4.1 Article

Restoring Good Health in Elderly with Diverse Gut Microbiome and Food Intake Restriction to Combat COVID-19

Journal

INDIAN JOURNAL OF MICROBIOLOGY
Volume 61, Issue 1, Pages 104-107

Publisher

SPRINGER
DOI: 10.1007/s12088-020-00913-3

Keywords

COVID-19; Metabolic syndromes; Digestive immunity; Gut microbiome; Restrictive eating

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COVID-19 poses a global threat, with the elderly with underlying health issues being most vulnerable, emphasizing the importance of treating these conditions to reduce severity of infection. The interconnectedness of immunity and digestion highlights how nutrition disorders can lead to gut dysbiosis, compromising immune response and increasing risk of chronic inflammation. Promoting a diverse gut microbiome and regular food intake restriction in the elderly is recommended to mitigate the risk of severe COVID-19 outcomes.
COVID-19 continues to be an ongoing global threat. The elderly with underlying health conditions like cardiovascular and lung diseases, diabetes, obesity, are the most vulnerable to this disease. Curing the pre-existing health conditions will greatly increase a person's resilience to COVID-19 and lower the death rate of the old people. Digestion and immunity form an integrated nutrition acquisition process, especially in obtaining essential amino acids and essential fatty acids from living microbial cells. A mature strong immunity coupled with gut dysbiosis in adults is the main cause of nutritional disorders like morbid obesity, diabetes mellitus, cardiovascular and pulmonary diseases. Nutrition disorders in return worsen dysbiosis. Human microbiome has an intrinsic duality. While a diverse microbiome provides a full spectrum of essential nutrients to our body, nutrition disorders fuel overgrowth of microbiota (dysbiosis) at many sites on or inside our body, and are the main causes of chronic inflammation at these sites. In the case of COVID-19, nutritional disorder impairs the immunity, causes hyperinflammation, and leads to the protracted overload of cytokines by the immune system, i.e., the cytokine storm. Autophagy induced by restrictive eating is an ideal inhibitor of microbiota overgrowth, as autophagy deprives microbiota of excessive nutrition for replication. Autophagy also attenuates inflammation. Therefore, as a precaution, the author suggests restoring good health in the elderly with the support from a diverse gut microbiome and daily regular food intake restriction, so as to lower the risk of developing into severe case even if they are infected by COVID-19.

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