COVID-19 and per capita green tea consumption: update
, M., medRxiv, doi:10.1101/2022.06.06.22276060, Jun 2022
Ecological study comparing 134 countries/territories showing lower COVID-19 morbidity and mortality associated with higher per capita green tea consumption. The differences remained significant when excluding countries with low human development index (HDI). Statistically significant correlations between green tea consumption and reduced COVID-19 morbidity and mortality were found in regression models adjusting for confounders including population density, age, urbanization, and HDI. Author notes that the results are consistent with previous findings and in vitro evidence, but do not prove causality.
Storozhuk et al., 7 Jun 2022, retrospective, preprint, 1 author, study period December 2019 - February 2022.
Contact: maksim@biph.kiev.ua.
EGCG (epigallocatechin gallate) is a small molecule polyphenol derived from Camellia sinensis that exhibits antiviral activity against SARS-CoV-2 via dual mechanisms: blocking viral entry by interfering with the Spike-ACE2 receptor interaction and inhibiting the viral 3CL protease (Mpro). Additionally, EGCG provides anti-inflammatory effects by modulating cytokine production, potentially mitigating the cytokine storm associated with severe COVID-19.
COVID-19 and per capita green tea consumption: update
doi:10.1101/2022.06.06.22276060
Purpose: In spite of the development of numerous vaccines for the prevention of COVID-19 and approvement of several drugs for its treatment, there is still a great need in effective and inexpensive therapy of this disease. Pharmacological evidence suggesting the therapeutic potential of green tea catechins in amelioration/treatment of COVID19 is growing rapidly, however, there are only a few epidemiological studies addressing this possibility. The aim of this study was to provide update regarding ecological study assessing this issue as of January 2021.
Methods: The methodological approach used in this report is similar to that described previously. Briefly, information about COVID-19 morbidity (defined as a total number of cases per million population) and mortality (defined as a total number of deaths per million population) for a specific date was directly obtained from Worldometers info. Coronavirus. Analysis was restricted to 134 countries or territories with at least 3 million population. Twenty-one of these countries/territories, with estimated per/capita green tea consumption above 150 g (annually), were considered as a group with the high consumption. Countries/territories with the estimated per/capita green tea consumption below 150 g (N=82) were considered as the group with low the consumption. Results: Pronounced differences in COVID-19 morbidity and mortality between groups of countries with high and low green tea consumption were found as of February 20, 2022. These differences were still observed in a subset of countries with HDI above 0.55. Moreover, in this restricted subset of countries, weak but statistically significant correlations between COVID-19 morbidity (or mortality) and per/capita green tea consumption were observed in a multiple regression model accounting for: population density, percentage of population aged above 65, and percentage of urban population.
Conclusion: The obtained results provide additional, though indirect, support of the idea that green tea catechins can be useful for treatment/amelioration of COVID-19. These results are in line with emerging evidence from other studies, including pharmacological. Nevertheless, further research is necessary to directly validate or reject this idea.
Declarations Ethical Approval and Consent to participate Not applicable.
Consent for publication
Not applicable
Competing interests
None
Supplementary Materials List of countries/territories with 'high' per/capita green tea consumption (ranked by population). China, Indonesia, Japan, Vietnam, Algeria, Afghanistan, Uzbekistan, Morocco, Niger, Taiwan, Burkina Faso, Mali, Senegal, Guinea, Tunisia, UAE, Hong Kong, Libya, Denmark, Mauritania, Mongolia.
List of countries/territories with 'low' per/capita green tea consumption (ranked by population). USA, Pakistan, Brazil, Nigeria, Russia, Mexico, Ethiopia, Philippines, Egypt, Turkey, Iran, Germany, Thailand, UK, France, Italy, Colombia, Spain, Sudan, Ukraine, Canada, Poland, Saudi Arabia, Angola, Peru, Malaysia, Ghana, Madagascar, Cameroon, Ivory Coast, Australia, Malawi, Chile, Zambia, Kazakhstan, Romania, Syria, Ecuador, Netherlands, Cambodia, Zimbabwe, Rwanda, Benin, Burundi, Bolivia, Belgium, Dominican Republic, Czechia, Greece, Azerbaijan, Sweden, Honduras, Portugal, Hungary, Belarus, Israel, Austria, Switzerland, Serbia, Togo, Sierra Leone, Laos, Paraguay, Bulgaria, Lebanon, Nicaragua, Kyrgyzstan, El Salvador, Singapore, Finland, Norway, Slovakia, Oman, Costa Rica, Ireland, New Zealand, CAR, Panama, Kuwait, Croatia, Uruguay, Bosnia and Herzegovina. See [32] for more details. These lists refer to countries with HDI above and below 0.55. In these and the following Tables the values are copy-pasted from 'KyPlot'..
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