Proposition of a New POLA Index to Assess the Immunomodulatory Properties of the Diet and Its Relationship with the Gut Microbiota, Using the Example of the Incidence of COVID-19 in a Group of People without Comorbidities

A rise in the incidence of infections with severe acute respiratory syndrome coronavirus 2 has sparked the search for protective strategies against the new pathogen. It is known that individual food components can interact with different immune cells, modulating the immune response of the body. The...

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Veröffentlicht in:Nutrients 2022-10, Vol.14 (20), p.4227
Hauptverfasser: Jagielski, Paweł, Wnęk, Dominika, Łuszczki, Edyta, Bolesławska, Izabela, Micek, Agnieszka, Kozioł-Kozakowska, Agnieszka, Piórecka, Beata, Koczur, Karolina, Jankowska, Katarzyna, Gaździńska, Agata, Turczyńska, Marta, Kawalec, Paweł
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container_issue 20
container_start_page 4227
container_title Nutrients
container_volume 14
creator Jagielski, Paweł
Wnęk, Dominika
Łuszczki, Edyta
Bolesławska, Izabela
Micek, Agnieszka
Kozioł-Kozakowska, Agnieszka
Piórecka, Beata
Koczur, Karolina
Jankowska, Katarzyna
Gaździńska, Agata
Turczyńska, Marta
Kawalec, Paweł
description A rise in the incidence of infections with severe acute respiratory syndrome coronavirus 2 has sparked the search for protective strategies against the new pathogen. It is known that individual food components can interact with different immune cells, modulating the immune response of the body. The aim of this study was to develop an index assessing the immunomodulatory potential of diet (POLA index) and to test its utility for the prediction of coronavirus disease 2019 (COVID-19) in a group of healthy young people following a traditional or vegetarian diet. Data on body composition, anthropometric measurements, physical activity, dietary intake, and gut microbiota were obtained from 95 adults (mean age, 34.66 ± 5.76 years). There was a strong correlation between the dietary inflammatory index and the POLA index (r = 0.90; p < 0.0001). Based on Cohen’s kappa statistic, there was a good agreement in qualitative interpretation between the two indices (kappa = 0.61; p < 0.0001). People on a diet with beneficial immunomodulatory effects had a lower risk of COVID-19 of approximately 80%, as compared with those on a diet with highly unbeneficial immunomodulatory effects. In daily practice, the POLA index might serve as a useful tool for dietitians to identify individuals whose diet is deficient in ingredients for optimal immune system function and change their dietary behavior to ensure optimal immune function that reduces the risk of infection.
doi_str_mv 10.3390/nu14204227
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It is known that individual food components can interact with different immune cells, modulating the immune response of the body. The aim of this study was to develop an index assessing the immunomodulatory potential of diet (POLA index) and to test its utility for the prediction of coronavirus disease 2019 (COVID-19) in a group of healthy young people following a traditional or vegetarian diet. Data on body composition, anthropometric measurements, physical activity, dietary intake, and gut microbiota were obtained from 95 adults (mean age, 34.66 ± 5.76 years). There was a strong correlation between the dietary inflammatory index and the POLA index (r = 0.90; p &lt; 0.0001). Based on Cohen’s kappa statistic, there was a good agreement in qualitative interpretation between the two indices (kappa = 0.61; p &lt; 0.0001). 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central
subjects Adolescent
Adult
Analysis
Body composition
Comorbidity
Coronaviruses
COVID-19
COVID-19 - epidemiology
Diet
Dietary intake
Dietary minerals
Eating behavior
Fatty acids
Food
Fruits
Gastrointestinal Microbiome
Health aspects
Health risks
Humans
Immune response
Immune system
Immunity
Immunomodulation
Immunomodulators
Incidence
Infections
Inflammation
Intestinal microflora
Lifestyles
Microbiota
Microbiota (Symbiotic organisms)
Nutrient deficiency
Nutrition research
Physical activity
Physiological aspects
Polyphenols
Proteins
Qualitative analysis
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Software
Vegetarian diet
Vegetarianism
Viral infections
Vitamin D
Young adults
title Proposition of a New POLA Index to Assess the Immunomodulatory Properties of the Diet and Its Relationship with the Gut Microbiota, Using the Example of the Incidence of COVID-19 in a Group of People without Comorbidities
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