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Open AccessJournal ArticleDOI

Immune Function and Micronutrient Requirements Change over the Life Course

Silvia Maggini, +2 more
- 17 Oct 2018 - 
- Vol. 10, Iss: 10, pp 1531
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TLDR
This review looks at immune considerations specific to each life stage, the consequent risk of infection, micronutrient requirements and deficiencies exhibited over the life course, and the available evidence regarding the effects of micronsutrient supplementation on immune function and infection.
Abstract
As humans age, the risk and severity of infections vary in line with immune competence according to how the immune system develops, matures, and declines. Several factors influence the immune system and its competence, including nutrition. A bidirectional relationship among nutrition, infection and immunity exists: changes in one component affect the others. For example, distinct immune features present during each life stage may affect the type, prevalence, and severity of infections, while poor nutrition can compromise immune function and increase infection risk. Various micronutrients are essential for immunocompetence, particularly vitamins A, C, D, E, B2, B6, and B12, folic acid, iron, selenium, and zinc. Micronutrient deficiencies are a recognized global public health issue, and poor nutritional status predisposes to certain infections. Immune function may be improved by restoring deficient micronutrients to recommended levels, thereby increasing resistance to infection and supporting faster recovery when infected. Diet alone may be insufficient and tailored micronutrient supplementation based on specific age-related needs necessary. This review looks at immune considerations specific to each life stage, the consequent risk of infection, micronutrient requirements and deficiencies exhibited over the life course, and the available evidence regarding the effects of micronutrient supplementation on immune function and infection.

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Citations
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A Review of Micronutrients and the Immune System–Working in Harmony to Reduce the Risk of Infection

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TL;DR: In this paper, the role of nutrition plays in supporting the immune system is well-established, and a wealth of mechanistic and clinical data show that vitamins, including vitamins A, B6, B12, C, D, E, and folate, trace elements, including zinc, iron, selenium, magnesium, and copper, play important and complementary roles in supporting immune system.
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TL;DR: The importance of an optimal status of relevant nutrients to effectively reduce inflammation and oxidative stress, thereby strengthening the immune system during the COVID-19 crisis is highlighted.
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Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention.

TL;DR: The role of nutrition and of immunomodulation in immunosenescence is discussed, due to the multifactorial influence on these hallmarks, and the inclusion of appropriate combinations of toll-like receptor agonists may enhance the efficacy of vaccination in older adults.
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