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Quality in Sport

Effectiveness of vitamin c in the management of viral infections in adults
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Effectiveness of vitamin c in the management of viral infections in adults

Authors

  • Magdalena Kozioł Independent Public Health Care Center of the Ministry of Internal Affairs and Administration, Gdańsk, Poland https://orcid.org/0009-0001-1463-224X
  • Marlena Cąkała Zdrowie – Legionowo Medical Center, Legionowo, Poland https://orcid.org/0009-0007-3072-3794
  • Kamila Podgórniak Non-public Healthcare Centre „HIPOKRATES”, Wieluń, Poland https://orcid.org/0009-0002-0087-8158
  • Aleksandra Zajkowska Provincial Integrated Hospital, Bialystok, Poland https://orcid.org/0009-0008-0526-3092
  • Maria Witkowska Jerzy Popiełuszko Memorial Bielański Hospital, Warsaw, Poland https://orcid.org/0009-0001-4019-938X
  • Joanna Skotnicka Jerzy Popiełuszko Memorial Bielański Hospital, Warsaw, Poland https://orcid.org/0009-0008-7792-5817

DOI:

https://doi.org/10.12775/QS.2024.20.53985

Keywords

vitamin c, pneumonia, ascorbic acid, viral infection, common cold

Abstract

Abstract

 

Introduction:

Vitamin C, ascorbic acid, is an essential water-soluble nutrient. Vitamin C has important anti-inflammatory, immunomodulating, antioxidant, antithrombotic and antiviral properties. The role of vitamin C in preventing and treating the upper respiratory tract infections has been controversial since the dual Nobel laureate Linus Pauling published a book in 1970 claiming that vitamin C prevents and alleviates symptoms of common cold. 

Aim of the study: 

The aim of our study was to evaluate the efficacy of vitamin C administration during viral infections in the adult population.

Brief description of the state of knowledge:

In the analyzed studies, vitamin C supplementation has been found to play a role in respiratory defense mechanisms for specific groups of patients with upper respiratory tract infections.  While there is some promise in the use of vitamin C for the treatment of COVID-19, current evidence for its efficacy in pneumonia is weak, but vitamin C may still have a place in treatment, particularly for patients with low levels of the vitamin. Additional research is necessary to determine the efficacy of administering vitamin C for the treatment of pneumonia, the common cold, and COVID-19.

Conclusions:

The available evidence from the studies does not provide clear proof of the efficacy of vitamin C supplementation in preventing or treating viral infections such as the common cold, COVID-19 or pneumonia. Further studies, particularly randomized clinical trials, are necessary to demonstrate its effectiveness in specific viral infections. The current evidence is insufficient to recommend the use of vitamin C for preventing or treating viral infections in the general population. 

Key words: vitamin C; ascorbic acid; viral infections; common cold; COVID-19; pneumonia

References

Janda K, Kasprzak M, Wolska J. [Vitamin C– structure, properties, occurrence and functions]. Pomeranian J Life Sci. 2015;61(4):419-25. Polish. PMID: 29522664.

Ellong, E.; Billard, C.; Adenet, S.; Rochefort, K. Polyphenols, carotenoids, vitamin C content in tropical fruits and vegetables and impact of processing methods. Food Sci. Nutr. 2015, 6, 299–313.

Roman, I.; Stănilă, A.; Stănilă, S. Bioactive compounds and antioxidant activity of Rosa canina L. biotypes from spontaneous flora of Transylvania. Chem. Cent. J. 2013, 7, 73.

Gutzeit, D.; Baleanu, G.; Winterhalter, P.; Jerz, G. Vitamin C content in sea buckthorn berries (Hippophaë rhamnoides L. ssp. rhamnoides) and related products: A kinetic study on storage stability and the determination of processing effects. J. Food Sci. 2008, 73, 615–620.

Vagiri, M.; Ekholm, A.; Öberg, E.; Johansson, E.; Andersson, S.C.; Rumpunen, K. Phenols and ascorbic acid in black currants (Ribes nigrum L.): Variation due to genotype, location, and year. J. Agric. Food Chem. 2013, 61, 9298–9306.

Martínez, S.; López, M.; González-Raurich, M.; Bernardo Alvarez, A. The effects of ripening stage and processing systems on vitamin C content in sweet peppers (Capsicum annuum L.). Int. J. Food Sci. Nutr. 2005, 56, 45–51.

Doseděl M, Jirkovský E, Macáková K, Krčmová LK, Javorská L, Pourová J, Mercolini L, Remião F, Nováková L, Mladěnka P, On Behalf Of The Oemonom. Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination. Nutrients. 2021 Feb 13;13(2):615. doi: 10.3390/nu13020615. PMID: 33668681; PMCID: PMC7918462.

Lykkesfeldt J, Michels AJ, Frei B. Vitamin C. Adv Nutr. 2014 Jan 1;5(1):16-8. doi: 10.3945/an.113.005157. PMID: 24425716; PMCID: PMC3884093.

Padayatty SJ, Levine M. Vitamin C: the known and the unknown and Goldilocks. Oral Dis. 2016 Sep;22(6):463-93. doi: 10.1111/odi.12446. Epub 2016 Apr 14. PMID: 26808119; PMCID: PMC4959991.

Maggini S, Beveridge S, Suter M. A Combination of High-Dose Vitamin C plus Zinc for the Common Cold. Journal of International Medical Research. 2012;40(1):28-42. doi:10.1177/147323001204000104

Audera C, Patulny RV, Sander BH, Douglas RM. Mega-dose vitamin C in treatment of the common cold: a randomised controlled trial. Med J Aust. 2001 Oct 1;175(7):359-62. doi: 10.5694/j.1326-5377.2001.tb143618.x. PMID: 11700812.

Hemilä H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev. 2013 Jan 31;2013(1):CD000980. doi: 10.1002/14651858.CD000980.pub4. PMID: 23440782; PMCID: PMC8078152.

Gorton HC, Jarvis K. The effectiveness of vitamin C in preventing and relieving the symptoms of virus-induced respiratory infections. J Manipulative Physiol Ther. 1999 Oct;22(8):530-3. doi: 10.1016/s0161-4754(99)70005-9. PMID: 10543583.

Holford P, Carr AC, Jovic TH, Ali SR, Whitaker IS, Marik PE, Smith AD. Vitamin C-An Adjunctive Therapy for Respiratory Infection, Sepsis and COVID-19. Nutrients. 2020 Dec 7;12(12):3760. doi: 10.3390/nu12123760. PMID: 33297491; PMCID: PMC7762433.

Carr AC, Maggini S. Vitamin C and Immune Function. Nutrients. 2017 Nov 3;9(11):1211. doi: 10.3390/nu9111211. PMID: 29099763; PMCID: PMC5707683.

Eccles R. Common cold. Front Allergy. 2023 Jun 22;4:1224988. doi: 10.3389/falgy.2023.1224988. PMID: 37426629; PMCID: PMC10324571.

Bucher A, White N. Vitamin C in the Prevention and Treatment of the Common Cold. Am J Lifestyle Med. 2016 Feb 9;10(3):181-183. doi: 10.1177/1559827616629092. PMID: 30202272; PMCID: PMC6124957.

Wintergerst ES, Maggini S, Hornig DH. Immune-enhancing role of vitamin C and zinc and effect on clinical conditions. Ann Nutr Metab. 2006;50(2):85-94. doi: 10.1159/000090495. Epub 2005 Dec 21. PMID: 16373990.

Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, Liu S, Zhao P, Liu H, Zhu L, Tai Y, Bai C, Gao T, Song J, Xia P, Dong J, Zhao J, Wang FS. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020 Apr;8(4):420-422. doi: 10.1016/S2213-2600(20)30076-X. Epub 2020 Feb 18. Erratum in: Lancet Respir Med. 2020 Feb 25;: PMID: 32085846; PMCID: PMC7164771

Pascarella G, Strumia A, Piliego C, Bruno F, Del Buono R, Costa F, Scarlata S, Agrò FE. COVID-19 diagnosis and management: a comprehensive review. J Intern Med. 2020 Aug;288(2):192-206. doi: 10.1111/joim.13091. Epub 2020 May 13. PMID: 32348588; PMCID: PMC7267177.

Kudlay D, Svistunov A. COVID-19 Vaccines: An Overview of Different Platforms. Bioengineering (Basel). 2022 Feb 12;9(2):72. doi: 10.3390/bioengineering9020072. PMID: 35200425; PMCID: PMC8869214.

Foshati S, Mirjalili F, Rezazadegan M, Fakoorziba F, Amani R. Antioxidants and clinical outcomes of patients with coronavirus disease 2019: A systematic review of observational and interventional studies. Food Sci Nutr. 2022 Sep 2;10(12):4112–25. doi: 10.1002/fsn3.3034. Epub ahead of print. PMID: 36245940; PMCID: PMC9538172.

Cecchini R, Cecchini AL. SARS-CoV-2 infection pathogenesis is related to oxidative stress as a response to aggression. Med Hypotheses. 2020 Oct;143:110102. doi: 10.1016/j.mehy.2020.110102. Epub 2020 Jul 13. PMID: 32721799; PMCID: PMC7357498.

Chernyak BV, Popova EN, Prikhodko AS, Grebenchikov OA, Zinovkina LA, Zinovkin RA. COVID-19 and Oxidative Stress. Biochemistry (Mosc). 2020 Dec;85(12):1543-1553. doi: 10.1134/S0006297920120068. PMID: 33705292; PMCID: PMC7768996.

Kow CS, Hasan SS, Ramachandram DS. The effect of vitamin C on the risk of mortality in patients with COVID-19: a systematic review and meta-analysis of randomized controlled trials. Inflammopharmacology. 2023 Dec;31(6):3357-3362. doi: 10.1007/s10787-023-01200-5. Epub 2023 Apr 18. PMID: 37071316; PMCID: PMC10111321.

Xu C, Yi T, Tan S, Xu H, Hu Y, Ma J, Xu J. Association of Oral or Intravenous Vitamin C Supplementation with Mortality: A Systematic Review and Meta-Analysis. Nutrients. 2023 Apr 12;15(8):1848. doi: 10.3390/nu15081848. PMID: 37111066; PMCID: PMC10146309.

Olczak-Pruc M, Swieczkowski D, Ladny JR, Pruc M, Juarez-Vela R, Rafique Z, Peacock FW, Szarpak L. Vitamin C Supplementation for the Treatment of COVID-19: A Systematic Review and Meta-Analysis. Nutrients. 2022 Oct 10;14(19):4217. doi: 10.3390/nu14194217. PMID: 36235869; PMCID: PMC9570769.

Al Sulaiman K, Aljuhani O, Saleh KB, Badreldin HA, Al Harthi A, Alenazi M, Alharbi A, Algarni R, Al Harbi S, Alhammad AM, Vishwakarma R, Aldekhyl S. Ascorbic acid as an adjunctive therapy in critically ill patients with COVID-19: a propensity score matched study. Sci Rep. 2021 Sep 3;11(1):17648. doi: 10.1038/s41598-021-96703-y. Erratum in: Sci Rep. 2021 Sep 24;11(1):19433. PMID: 34480041; PMCID: PMC8417267.

Gao D, Xu M, Wang G, Lv J, Ma X, Guo Y, Zhang D, Yang H, Jiang W, Deng F, Xia G, Lu Z, Lv L, Gong S. The efficiency and safety of high-dose vitamin C in patients with COVID-19: a retrospective cohort study. Aging (Albany NY). 2021 Feb 26;13(5):7020-7034. doi: 10.18632/aging.202557. Epub 2021 Feb 26. PMID: 33638944; PMCID: PMC7993712.

Hemilä H, Louhiala P. Vitamin C for preventing and treating pneumonia. Cochrane Database Syst Rev. 2013 Aug 8;(8):CD005532. doi: 10.1002/14651858.CD005532.pub3. PMID: 23925826.

Lee SI, Lim CM, Koh Y, Huh JW, Lee JS, Hong SB. The effectiveness of vitamin C for patients with severe viral pneumonia in respiratory failure. J Thorac Dis. 2021 Feb;13(2):632-641. doi: 10.21037/jtd-20-1306. PMID: 33717536; PMCID: PMC7947518.

Padhani ZA, Moazzam Z, Ashraf A, Bilal H, Salam RA, Das JK, Bhutta ZA. Vitamin C supplementation for prevention and treatment of pneumonia. Cochrane Database Syst Rev. 2021 Nov 18;11(11):CD013134. doi: 10.1002/14651858.CD013134.pub3. PMID: 34791642; PMCID: PMC8599445.

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Published

2024-08-22

How to Cite

1.
KOZIOŁ, Magdalena, CĄKAŁA, Marlena, PODGÓRNIAK, Kamila, ZAJKOWSKA, Aleksandra, WITKOWSKA, Maria and SKOTNICKA, Joanna. Effectiveness of vitamin c in the management of viral infections in adults. Quality in Sport. Online. 22 August 2024. Vol. 20, p. 53985. [Accessed 28 June 2025]. DOI 10.12775/QS.2024.20.53985.
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Vol. 20 (2024)

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Copyright (c) 2024 Magdalena Kozioł, Marlena Cąkała, Kamila Podgórniak, Aleksandra Zajkowska, Maria Witkowska, Joanna Skotnicka

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