Yedjou Clement G, Long Richard, Eno Victor, Liu Jinwei, Smith Shannon Bright, Ngnepieba Pierre, Densu Kwasi, MsCallister Monique, Latinwo Lekan, Tchounwou Paul B
Department of Biological Sciences, College of Science and Technology, Florida Agricultural and Mechanical University, Florida, United States of America.
Department of History and Political Science, College of Social Sciences, Arts, and Humanities (CSSAH), Florida Agricultural and Mechanical University, Florida, United States of America.
J Nutr Food Sci. 2025;15(1). Epub 2025 Apr 9.
Coronavirus disease 2019 (COVID-19) has had a profound impact globally, causing the death of millions of people and deeply affecting socio-psychological, human health, and economic systems, with some nations bearing a disproportionate burden. Despite obesity having been established as one of the major risk factors of COVID-19 severity and other degenerative diseases, the effects that dietary pattern intake plays in COVID-19 outcomes remain poorly understood. The goal of this study is to look into the connection between eating habits, the number of non-obese and obese people, and COVID-19 outcomes in countries with populations exhibiting normal Body Mass Index (BMI), which is an indicator of obesity.
The analysis includes data from 170 countries. From the 170 countries, we focused on 53 nations where the average, BMI falls within the normal range (18.5 to 24.9). A subset of 20 nations was selected for a more detailed examination, comprising 10 nations with the lowest BMI values within the normal range (18.5-19.8) and 10 nations with the highest BMI values within the normal range (23.5-24.9). We used Artificial Intelligence (AI) and Machine Learning (ML) applications to evaluate key metrics, including dietary patterns (sugar and vegetable intake), obesity prevalence, incidence rate, mortality rate, and Case Fatality Rate (CFR).
The results demonstrate a significant correlation between higher obesity prevalence and increased COVID-19 severity, evidenced by elevated incidence, mortality, and CFRs in countries like North Macedonia and Italy. In contrast, nations such as Iceland and New Zealand with well-established healthcare systems revealed low mortality rate and case fatality rate despite variations in dietary habits. The study also revealed that vegetable consumption appears to provide a slight to significant protective effects, suggesting that dietary patters alone do not consistently predict COVID-19 Outcomes.
Data generated from this study showed the crucial role of healthcare infrastructure along with the testing capacity and data reporting in influencing the success of pandemic responses. It also highlights the need of integrating public health strategies, which focus on obesity management and improvement of healthcare preparedness. In addition, AI-driven predictive modeling offers valuable insights that may guide pandemic response efforts in the future, thereby enhancing global health crisis management and mitigating the impact of future health emergencies.
2019年冠状病毒病(COVID-19)在全球产生了深远影响,导致数百万人死亡,并对社会心理、人类健康和经济系统造成了深刻影响,一些国家承受了不成比例的负担。尽管肥胖已被确认为COVID-19严重程度和其他退行性疾病的主要风险因素之一,但饮食模式摄入对COVID-19结果的影响仍知之甚少。本研究的目的是探讨饮食习惯、非肥胖和肥胖人群数量与体重指数(BMI)正常(肥胖指标)国家的COVID-19结果之间的联系。
分析包括来自170个国家的数据。在这170个国家中,我们重点关注了53个国家,这些国家的平均BMI值在正常范围内(18.5至24.9)。选择了20个国家进行更详细的检查,其中包括10个BMI值在正常范围内最低(18.5 - 19.8)的国家和10个BMI值在正常范围内最高(23.5 - 24.9)的国家。我们使用人工智能(AI)和机器学习(ML)应用程序来评估关键指标,包括饮食模式(糖和蔬菜摄入量)、肥胖患病率、发病率、死亡率和病死率(CFR)。
结果表明,肥胖患病率较高与COVID-19严重程度增加之间存在显著相关性,北马其顿和意大利等国家的发病率、死亡率和病死率上升证明了这一点。相比之下,冰岛和新西兰等医疗系统完善的国家尽管饮食习惯不同,但死亡率和病死率较低。该研究还表明,蔬菜消费似乎具有轻微到显著的保护作用,这表明仅饮食模式并不能始终预测COVID-19结果。
本研究生成的数据表明,医疗基础设施以及检测能力和数据报告在影响大流行应对的成功方面起着关键作用。它还强调了整合公共卫生策略的必要性,这些策略侧重于肥胖管理和改善医疗准备。此外,人工智能驱动的预测模型提供了有价值的见解,可能会指导未来的大流行应对工作,从而加强全球卫生危机管理并减轻未来卫生紧急情况的影响。