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Single and Combinative Impacts of Healthy Eating Behavior and Physical Activity on COVID-19-like Symptoms among Outpatients: A Multi-Hospital and Health Center Survey

Nguyen et al., Nutrients, doi:10.3390/nu13093258
Sep 2021  
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Symp. case 20% Improvement Relative Risk Symp. case (b) 42% Exercise for COVID-19  Nguyen et al.  Prophylaxis Does physical activity reduce risk for COVID-19? Retrospective 3,947 patients in Vietnam (February - March 2020) Fewer symptomatic cases with higher activity levels (p=0.000011) Nguyen et al., Nutrients, September 2021 Favorsexercise Favorsinactivity 0 0.5 1 1.5 2+
Exercise for COVID-19
9th treatment shown to reduce risk in October 2020
*, now with p < 0.00000000001 from 66 studies.
No treatment is 100% effective. Protocols combine treatments. * >10% efficacy, ≥3 studies.
4,400+ studies for 79 treatments.
Analysis of 3,947 participants in Vietnam, showing significantly lower risk of COVID-19-like symptoms with physical activity and with a healthy diet. The combination of being physically active and eating healthy reduced risk further compared to either alone. The analyzed period was Feb 14 to Mar 2, 2020, which may have been before testing was widely available.
Study covers exercise and diet.
risk of symptomatic case, 20.3% lower, RR 0.80, p < 0.001, high activity levels 904 of 2,836 (31.9%), low activity levels 483 of 1,111 (43.5%), NNT 8.6, adjusted per study, odds ratio converted to relative risk, active vs. inactive, COVID-19-like symptoms, multivariable.
risk of symptomatic case, 42.0% lower, OR 0.58, p < 0.001, adjusted per study, high HES and physically active, COVID-19-like symptoms, multivariable, RR approximated with OR.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Nguyen et al., 18 Sep 2021, retrospective, Vietnam, peer-reviewed, survey, 17 authors, study period 14 February, 2020 - 2 March, 2020.
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Single and Combinative Impacts of Healthy Eating Behavior and Physical Activity on COVID-19-like Symptoms among Outpatients: A Multi-Hospital and Health Center Survey
Minh H Nguyen, Thu T M Pham, Dinh N Vu, Binh N Do, Hoang C Nguyen, Thai H Duong, Khue M Pham, Linh V Pham, Thao T P Nguyen, Cuong Q Tran, Quyen H Nguyen, Thanh M Hoang, Khanh V Tran, Trang T Duong, Shwu-Huey Yang, Chyi-Huey Bai, Tuyen Van Duong
Nutrients, doi:10.3390/nu13093258
Background: Healthy eating and physical activity are effective non-pharmacological approaches to boost immune function and contain the pandemic. We aimed to explore the associations and interactions between physical activity and healthy eating behavior with COVID-19-like Symptoms (Slike-CV19S). Methods: A cross-sectional study was conducted on 3947 outpatients, from 14 February to 2 March 2020, at nine health facilities in Vietnam. Data collection included sociodemographic characteristics, healthy eating behavior (using the healthy eating score (HES) questionnaire), physical activity (using the short form international physical activity questionnaire), and Slike-CV19S. The associations and interactions were tested using logistic regression models. Results: Frequent
Supplementary Materials: The following are available online at 10.3390/nu13093258/s1; Table S1 : Confounders associated with suspected COVID-19 symptoms among outpatients (n = 3947), Table S2 : Spearman's correlation (rho) among potential confounders (n = 3947), Table S3 : Associations of underlying diseases with healthy eating behavior and physical activity among outpatients (n = 3947). Informed Consent Statement: Informed consent was obtained from all subjects involved in the study. Conflicts of Interest: The authors declare no conflict of interest.
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We aimed to explore the ' 'associations and interactions between physical activity and healthy eating behavior with ' 'COVID-19-like symptoms (Slike-CV19S). Methods: A cross-sectional study was conducted on 3947 ' 'outpatients, from 14 February to 2 March 2020, at nine health facilities in Vietnam. Data ' 'collection included sociodemographic characteristics, healthy eating behavior (using the ' 'healthy eating score (HES) questionnaire), physical activity (using the short form ' 'international physical activity questionnaire), and Slike-CV19S. The associations and ' 'interactions were tested using logistic regression models. Results: Frequent intake of fruits ' '(OR = 0.84; p = 0.016), vegetables (OR = 0.72; p = 0.036), and fish (OR = 0.43; p &lt; 0.001) ' 'were associated with a lower Slike-CV19S likelihood, as compared with infrequent intake. ' 'Patients with higher HES levels (OR = 0.84; p = 0.033 for medium HES; OR = 0.77; p = 0.006 ' 'for high HES) or being physically active (OR = 0.69; p &lt; 0.001) had a lower Slike-CV19S ' 'likelihood, as compared to those with low HES or physical inactivity, respectively. Patients ' 'with medium HES who were physically active (OR = 0.69; p = 0.005), or with high HES and ' 'physically active (OR = 0.58; p &lt; 0.001), had a lower Slike-CV19S likelihood, as compared ' 'to those with low HES and physical inactivity. Conclusions: Healthy eating behavior and ' 'physical activity showed single and combinative impacts on protecting people from ' 'Slike-CV19S. Strategic approaches are encouraged to improve healthy behaviors, which may ' 'further contribute to containing the pandemic.</jats:p>', 'DOI': '10.3390/nu13093258', 'type': 'journal-article', 'created': {'date-parts': [[2021, 9, 22]], 'date-time': '2021-09-22T02:34:01Z', 'timestamp': 1632278041000}, 'page': '3258', 'source': 'Crossref', 'is-referenced-by-count': 0, 'title': [ 'Single and Combinative Impacts of Healthy Eating Behavior and Physical Activity on ' 'COVID-19-like Symptoms among Outpatients: A Multi-Hospital and Health Center Survey'], 'prefix': '10.3390', 'volume': '13', 'author': [ { 'ORCID': '', 'authenticated-orcid': False, 'given': 'Minh H.', 'family': 'Nguyen', 'sequence': 'first', 'affiliation': []}, { 'ORCID': '', 'authenticated-orcid': False, 'given': 'Thu T. 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