ObjectivesDietary pattern may be the determinant of migraine prognosis through various mechanisms such as systemic inflammation, vasodilation, cerebral glucose metabolism, and mitochondrial dysfunction.This study was conducted to examine the relationship of the symptoms and signs of migraine with dietary polyphenols and the phytochemical intake and the quality of the diet.Materials and methodsIndividuals (n = 90), who were admitted to the headache outpatient clinic due to the diagnosis of episodic migraine, underwent physical examination by a neurologist. Migraine characteristics were assessed using the Migraine Disability Assessment Questionnaire and the Visual Analogue Scale. The Healthy Eating Index-2015 (HEI-2015) was used to evaluate the diet quality of individuals, and the Phytochemical Index developed by McCarty was used to determine the dietary intake of phytochemicals. Phenol-Explorer version 3.6 and the USDA Database for the Flavonoid Content of Selected Foods-Release 3.3 were used to calculate the dietary polyphenol intake.ResultsMigraine severity was negatively correlated with the intake of phytochemicals and good diet quality (r = −0.37, p = 0.0003; r = −0.37, p = 0.0003, respectively), and with the intake of phenolic components flavanones (r = −0.27, p = 0.01) and lignans (r = −0.27, p = 0.01). With respect to the food groups; migraine severity was found to be inversely correlated with the total phenol intake from olive oil, oil, and fruits (r = −0.26, p = 0.01; r = −0.21, p = 0.04; r = −0.24, p = 0.02, respectively), and the flavonoid intake from olive oil, oil, fruits, and vegetables (r = −0.26, p = 0.01; r = −0.26, p = 0.01; r = −0.35, p = 0.0007; r = −0.22, p = 0.04, respectively). Strikingly, fruit flavanone intake was correlated with low migraine severity (r = −0.39, p = 0.0002), and fruit flavanol intake was correlated with low migraine disability (r = −0.21, p = 0.04).ConclusionA high-quality diet rich in phytochemicals and polyphenols (especially flavanones and lignans) is associated with low migraine severity. Lower intake of phenols and flavonoids from vegetable oil, olive oil, fruits, and vegetables were associated with more severe migraine attacks. Examination of migraine characteristics and dietary pattern together with phytochemical and polyphenol intake may guide the development of dietary strategies to be used in migraine patients.
Purpose This study aims to identify the dietary patterns of two groups of subjects (with and without COVID-19), and to assess the relationship of findings with the prognosis of COVID-19 and metabolic risk parameters. Design/methodology/approach This study included 100 individuals in the age range of 19–65 years. The medical history, and data on biochemical, hematological and inflammatory indicators were retrieved from the files. A questionnaire for the 24-h food record and the food intake frequency was administered in face-to-face interviews, and dietary patterns of subjects were assessed. Findings In individuals with COVID-19, the hip circumference, the waist-hip ratio and the body fat percentage were significantly higher (p < 0.05), and the muscle mass percentage was significantly lower (p < 0.05). Mediterranean diet adherence screener (MEDAS), dietary approaches to stop hypertension (DASH) and healthy eating ındex-2015 (HEI-2015) scores were low in the two groups. A linear correlation of DASH scores was found with the muscle mass percentage (p = 0.046) and a significant inverse correlation of with the body fat percentage (p = 0.006). HEI-2015 scores were significantly and negatively correlated with body weight, body mass index, waist circumference, hip circumference and neck circumference (p < 0.05). Every one-unit increase in MEDAS, DASH and HEI-2015 scores caused reductions in C-reactive protein levels at different magnitudes. Troponin-I was significantly and negatively correlated with fruit intake (p = 0.044), a component of a Mediterranean diet and with HEI-2015 total scores (p = 0.032). Research limitations/implications The limitation of this study includes the small sample size and the lack of dietary interventions. Another limitation is the use of the food recall method for the assessment of dietary patterns. This way assessments were performed based on participants’ memory and statements. Practical implications Following a healthy diet pattern can help reduce the metabolic risks of COVİD-19 disease. Originality/value Despite these limitations, this study is valuable because, to the best of the authors’ knowledge, it is the first study demonstrating the association of dietary patterns with disease prognosis and metabolic risks concerning COVID-19. This study suggests that dietary patterns during the COVID-19 process may be associated with several metabolic risks and inflammatory biomarkers.
Background: Coronavirus disease 2019 emerged in China in December 2019 as a disease spreading from person to person by rapid droplet transmission, and which eventually evolved into a pandemic. Aim: This study aims to examine the psychosocial state, nutritional awareness, and physical activity level of municipal employees who provided services under changing working conditions during the coronavirus disease 2019 pandemic. Methods: A total of 220 employees working in two different municipalities in Istanbul were included in this study during March and April of 2021. For data collection, a questionnaire form was used. The form consisted of questions about the demographics and nutritional awareness of individuals, the Coronavirus-19 Phobia Scale, and the International Physical Activity Questionnaire (short form). Results: The mean total coronaphobia score was 51.08 ± 14.47 with the mean score for women being significantly higher than that for men ( p < 0.05). The mean score obtained by the responses of participants to questions about nutritional awareness during the pandemic was significantly higher than the mean score referring to the period before the pandemic. The examination of the physical activity level of employees revealed that 62.4% of the men and 60% of the women were physically inactive during the pandemic. Conclusion: It was found that the coronaphobia scores of municipal employees during the coronavirus disease 2019 pandemic were at an average level, their nutritional awareness levels increased in general compared to the pre-pandemic period, and municipal employees were mostly inactive physically during the pandemic.
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