Accepted for/Published in: JMIR Public Health and Surveillance
Date Submitted: Jul 21, 2020
Open Peer Review Period: Jul 21, 2020 - Aug 3, 2020
Date Accepted: Aug 18, 2020
Date Submitted to PubMed: Jan 13, 2021
(closed for review but you can still tweet)
Diet, nutrition, obesity and its implications for COVID-19 mortality: A marginalized two-part model for semi-continuous data
ABSTRACT
Background:
Background:
Nutrition is not a treatment for COVID-19, but it is a modifiable contributor to the development of chronic disease, which is highly associated with COVID-19 severe illness and deaths. A well-balanced diet and healthy patterns of eating strengthens the immune system, improve immunometabolism, and reduces the risk of chronic disease and infectious diseases.
Objective:
Objective:
This study aims to assess the effect of diet, nutrition, and obesity in preventing COVID-19 among 188 countries by using new statistical marginalized two-part (mTP) models.
Methods:
Methods:
For this, we globally evaluate the distribution of diet and nutrition in national level with considering the varieties between different who regions. The effects of food supply categories and obesities, as well as associations, on/with the number of deaths and the number of recovers, reported globally by estimating coefficients and conducting the color maps.
Results:
Results:
Findings show that more consume of Eggs, Cereals Excluding Beer, Spices, and Stimulants had the greatest impact on the recovery of patients with COVID-19. In addition, more consume of Meat, Vegetal products, Sugar & Sweeteners, Sugar crops, Animal fats, and Animal products were associated with more death and less recovery in patients. The effect of consuming sugar products on mortality is very considerable, while Obesity has affected in more deaths and fewer recovery rates.
Conclusions:
Conclusions:
Although there are differences in pattern diets across the world, overall, unbalanced diets are a health threat across the globe and not just affecting death rates but also the quality of life. To achieve best results in preventing nutrition-related pandemic diseases, strategies and policies should fully recognize the essential role of both diet and obesity in determining good nutrition and optimal health. Policies and programs must address the need for change at the individual level as well as the modifications in society and the environment to make healthier choices accessible and preferable.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.