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Can Healthy People Who Eat Right and Exercise Skip the Covid-19 Vaccine? A Research Scientist and Fitness Enthusiast Explains Why the Answer Is No

Eating right can favorably impact the immune system, but nutrition alone will not defend against a potentially life-threatening virus

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By Richard Bloomer, University of Memphis

I'm a fitness enthusiast. I also adhere to a nutrient-dense, “clean" eating program, which means I minimize my sugar intake and eat a lot of whole foods for the purpose of optimizing my health.

You might wonder how effective such a diet and exercise plan would be in the fight against COVID-19, since some have suggested – without supporting evidence – that vaccination may be unnecessary if a detailed wellness lifestyle is closely followed.

As a research scientist who has studied nutrition for close to 20 years, I have watched the wellness community's response to the COVID-19 vaccines with great interest. While eating right can favorably impact the immune system, it is not reasonable to expect that nutrition alone will defend against a potentially life-threatening virus.

My experience with nutrition science

My lab group at the University of Memphis studies the effect of food and isolated nutrients on human health. In January 2009, we conducted an initial study of a stringent vegan diet. We enrolled 43 men and women who were allowed to eat as much plant-based food as desired, but drank only water, for 21 days.

The results demonstrated improvements in many variables related to cardio-metabolic health, such as blood cholesterol, blood pressure, insulin and C-reactive protein – a protein that increases in response to inflammation. We have since completed multiple human and animal nutrition studies using this dietary program.

My lab's research has resulted in some 200 peer-reviewed scientific manuscripts and book chapters specific to nutrients and exercise, and the interaction between these two variables. The results of our work, as well as that of other scientists, clearly demonstrate the power of food to favorably impact health.

For many individuals, a positive change in eating habits results in such an improvement in clinically relevant measures like blood cholesterol and glucose that doctors can sometimes reduce or eliminate certain medications used to treat high cholesterol and diabetes. In other cases, these measures improve but the patient still requires the use of medications to control their disease. This tells us that in some situations, a great nutrition program is simply not enough to overcome the body's challenges.

Nutrition and other wellness approaches do matter

Although certain natural products have been discussed as treatments for COVID-19, little emphasis has been placed on whole food nutrition as a protective measure. I think this is unfortunate, and I believe strengthening our immune system with the goal of battling COVID-19 and other viral infections is of great importance. And the evidence tells us that a nutrient dense diet, regular exercise and adequate sleep can all contribute to optimal immune function.

Regarding nutritional intake, a recently published study using a sample of health care workers who contracted COVID-19 noted that those who followed a plant-based or pescatarian diet had 73% and 59% lower odds of moderate to severe COVID-19, respectively, compared to those who did not follow those diets. Although interesting, it's important to remember that these findings represent an association rather than a causal effect.

While people can use nutrition to help shore up their immune system against COVID-19, diet is only one important consideration. Other variables matter a great deal too, including stress management, nutritional supplements and physical distancing and mask-wearing.

But to be clear, all of those elements should be considered tools in the toolbox to help combat COVID-19 – not a replacement for potentially life-saving vaccines.

Vaccines are not perfect, but they save lives

I find it interesting that nearly all parents understand the importance of having their kids vaccinated against serious illnesses like mumps, measles and varicella. They do not expect that certain foods, or a nurturing environment, will do the job of a vaccine.

Yet, when it comes to COVID-19, this thought process is abandoned by some who believe that a healthy lifestyle will substitute for the vaccine, without seriously considering what the vaccine actually does to provide protection against the virus – something that a healthy lifestyle alone simply cannot do.

When contemplating whether to receive the COVID-19 vaccine, consider the following: All medications have risks, including things as seemingly benign as aspirin. Hormonal contraception – something used by millions of women every month – is thought to cause an estimated 300-400 deaths annually in the U.S. The same is true for cosmetic surgery, Botox injections and other elective procedures.

Many people are willing to accept the low risks in those cases, but not with those involving the COVID-19 vaccines – despite the fact that the risk of serious complications or death from COVID-19 far outweighs the low risk of serious adverse events from the vaccines.

No lifestyle approach, including strict adherence to a holistic, nutrient-dense diet – vegan, plant-forward or otherwise – will confer total protection against COVID-19. The vaccines aren't perfect either; breakthrough infections do occur in some cases, though the vaccines continue to provide robust protection against severe illness and death.

I encourage people to do all they can to improve the health and functioning of their immune system, naturally. Then, seriously consider what additional protection would be gained from vaccination against COVID-19. When people make decisions based on the latest science – which is always evolving – rather than on emotions and misinformation, the decision should become much clearer.The Conversation

Richard Bloomer, Dean of the College of Health Sciences, University of Memphis

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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C. diff is the name of a common, easily transmittable infection caused by the bacterium Clostridioides difficile. The infection causes your colon (bowel) wall to become inflamed, resulting in severe, watery diarrhea. Left untreated, it can cause a serious complication called toxic megacolon.

C. diff affects about 250,000 people in the United States every year. Some people get it only once in their lifetime, but if you have a C. diff infection, there is up to a 1 in 4 chance you might relapse (the same infection returns) or get it again within eight weeks. People at the highest risk for a C. diff infection are those who take or have recently taken antibiotics, especially if they have a weak immune system.

The bacteria live in feces (poop), and in soil and water. They spread easily and can live for a long time on hard and soft surfaces, like linens and clothing. If someone who has C. diff on their hands touches a door handle and you touch it after, the bacteria transfer to your hand. They then can enter your gastrointestinal system if you touch your mouth or handle food before washing your hands.

Protect yourself and others from getting a C. diff infection in a healthcare setting

hand washing in a hospital

If you are a patient in a hospital, skilled nursing facility or rehabilitation center, you are at higher risk of getting a C. diff infection — not just because you likely have a weak immune system from the condition that put you in the facility but also because of the number of people you may encounter while you’re there.

Here are some steps you can take to lower the risk of getting C. diff in a healthcare facility:

  1. Make sure all healthcare workers and visitors wash their hands before they touch you and your things. If you don’t see them wash their hands, ask them to do so.
  2. Wash your hands well with soap and water every time you use the bathroom. If you use a bedside commode, ask to be transported to a sink to wash your hands or use a waterless hand sanitizer.
  3. Wash your hands before eating or drinking. If you can’t get to a sink, ask the staff or a friend to supply you with a waterless hand sanitizer to use while you are in bed or sitting in your chair.
  4. Allow cleaning staff access to your environment. Clear everything off the bedside table or nightstand, and remove clothing or linens from the bedside rails so they can be wiped down.

Patients with a diagnosed C. diff infection should not share a room with someone who does not have the infection. If you do share a room and your roommate contracts C. diff, ask to be moved.

Stop the spread of C. diff at home

household cleaning supplies

C. diff doesn’t just affect people in healthcare facilities. It can happen at home, too.

Here are steps you can take to reduce the risk of spreading C. diff at home:

  1. If your home has a second bathroom, reserve one for the person with the C. diff infection to limit exposure to others.
  2. If your home has only one bathroom, make sure the toilet seat, flusher, faucets, light switches and doorknob are cleaned with a bleach-based cleaner after each use.
  3. If the infected person is immobile, keep waterless hand sanitizer within reach.
  4. Clean common home surfaces (door knobs, light switches, fridge handles, etc.).
  5. Wash clothing (especially underwear), towels and linens separately and in the hottest water possible.
  6. Wear disposable gloves while handling clothing and linens, especially if the person is incontinent (loses control of their bowels). Wash your hands after removing the gloves.
  7. Shower with soap to remove C. diff that may be on the skin.

This educational resource was created with support from Seres Therapeutics and Nestle Health Science.