Forget C, D may be the vitamin for cold and flu protection: Study

<http://www.nutraingredients.com/Research/Forget-C-D-may-be-the-vitamin-for-cold-and-flu-protection-Study>http://www.nutraingredients.com/Research/Forget-C-D-may-be-the-vitamin-for-cold-and-flu-protection-Study
 



By Stephen Daniells, 25-Feb-2009

Related topics: Research, Vitamins & premixes, Immune system, 
Respiratory health


Increased levels of vitamin D may protect against common respiratory 
infections such as cold and flu, according to new findings from the US.

According to findings of a study with about 19,000 adults and 
adolescents, people with the lowest average levels of vitamin D were 
about 40 per cent more likely to have a recent respiratory infection, 
compared to those with higher vitamin D levels.

The findings, published in this week's Archives of Internal Medicine, 
indicated that increased intakes of the sunshine vitamin may be an 
important way to prime the immune system against disorders like the 
common cold.

"To our knowledge, this is the first population-based study to 
evaluate and demonstrate an association between serum 25(OH)D level 
and [upper respiratory tract infections]," wrote lead author of the 
study Adit Ginde, MD from the University of Colorado, Denver.

"The association seems to be robust, with a clinically and 
statistically significant association present in all seasons and when 
controlling for potential confounders."

Out with C, in with D?

In background information in their paper, Ginde and his co-workers 
note that for many decades, consumers have looked to vitamin C for 
the prevention and treatment of upper respiratory tract infections 
(URTIs) "despite the lack of convincing evidence of benefit in 
community populations".

Furthermore, the segment of cold and/or flu prevention, and 'immune 
boosting' remains among the top reasons that Americans take vitamin 
and herbal supplements. The study represents the first to report a 
'robust' association between vitamin D and respiratory health.

Vitamin D refers to two biologically inactive precursors - D3, also 
known as cholecalciferol, and D2, also known as ergocalciferol. Both 
D3 and D2 precursors are hydroxylated in the liver and kidneys to 
form 25- hydroxyvitamin D (25(OH)D), the non-active 'storage' form, 
and 1,25-dihydroxyvitamin D (1,25(OH)2D), the biologically active 
form that is tightly controlled by the body.

Benefits for those most at risk

While low vitamin D levels were associated with increased risks of 
cold and flu in 'healthy' people, the researchers noted that low 
levels were linked to even higher risks in people with chronic 
respiratory disorders, such as asthma and chronic obstructive 
pulmonary disease (COPD), and emphysema.

The observations were based on data from the Third National Health 
and Nutrition Examination Survey (NHANES III). Blood samples from the 
18,883 adults and adolescents allowed the researchers to measure 
25(OH)D levels.

The lowest average vitamin D blood levels, defined as less than 10 
nanograms per milliliter (ng/mL) of blood, were associated with a 40 
per cent increased risk of respiratory infection, compared to the 
highest average levels of 30 ng/mL or higher.

The links were observed in all seasons, said the researchers. For 
people with a history of asthma, low vitamin D levels were associated 
with a risk of respiratory tract infection five times more than those 
with high levels, while the among COPD patients, respiratory 
infections were twice as common among those with vitamin D deficiency.

"A respiratory infection in someone with otherwise healthy lungs 
usually causes a few days of relatively mild symptoms," explained 
senior author of the study, Carlos Camargo MD, DrPH, from MGH 
Department of Emergency Medicine.

"But respiratory infections in individuals with an underlying lung 
disease can cause serious attacks of asthma or COPD that may require 
urgent office visits, emergency department visits or 
hospitalizations. So the impact of preventing infections in these 
patients could be very large."

The researchers said that clinical trials to test vitamin D 
supplements to boost immunity and fight respiratory infections are 
being planned.

"While it's too early to make any definitive recommendations, many 
Americans also need more vitamin D for its bone and general health 
benefits. Clinicians and laypeople should stay tuned as this exciting 
area of research continues to expand," said Ginde.

In terms of the mechanism, Ginde and his co-workers note that the 
vitamin plays a defining role in the production of a type of protein 
called cathelicidins that are found in many cells including 
microphages that play a role in immunity.

The science builds for vitamin D

Commenting on the study, Andrew Shao, PhD, vice president, scientific 
and regulatory affairs, for the Council for Responsible Nutrition 
(CRN), a supplements trade association, said it adds to growth of 
science supporting the benefits of vitamin D.

"The majority of Americans continue to fall short in getting adequate 
amounts of vitamin D through diet alone. Given that vitamin D is 
relatively low in most foods, and there are serious risks associated 
with excessive sun exposure, dietary supplements are an important 
alternative to achieving a sufficient intake," said Dr Shao.

"While this study on its own does not mean that higher vitamin D 
intake will ensure that you don't get an upper respiratory tract 
infection this winter, it is consistent with, and adds to, the 
relatively new body of evidence showing that vitamin D plays a 
critical role in immune function."

Source: Archives of Internal Medicine
2009, Volume 169, Issue 4, Pages 384-390
"Association Between Serum 25-Hydroxyvitamin D Level and Upper 
Respiratory Tract Infection in the Third National Health and 
Nutrition Examination Survey"
Authors: A.A. Ginde, J.M. Mansbach, C.A. Camargo Jr

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