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The role of diet and micronutrient supplementation in COVID-19 recovery: a cross-sectional survey of Bangladeshi patients

Adhora et al., Discover Social Science and Health, doi:10.1007/s44155-025-00303-4, Oct 2025
https://c19early.org/adhorad.html
Vitamin D for COVID-19
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Retrospective 384 COVID-19 patients in Bangladesh showing shorter recovery time associated with the use of vitamin C, D, and zinc, balanced diet intake, and normal BMI.
Study covers diet, vitamin C, vitamin D, and zinc.
Adhora et al., 7 Oct 2025, retrospective, Bangladesh, peer-reviewed, 3 authors, study period August 2024 - November 2024. Contact: shimul2375@gmail.com.
The role of diet and micronutrient supplementation in COVID-19 recovery: a cross-sectional survey of Bangladeshi patients
Sadia Rowshon Adhora, Md. Monir Hossain Shimul, Salamat Khandker
Discover Social Science and Health, doi:10.1007/s44155-025-00303-4
Background The COVID-19 pandemic has strained global healthcare systems, with Bangladesh facing unique challenges due to limited localized data on nutrition and recovery outcomes. This study aimed to evaluate dietary patterns, supplement intake, and medication use among COVID-19 patients in Bangladesh and assess their associations with recovery duration and disease severity. Methods A cross-sectional online survey was conducted from August to November 2024 among 384 recovered COVID-19 patients across Bangladesh using a structured, selfadministered questionnaire. List of COVID patients was collect from disease surveillance record. Patients were approached proportionally from each division, but final participation was voluntary, making the sampling convenience-based with proportional representation. A total of 500 patients having email access were selected. We contacted with each of the selected patients over the phone before sending questionnaire. Participants provided data on sociodemographic characteristics, dietary habits, nutritional supplement and medication use, and recovery duration. After screening we found 384 valid data were entered into computer for analysis. Data were analyzed using descriptive statistics, chi-square tests, and regression analysis in IBM SPSS. Results Among 384 participants, 51.8% recovered from COVID-19 within 14 days. Faster recovery was significantly associated with normal BMI, balanced diet intake, and use of supplements like vitamin C, D3, and zinc (p < 0.001). Antibiotic/antiviral use notably shortened recovery time, with no patients requiring more than 21 days. In contrast, overweight or underweight status and absence of nutritional interventions were linked to prolonged illness. Despite high supplement use (96.2%), only 27.1% maintained a consistent balanced diet. Mental health issues, especially stress and anxiety, were also reported by 57.7% of respondents post-infection. Conclusion Nutritional status and appropriate supplement was significantly associated with shorter recovery time, indicating a potential association. Public health strategies should integrate nutritional education and access to supplements to enhance immune resilience and pandemic preparedness in resource-limited settings.
Author contributions S.R.A. conceptualized the study, conducted data curation, formal analysis, investigation, and methodology, and was responsible for visualization and writing the original draft. M.M.H.S. contributed to methodology, formal analysis, validation, and visualization, and was involved in both writing the original draft and reviewing and editing the manuscript. S.K. contributed to the methodology, provided supervision, and participated in reviewing and editing the manuscript. All authors reviewed and approved the final version of the manuscript. Declarations Ethics approval and consent to participate The study received ethical approval from the Research Ethics Committee of the Faculty of Health and Life Sciences, Daffodil International University, Dhaka, Bangladesh (Approval No. FHLSREC/DIU/2024/SMIG-79). The approval explicitly permitted the use of disease surveillance records maintained by civil surgeon offices and city corporations for identifying and contacting eligible participants. Informed consent was obtained from all study participants prior to data collection. All participants were adults aged 18 years or older, and no minors were included in this study. Respondents were informed about the study's objectives, data confidentiality, and their right to withdraw at any stage without consequences. During the initial phone call, participants were clearly informed that their contact details had been obtained from official government surveillance databases,..
References
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DOI record: { "DOI": "10.1007/s44155-025-00303-4", "ISSN": [ "2731-0469" ], "URL": "http://dx.doi.org/10.1007/s44155-025-00303-4", "alternative-id": [ "303" ], "article-number": "140", "assertion": [ { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "Received", "name": "received", "order": 1, "value": "18 June 2025" }, { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "Accepted", "name": "accepted", "order": 2, "value": "14 September 2025" }, { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "First Online", "name": "first_online", "order": 3, "value": "7 October 2025" }, { "group": { "label": "Declarations", "name": "EthicsHeading" }, "name": "Ethics", "order": 1 }, { "group": { "label": "Ethics approval and consent to participate", "name": "EthicsHeading" }, "name": "Ethics", "order": 2, "value": "The study received ethical approval from the Research Ethics Committee of the Faculty of Health and Life Sciences, Daffodil International University, Dhaka, Bangladesh (Approval No. FHLSREC/DIU/2024/SMIG-79). The approval explicitly permitted the use of disease surveillance records maintained by civil surgeon offices and city corporations for identifying and contacting eligible participants. Informed consent was obtained from all study participants prior to data collection. All participants were adults aged 18 years or older, and no minors were included in this study. Respondents were informed about the study’s objectives, data confidentiality, and their right to withdraw at any stage without consequences. During the initial phone call, participants were clearly informed that their contact details had been obtained from official government surveillance databases, and verbal consent was reconfirmed before sending the questionnaire. Data were anonymized to protect the privacy of participants. 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