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. 2020 Oct 21;60(2):559–579. doi: 10.1007/s00394-020-02410-1

Table 2.

Foods, bioactive compounds, their effects and other considerations

Food Bioactive compounds Effects Considerations
Açai Berry (Euterpe oleracea) Flavonoids (pp. anthocyanins)

Antioxidant

Anti-inflammatory

Increased antioxidant enzyme activity, vasodilator, and antidiabetic effect. Açai berry plays a role in the prevention and in the treatment of comorbidities that may aggravate COVID-19 symptoms [161, 162]
Citric Fruits Polyphenols/vitamin C

Antioxidant

Immunomodulator

Vitamin C improves chemotaxis, improves neutrophil phagocytic capacity and oxidative death, and supports lymphocyte proliferation and function. Polyphenols have an important antioxidant and anti-inflammatory function [50, 163]
Cocoa (Theobroma cacao) Flavonoids (pp. Catechins)

Antioxidant

Anti-inflammatory

Antiviral

Cell protection against free radicals and unscheduled apoptosis. Evidence shows cocoa's protective action against some influenza strains [164, 165]
Garlic (Allium sativum L.) Allicin and thiosulfinates

Antibiotic

Antifungal

Antivirals

Anti-inflammatory

Protective action against the flu virus (in addition to other viruses such as cytomegalovirus and herpes) [166168]
Ginger (Zingiber officinale Roscoe) Gingerols

Antioxidant

Anti-inflammatory

In addition to the anti-inflammatory property, there is evidence that indicates an improvement in respiratory function, shorter duration of mechanical ventilation and shorter intensive care unit hospitalization in patients with Acute Respiratory Distress Syndrome [169, 170]
Grapes and grapes-derived products Resveratrol

Antioxidant

Anti-inflammatory

In addition to the already known properties of resveratrol in chronic non-communicable diseases, evidence shows immunomodulatory functions and infectious disease prevention. The protective effect in vitro studies with coronavirus (less cell death, less cytotoxicity and greater cell viability after treatment with resveratrol). At higher doses, Resveratrol contributes to reducing viral replication [171, 172]
Kefir Probiotics

Antimicrobial

Immunomodulator

Anti-inflammatory

Kefir is associated with a healthy microbiota (as a pathogen barrier). Some benefits, such as increased macrophage activity and cytokine production, are related to immunomodulatory effects [173, 174]
Linseed (Linum usitatissimum L.) and Linseed oil Polyunsaturated fatty acids (Ω-3)

Anti-inflammatory

Immunomodulator

Due to its fatty acid content, linseed has an anti-inflammatory effect (the increase of anti-inflammatory properties substances and the decrease in inflammatory cytokines) [175177]
Propolis Phenolic compounds (pp. flavonoids)

Antimicrobial

Antiviral

Antifungal

Antioxidant

Anti-inflammatory

Although there is no sufficient clinical studies, experimental and in vitro studies show propolis as a potentially protective factor against various infections and is related to the healing process [178180]
Turmeric (Curcuma longa) Curcuminoid pigments (Curcumin)

Antivirals

Anti-inflammatory

Antioxidant

Anti-inflammatory and antioxidant properties, as well as action against various viruses, bacteria, and fungi. Besides that, a study correlates curcumin analogs as a treatment of influenza [130, 181, 182]