryTime":"","prescription":false,"checkout":false,"price":{"subtotal":"0","total":"0"},"quantity":{"position":0,"pack":0}},"delivery":{"method_of_obtaining":"PICKUP","address":null,"latitude":null,"longitude":null,"cost":null,"service_fee":null,"time":null,"store_id":null,"store_name":null,"chain_id":null,"checkout_url":null,"is_available":false,"prices":[],"token":null,"refresh_token":null,"secret":null,"cart_id":null,"discount_code":null}},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basketEvents":{"eventsByProducts":{},"lastAddedProducts":null,"lastRemovedProducts":null},"catalogCategoryProducts":{"error":null,"status":{"isError":false,"isInit":true,"isPending":false,"isSuccess":false,"isServer":false}},"catalogCurrentCategory":null,"catalogStructure":{"error":null,"payload":{"39":{"id":39,"title":"Лекарства","url":"/catalog/39-lekarstva/","parent":null,"order":1,"empty":false},"40":{"id":40,"title":"Прочие 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