Adherence to Healthy Eating Index-2015 and severity of disease in hospitalised military patients with COVID-19: a cross sectional study
Karim Parastouei, S Shokooee Jud, M Sepandi, S Abbaszadeh, M Samadi, G H Meftahi, Dr M Taghdir
BMJ Military Health, doi:10.1136/military-2022-002173
Introduction Proper nutrition can play an important role in preventing and improving disease progression in patients with COVID-19. The Healthy Eating Index-2015 (HEI-2015) is one of the most common measures used to assess overall nutritional quality. This research aimed to identify the relationship between the HEI-2015 score and disease severity in hospitalised military patients with COVID-19. Methods This cross-sectional study was conducted in 295 hospitalised military patients (retired military and military reserve) with COVID-19. A validated food frequency questionnaire was used to assess food intake. To evaluate the quality of the diet, the HEI-2015 score was calculated. A multiple logistic regression analysis was performed to measure the association between HEI-2015 scores and disease severity (intensive care unit (ICU) admission and length of hospital stay greater than 4 days) in hospitalised military patients with COVID-19.
Results The mean HEI-2015 score was significantly higher in non-ICU patients than in ICU patients (58.39±15.02 vs 53.54±15.65, p=0.01). After adjusting for possible confounding factors including age, sex, comorbidities, calorie intake, body mass index and physical activity, adherence to HEI-2015 inversely related to ICU admission (OR 0.98; 95% CI 0.95 to 1.00) and length of hospital stay of more than 4 days (OR 0.99; 95% CI 0.97 to 1.00) in hospitalised military patients with COVID-19, although statistically not significant. Conclusions According to the results of the study, adherence to HEI-2015 inversely related to both ICU admission and length of hospital stay in hospitalised military patients with COVID-19, although it was not statistically significant.
WHAT IS ALREADY KNOWN ON THIS TOPIC ⇒ To our knowledge, this is the first study to examine the relationship between the Healthy Eating Index-2015 (HEI-2015) score and severity of illness in hospitalised military patients with COVID-19. WHAT THIS STUDY ADDS ⇒ The mean HEI-2015 score was significantly higher in non-intensive care unit (ICU) military patients than in ICU patients. ⇒ Adherence to HEI-2015 inversely related to ICU admission and length of hospital stay of more than 4 days in hospitalised military patients with COVID-19, although it was not statistically significant. HOW THIS STUDY MIGHT AFFECT RESEARCH, PRACTICE OR POLICY ⇒ It appears that a diet rich in fresh fruits and vegetables, whole grains, protein foods, dairy products and healthy fats could be effective in reducing the severity of COVID-19 disease.
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ORCID iDs M Sepandi http://orcid.org/0000-0001-6441-5887 M Taghdir http://orcid.org/0000-0003-2853-0196
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'abstract': '<jats:sec><jats:title>Introduction</jats:title><jats:p>Proper nutrition can play an important '
'role in preventing and improving disease progression in patients with COVID-19. The Healthy '
'Eating Index-2015 (HEI-2015) is one of the most common measures used to assess overall '
'nutritional quality. This research aimed to identify the relationship between the HEI-2015 '
'score and disease severity in hospitalised military patients with '
'COVID-19.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This '
'cross-sectional study was conducted in 295 hospitalised military patients (retired military '
'and military reserve) with COVID-19. A validated food frequency questionnaire was used to '
'assess food intake. To evaluate the quality of the diet, the HEI-2015 score was calculated. A '
'multiple logistic regression analysis was performed to measure the association between '
'HEI-2015 scores and disease severity (intensive care unit (ICU) admission and length of '
'hospital stay greater than 4\u2009days) in hospitalised military patients with '
'COVID-19.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The mean '
'HEI-2015 score was significantly higher in non-ICU patients than in ICU patients (58.39±15.02 '
'vs 53.54±15.65, p=0.01). After adjusting for possible confounding factors including age, sex, '
'comorbidities, calorie intake, body mass index and physical activity, adherence to HEI-2015 '
'inversely related to ICU admission (OR 0.98; 95%\u2009CI 0.95 to 1.00) and length of hospital '
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'patients with COVID-19, although statistically not '
'significant.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>According '
'to the results of the study, adherence to HEI-2015 inversely related to both ICU admission '
'and length of hospital stay in hospitalised military patients with COVID-19, although it was '
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