The relationship between healthy eating index and Mediterranean diet adherence score with inflammatory indices and disease severity: a case-control study of hospitalized COVID-19 patients

Abstract Background Recent studies have focused on the connection between nutrition, inflammation, and infectious diseases. This study was conducted to investigate the relationship between the Mediterranean diet adherence score (MDS) and the healthy eating index (HEI) with some clinical findings of...

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Main Authors: Reihaneh Mousavi, Somayeh Rostami, Saba Shourideh Yazdi, Akram Kooshki, Elaheh Foroumandi
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Nutrition
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Online Access:https://doi.org/10.1186/s40795-024-00983-2
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author Reihaneh Mousavi
Somayeh Rostami
Saba Shourideh Yazdi
Akram Kooshki
Elaheh Foroumandi
author_facet Reihaneh Mousavi
Somayeh Rostami
Saba Shourideh Yazdi
Akram Kooshki
Elaheh Foroumandi
author_sort Reihaneh Mousavi
collection DOAJ
description Abstract Background Recent studies have focused on the connection between nutrition, inflammation, and infectious diseases. This study was conducted to investigate the relationship between the Mediterranean diet adherence score (MDS) and the healthy eating index (HEI) with some clinical findings of patients with COVID-19. Methods This case–control study was conducted in 29 Bahman hospital of Tabriz, Iran, from June to December 2022. Totally, 300 individuals (150 patients with COVID-19 as cases and 150 subjects who had not affected by COVID-19 as controls) was selected using convenience random sampling method to participate in the study. The 138-items food frequency questionnaire-derived dietary data were applied to compute HEI and MDS. Serum levels of BUN, creatinine and inflammatory markers including the Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were measured. Results Both the HEI and MDS of case group was significantly lower than control group (p < 0.001). The MDS was negatively associated with hospitalization duration (R=-0.209, P < 0.001) and serum ESR level (R=-0.420, P < 0.001). A negative relationship was also seen between ESR level and HEI (R=-0.13, P = 0.017). Conclusion It is concluded that higher MDS and HEI contribute to lower inflammatory markers and then diminished risk of covid-19 infection.
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spelling doaj-art-c22ec7a191fc4e5fb60230e52e3541b32025-01-05T12:10:55ZengBMCBMC Nutrition2055-09282024-12-011011710.1186/s40795-024-00983-2The relationship between healthy eating index and Mediterranean diet adherence score with inflammatory indices and disease severity: a case-control study of hospitalized COVID-19 patientsReihaneh Mousavi0Somayeh Rostami1Saba Shourideh Yazdi2Akram Kooshki3Elaheh Foroumandi429 Bahman Hospital, Iranian Social Security OrganizationDepartment of Nutrition, Nutrition and Food Sciences School, Tabriz University of Medical SciencesNon-Communicable Diseases Research Center, Sabzevar University of Medical SciencesNon-Communicable Diseases Research Center, Sabzevar University of Medical SciencesNon-Communicable Diseases Research Center, Sabzevar University of Medical SciencesAbstract Background Recent studies have focused on the connection between nutrition, inflammation, and infectious diseases. This study was conducted to investigate the relationship between the Mediterranean diet adherence score (MDS) and the healthy eating index (HEI) with some clinical findings of patients with COVID-19. Methods This case–control study was conducted in 29 Bahman hospital of Tabriz, Iran, from June to December 2022. Totally, 300 individuals (150 patients with COVID-19 as cases and 150 subjects who had not affected by COVID-19 as controls) was selected using convenience random sampling method to participate in the study. The 138-items food frequency questionnaire-derived dietary data were applied to compute HEI and MDS. Serum levels of BUN, creatinine and inflammatory markers including the Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were measured. Results Both the HEI and MDS of case group was significantly lower than control group (p < 0.001). The MDS was negatively associated with hospitalization duration (R=-0.209, P < 0.001) and serum ESR level (R=-0.420, P < 0.001). A negative relationship was also seen between ESR level and HEI (R=-0.13, P = 0.017). Conclusion It is concluded that higher MDS and HEI contribute to lower inflammatory markers and then diminished risk of covid-19 infection.https://doi.org/10.1186/s40795-024-00983-2COVID-19Mediterranean dietHealthy eatingInflammation
spellingShingle Reihaneh Mousavi
Somayeh Rostami
Saba Shourideh Yazdi
Akram Kooshki
Elaheh Foroumandi
The relationship between healthy eating index and Mediterranean diet adherence score with inflammatory indices and disease severity: a case-control study of hospitalized COVID-19 patients
BMC Nutrition
COVID-19
Mediterranean diet
Healthy eating
Inflammation
title The relationship between healthy eating index and Mediterranean diet adherence score with inflammatory indices and disease severity: a case-control study of hospitalized COVID-19 patients
title_full The relationship between healthy eating index and Mediterranean diet adherence score with inflammatory indices and disease severity: a case-control study of hospitalized COVID-19 patients
title_fullStr The relationship between healthy eating index and Mediterranean diet adherence score with inflammatory indices and disease severity: a case-control study of hospitalized COVID-19 patients
title_full_unstemmed The relationship between healthy eating index and Mediterranean diet adherence score with inflammatory indices and disease severity: a case-control study of hospitalized COVID-19 patients
title_short The relationship between healthy eating index and Mediterranean diet adherence score with inflammatory indices and disease severity: a case-control study of hospitalized COVID-19 patients
title_sort relationship between healthy eating index and mediterranean diet adherence score with inflammatory indices and disease severity a case control study of hospitalized covid 19 patients
topic COVID-19
Mediterranean diet
Healthy eating
Inflammation
url https://doi.org/10.1186/s40795-024-00983-2
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