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. 2020 Nov 27;147:111887. doi: 10.1016/j.fct.2020.111887

Table 3.

Identified nutrient and food supplements along with their sources and mechanisms improving the immunity against Covid-19.

Nutrients Proposed Mechanism Sources Ref
Micronutrients The elements such as Zn, Se, Cu, Fe, and Mg, enhance both cell-mediated and humoral immunity. Also, they are associated with the production of Th1, Th17, Th9 having antioxidant properties along with the production of IgG Zn: red meat, shellfish
Mg: dark chocolate, black beans, avocados and whole grains
Se: red meat, shellfish, chicken, garlic, grains
Gasmi et al. (2020)
Antioxidants They possess redox mechanisms and allow in scavenging free radicals thus assisting in repairment of tissue and regulation the innate immune system Green tea, black tea, chilli pepper, oregano, red onion, fennel leaf, grapes, apples, green vegetables, peppers, N-acetylcysteine Nasi et al. (2020)
Probiotics Consist of live microorganism (Lactobacillus, Bifidobacterium and Saccharomyces) that are intended to promote gut immunity and reduce the acute upper tract respiratory infections Yoghurt, fermented oats, kefir, kombucha, sauerkraut, tempeh, sourdough bread, and some cheese Baud et al. (2020)
Vitamin D Enhance the innate immunity, through the production of antimicrobial peptides, supports in the production of monocytes, macrophages and dendritic cell, decrease the pro-inflammatory cytokines and enhance anti-inflammatory cytokines Salmon, tuna, spinach, hazelnuts Ilie et al. (2020)
Vitamin C and E Both these vitamins possess antioxidant as well as anti-inflammatory properties that reduce oxidative stress. They have potential as an antiviral agent and supports host defence against the infection by affecting the growth and development of T lymphocytes and natural killer (NK) cells, thus preventing cellular damage Vit. C: lemon, grapefruits, oranges, tangerines, sweet red pepper, broccoli, papaya, eggplant
Vit. E: nuts, sunflower seeds, avocados, spinach and hazelnuts
Carr, 2020
Vitamin A Enhance both innate (through natural killer cells, macrophages, neutrophils) and adaptive immunity (by differentiation, proliferation, functioning and movement) as well as assist in the maintenance of mucosal epithelium integrity and possess anti-inflammatory properties. Carrots, spinach, kale, apricots, sweet potato, squash and cantaloupe Jovic et al. (2020)
Water content-rich Water intake keeps the mucus membrane moist and produces lymph which circulates the white blood cells and immune cell throughout the body lower the chances of diseases such as cold and flu. Cucumber, watermelon, celery, coconut water, Kau et al. (2011)
Amino acids and proteins They are used to boost the immune system and also possess antioxidant properties. Soybean, seafood, meat, fish, eggs, dairy products, tofu, cereal and pulses Ferrara et al. (2020)