Vegetarian and plant-based diets associated with lower incidence of COVID-19.

Autor:	Acosta-Navarro JC; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil., Dias LF; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil., de Gouveia LAG; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil., Ferreira EP; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil., de Oliveira MVPF; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil., Marin FA; Universidade Federal da Grande Dourados Faculdade de Ciencias da Saude, Dourados, Brazil., Oliveira JVC; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil., da Silva AC; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil., Silva IL; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil., Freitas FO; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil., Soares PR; Unidade Clinica de Emergencia, Instituto do Coracao, Hospital da Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	BMJ nutrition, prevention & health [BMJ Nutr Prev Health] 2024 Jan 09; Vol. 7 (1), pp. 4-13. Date of Electronic Publication: 2024 Jan 09 (Print Publication: 2024).
DOI:	10.1136/bmjnph-2023-000629
Abstrakt:	Objective: To evaluate the influence of dietary patterns on the incidence and evolution of COVID-19. We hypothesised that a plant-based diet or a vegetarian diet compared with an omnivorous diet might be associated with a lower incidence of COVID-19 infection and severity in those infected. Design: In this observational study, 702 participants provided information on sociodemographic characteristics, dietary information and COVID-19 outcomes between March and July of 2022. Individuals were divided into two groups based on their dietary habits, omnivorous (n=424) and plant-based (n=278). The plant-based group was further divided into vegetarian and flexitarian subgroups. The groups were compared with respect to the incidence of COVID-19 infection, severity and duration. We used multivariable logistic regression models to evaluate the influence of dietary patterns. Results: Plant-based and vegetarian groups had a higher intake of vegetables, legumes and nuts, and lower intake of dairy and meat. After adjusting for important confounders, such as body mass index, physical activity and pre-existing medical conditions, the plant-based diet and vegetarian group had 39% (OR=0.61, 95% CI 0.44 to 0.85; p=0.003) and 39% (OR 0.61, 95% CI 0.42 to 0.88; p=0.009) lower odds of the incidence of COVID-19 infection, respectively, compared with the omnivorous group. No association was observed between self-reported diets and COVID-19 severity or duration. Conclusion: Plant-based and mainly vegetarian diets were associated with a lower incidence of COVID-19 infection. These dietary patterns may be considered protective against COVID-19 infection. (Study protocol registered in CAAE: 54351421.4.0000.0068.). Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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