Alam Sabiha, Bhuiyan Farhana Rumzum, Emon Tanvir Hossain, Hasan Mahmudul
Institute of Nutrition and Food Science, University of Dhaka, Bangladesh.
Department of Botany, University of Chittagong, Chittagong, Bangladesh.
Heliyon. 2021 Feb;7(2):e06285. doi: 10.1016/j.heliyon.2021.e06285. Epub 2021 Feb 12.
The novel coronavirus disease 2019 (COVID-19) has unfolded an unprecedented worldwide public health emergency with disastrous economic consequences. Around 96 million coronavirus cases have already been identified with over half a million deaths. Despite numerous efforts by the government as well as international organizations, these numbers are still increasing with a surprising rate. Although urgent and absolutely necessary, a reliable therapeutic or vaccine is still elusive and this status quo may remain for an uncertain period of time. Taken that into account, boosting up adaptive immunity through nutritional interventions may help subside this epidemic and save many lives. This review focuses on the nexus between a balanced diet and adaptive immunity, particularly, how a poor diet may lead to compromised immunity resulting in susceptibility to viral infections. Additionally, we discuss how nutrients (vitamins, minerals, trace elements) can be used as a tool to modulate immune response and thus impede viral infections. The study also summarizes nutritional recommendations to combat COVID-19 in different countries and territories as well as dietary sources of those key nutrients. Moreover, different nutritional intervention strategies based on different age groups, physiological and medical conditions were also included, and the challenges of nutritional interventions towards the care of COVID-19 patients are also discussed. Since the availability of a drug or vaccine is still uncertain, a balanced diet or nutrient therapy can be used as a robust strategy to combat COVID-19. Thus, we hope this review may help to make an informed decision with regard to diet choice both at individual level as well as clinical settings.
2019年新型冠状病毒病(COVID-19)引发了一场前所未有的全球公共卫生紧急事件,并带来了灾难性的经济后果。全球已确诊约9600万例冠状病毒病例,死亡人数超过50万。尽管政府和国际组织做出了诸多努力,但这些数字仍在以惊人的速度增长。尽管迫切且绝对必要,但可靠的治疗方法或疫苗仍然难以找到,而且这种现状可能会持续一段不确定的时间。考虑到这一点,通过营养干预增强适应性免疫可能有助于平息这场疫情并挽救许多生命。本综述重点关注均衡饮食与适应性免疫之间的联系,特别是不良饮食如何导致免疫力受损,从而易患病毒感染。此外,我们还讨论了营养素(维生素、矿物质、微量元素)如何作为调节免疫反应、从而预防病毒感染的工具。该研究还总结了不同国家和地区抗击COVID-19的营养建议以及这些关键营养素的膳食来源。此外,还纳入了基于不同年龄组、生理和医疗状况的不同营养干预策略,并讨论了营养干预在COVID-19患者护理方面面临的挑战。由于药物或疫苗的可用性仍然不确定,均衡饮食或营养疗法可作为抗击COVID-19的有力策略。因此,我们希望本综述有助于在个人层面以及临床环境中就饮食选择做出明智的决定。