Bioactive role of vitamins as a key modulator of oxidative stress, cellular damage and comorbidities associated with spinal cord injury (SCI)

Nutr Neurosci. 2023 Nov;26(11):1120-1137. doi: 10.1080/1028415X.2022.2133842. Epub 2022 Dec 20.

Abstract

Introduction: Spinal cord injury (SCI) cause significant disability and impact the quality of life of those affected by it. The nutritional status and diet are fundamental to diminish the progression of complications; vitamins modulate the inflammatory response and oxidative stress, promote blood-spinal cord barrier preservation and the prompt recovery of homeostasis. A deep knowledge of the benefits achieved from vitamins in patients with SCI are summarized. Information of dosage, time, and effects of vitamins in these patients are also displayed. Vitamins have been extensively investigated; however, more clinical trials are needed to clarify the scope of vitamin supplementation.Objective: The objective of this review was to offer relevant therapeutic information based on vitamins supplementation for SCI patients.Methods: Basic and clinical studies that have implemented the use of vitamins in SCI were considered. They were selected from the year 2000-2022 from three databases: PubMed, Science Direct and Google Scholar.Results: Consistent benefits in clinical trials were shown in those who were supplemented with vitamin D (prevents osteoporosis and improves physical performance variables), B3 (improves lipid profile) and B12 (neurological prophylaxis of chronic SCI damage) mainly. On the other hand, improvement related to neuroprotection, damage modulation (vitamin A) and its prophylaxis were associated to B complex vitamins supplementation; the studies who reported positive results are displayed in this review.Discussion: Physicians should become familiar with relevant information that can support conventional treatment in patients with SCI, such as the use of vitamins, a viable option that can improve outcomes in patients with this condition.

Keywords: SCI comorbidities; Spinal cord injury; cellular damage; micronutrients; nutrition; oxidative stress; supplementation; vitamins.

Publication types

  • Review

MeSH terms

  • Humans
  • Oxidative Stress / physiology
  • Quality of Life
  • Spinal Cord
  • Spinal Cord Injuries* / complications
  • Spinal Cord Injuries* / drug therapy
  • Vitamin A
  • Vitamin K / therapeutic use
  • Vitamins* / therapeutic use

Substances

  • Vitamins
  • Vitamin A
  • Vitamin K