Abstract

PurposeThe COVID-19 pandemic has caused significant mortality and morbidity worldwide. However, the role of dietary patterns as a potential risk factor for COVID-19 has not been well established, especially in studies with large samples. Therefore, this study aims to identify and evaluate the association between major dietary patterns and COVID-19 among adults from Iran.Design/methodology/approachIn this cross-sectional study, the authors included 9,189 participants aged 20-70 who participated in the Yazd Health Study (YaHS) and Taghzieh Mardom-e-Yazd study (TAMIZ). They used factor analysis to extract dietary patterns based on a food frequency questionnaire (FFQ). Then, they assessed the relationship between these dietary patterns and the odds of COVID-19.FindingsThis study identified two major dietary patterns: "high protein and high fiber" and "transitional". Participants in the highest tertile of the "high protein and high fiber" dietary pattern, which included vegetables, fruits, dairy and various kinds of meats such as red meat, fish and poultry, had a lower odds of COVID-19 compared with those in the lowest tertile. However, the "transitional" dietary pattern did not affect the risk of COVID-19.Originality/valueIn conclusion, a "high protein, high fiber" diet may lower the odds of COVID-19. This study suggests that dietary patterns may influence the severity and spread of future similar pandemics.