Increasing Efficacy of Covid-19 Vaccines by Lifestyle Interventions

Document Type : Review Article

Authors

1 Société Francophone de Nutrithérapie et de Nutrigénétique Appliquée, Villeurbanne, France

2 Inochi Care Private Limited, New Delhi-110017, India

3 Institute of Molecular Biology and Biotechnology, Bahauddin Zakariya University Multan, Pakistan

4 Research and Development Department, Nutri-Logics SA, Weiswampach, Luxembourg

5 Laboratoires Réunis, Junglinster, Luxembourg

Abstract

COVID-19 caused a serious threat to the world population as it spread worldwide rapidly. Existing medicines and vaccines could not cure and control this deadly disease. In this regard, several vaccines have been proposed and designed to control this infection's spread effectively. Along with these vaccines, the general population should adopt specific lifestyle interventions to strengthen their immune system and combat deadly viruses. We used Google Scholar and PubMed databases to find the related information using key terms such as ‘COVID-19’, ‘COVID-19 AND Vaccine efficacy’, ‘Lifestyle intervention AND COVID-19’, and "Lifestyle intervention AND Vaccines," etc. Only articles that discussed the interactions between lifestyle intervention and the efficacy of COVID-19 vaccines were selected for this study. Several previous clinical trials and scientific observations with influenza, polio, and other viral vaccines have demonstrated that vaccine response varies across individuals for antibody titer, independent of vaccine antigenicity. This different vaccine response observed among individuals is attributed to several factors such as dietary and nutritional habits, physical activity, stress and sleep deprivation, deficiency of micronutrients (minerals, vitamins), gut microbiota composition, immunosenescence, smoking, and drinking habits. Although there is not much information about COVID-19 vaccine efficacy and lifestyle interventions, experience with other vaccines can undoubtedly be used to suggest lifestyle interventions to improve COVID-19 vaccine efficacy. These lifestyle interventions may boost antibody responses against COVID-19 vaccines, leading to higher protection from the disease, especially among elderly and immunocompromised people. In conclusion, the present review attempts to understand the role of various nutritional and psychological factors that lead to poor vaccine response and suggests specific nutritional and psychological interventions that can enhance vaccine efficacy and improve immune response against COVID-19 vaccines.

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Main Subjects


  1. Rodrigues C, Plotkin SA. Impact of vaccines; health, economic and social perspectives. Front Microbiol. 2020;11:1526.
  2. Pollard AJ, Bijker EM. A guide to vaccinology: from basic principles to new developments. Nat Rev Immunol. 2021;21(2):83-100.
  3. Khan S, Siddique R, Bai Q, Liu Y, Xue M, Nabi G, et al. Coronaviruses disease 2019 (COVID-19): causative agent, mental health concerns, and potential management options. J Infect Public Health. 2020.
  4. WHO. COVID-19 weekly epidemiological update, edition 58, 21 September 2021. 2021.
  5. Calina D, Docea AO, Petrakis D, Egorov AM, Ishmukhametov AA, Gabibov AG, et al. Towards effective COVID‑19 vaccines: Updates, perspectives and challenges. Int J Mol Med. 2020;46(1):3-16.
  6. Kyriakidis NC, López-Cortés A, González EV, Grimaldos AB, Prado EO. SARS-CoV-2 vaccines strategies: a comprehensive review of phase 3 candidates. NPJ Vaccines. 2021;6(1):1-17.
  7. Madison AA, Shrout MR, Renna ME, Kiecolt-Glaser JK. Psychological and behavioral predictors of vaccine efficacy: Considerations for COVID-19. Perspect Psychol Sci. 2021;16(2):191-203.
  8. Jabaaij L, Grosheide P, Heijtink R, Duivenvoorden H, Ballieux R, Vingerhoets A. Influence of perceived psychological stress and distress on antibody response to low dose rDNA hepatitis B vaccine. J Psychosom Res. 1993;37(4):361-9.
  9. Pandey K, Thurman M, Johnson SD, Acharya A, Johnston M, Klug EA, et al. Mental Health Issues During and After COVID-19 Vaccine Era. Brain Res Bull. 2021;176:161-73.
  10. Trichet VV. Nutrition and immunity: an update. Aquac Res. 2010;41(3):356-72.
  11. Aman F, Masood S. How Nutrition can help to fight against COVID-19 Pandemic. Pak J Med Sci. 2020;36(4):121.
  12. Low P, Rutherfurd K, Gill H, Cross M. Effect of dietary whey protein concentrate on primary and secondary antibody responses in immunized BALB/c mice. Int Immunopharmacol. 2003;3(3):393-401.
  13. Schaefer S, Hettinga KA, Cullor J, German JB, Henrick BM. Use of UV treated milk powder to increase vaccine efficacy in the elderly. Front Immunol. 2018;9:2254.
  14. Myles IA. Fast food fever: reviewing the impacts of the Western diet on immunity. Nutr J. 2014;13(1):1-17.
  15. Pereira B, Xu X-N, Akbar AN. Targeting inflammation and immunosenescence to improve vaccine responses in the elderly. Front Immunol. 2020;11:2670.
  16. Painter SD, Ovsyannikova IG, Poland GA. The weight of obesity on the human immune response to vaccination. Vaccine. 2015;33(36):4422-9.
  17. Popkin BM, Du S, Green WD, Beck MA, Algaith T, Herbst CH, et al. Individuals with obesity and COVID‐19: A global perspective on the epidemiology and biological relationships. Obes Rev. 2020;21(11):e13128.
  18. Isanaka S, Garba S, Plikaytis B, Malone McNeal M, Guindo O, Langendorf C, et al. Immunogenicity of an oral rotavirus vaccine administered with prenatal nutritional support in Niger: a cluster randomized clinical trial. PLoS Med. 2021;18(8):e1003720.
  19. Drakesmith H, Pasricha S-R, Cabantchik I, Hershko C, Weiss G, Girelli D, et al. Vaccine efficacy and iron deficiency: an intertwined pair? Lancet Haematol. 2021;8(9):e666-e9.
  20. Gibson A, Edgar JD, Neville CE, Gilchrist SE, McKinley MC, Patterson CC, et al. Effect of fruit and vegetable consumption on immune function in older people: a randomized controlled trial. Am J Clin Nutr. 2012;96(6):1429-36.
  21. Sassi F, Tamone C, D’Amelio P. Vitamin D: nutrient, hormone, and immunomodulator. Nutrients. 2018;10(11):1656.
  22. Demir M, Demir F, Aygun H. Vitamin D deficiency is associated with COVID‐19 positivity and severity of the disease. J Med Virol. 2021;93(5):2992-9.
  23. Chiu S-K, Tsai K-W, Wu C-C, Zheng C-M, Yang C-H, Hu W-C, et al. Putative Role of Vitamin D for COVID-19 Vaccination. Int J Mol Sci. 2021;22(16):8988.
  24. Inserra F, Tajer C, Antonietti L, Mariani J, Ferder L, Manucha W. Vitamin D supplementation: An alternative to enhance the effectiveness of vaccines against SARS-CoV-2? Vaccine. 2021;39(35):4930.
  1. Ricci A, Pagliuca A, D’Ascanio M, Innammorato M, De Vitis C, Mancini R, et al. Circulating Vitamin D levels status and clinical prognostic indices in COVID-19 patients. Respir Res. 2021;22(1):1-8.
  2. Lee M-D, Lin C-H, Lei W-T, Chang H-Y, Lee H-C, Yeung C-Y, et al. Does vitamin D deficiency affect the immunogenic responses to influenza vaccination? A systematic review and meta-analysis. Nutrients. 2018;10(4):409.
  3. Wouters-Wesseling W, Rozendaal M, Snijder M, Graus Y, Rimmelzwaan G, De Groot L, et al. Effect of a complete nutritional supplement on antibody response to influenza vaccine in elderly people. J Gerontol A Biol Sci Med Sci. 2002;57(9):M563-M6.
  4. Shankar AH, Prasad AS. Zinc and immune function: the biological basis of altered resistance to infection. Am J Clin Nutr. 1998;68(2):447S-63S.
  5. Vaeth M, Eckstein M, Shaw PJ, Kozhaya L, Yang J, Berberich-Siebelt F, et al. Store-operated Ca2+ entry in follicular T cells controls humoral immune responses and autoimmunity. Immunity. 2016;44(6):1350-64.
  6. Barnett JB, Dao MC, Hamer DH, Kandel R, Brandeis G, Wu D, et al. Effect of zinc supplementation on serum zinc concentration and T cell proliferation in nursing home elderly: a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2016;103(3):942-51.
  7. Vaeth M, Maus M, Klein-Hessling S, Freinkman E, Yang J, Eckstein M, et al. Store-operated Ca2+ entry controls clonal expansion of T cells through metabolic reprogramming. Immunity. 2017;47(4):664-79. e6.
  8. Tan X, Sande JL, Pufnock JS, Blattman JN, Greenberg PD. Retinoic acid as a vaccine adjuvant enhances CD8+ T cell response and mucosal protection from viral challenge. J Virol. 2011;85(16):8316-27.
  9. Guloyan V, Oganesian B, Baghdasaryan N, Yeh C, Singh M, Guilford F, et al. Glutathione supplementation as an adjunctive therapy in COVID-19. Antioxidants. 2020;9(10):914.
  10. Weyh C, Krüger K, Strasser B. Physical activity and diet shape the immune system during aging. Nutrients. 2020;12(3):622.
  11. Simpson RJ, Lowder TW, Spielmann G, Bigley AB, LaVoy EC, Kunz H. Exercise and the aging immune system. Ageing Res Rev. 2012;11(3):404-20.
  12. Choon Lim Wong G, Narang V, Lu Y, Camous X, Nyunt MSZ, Carre C, et al. Hallmarks of improved immunological responses in the vaccination of more physically active elderly females. Exerc Immunol Rev. 2019;25.
  13. Ledo A, Schub D, Ziller C, Enders M, Stenger T, Gärtner BC, et al. Elite athletes on regular training show more pronounced induction of vaccine-specific T-cells and antibodies after tetravalent influenza vaccination than controls. Brain Behav Immun. 2020;83:135-45.
  14. Schuler P, Lloyd L, Leblanc P, Clapp T. The effect of physical activity and fitness on specific antibody production in college students. J Sports Med Phys Fitness. 1999;39(3):233.
  15. Valenzuela PL, Simpson RJ, Castillo-García A, Lucia A. Physical activity: A coadjuvant treatment to COVID-19 vaccination? Brain Behav Immun. 2021.
  16. Besedovsky L, Lange T, Born J. Sleep and immune function. Pflugers Arch. 2012;463(1):121-37.
  17. Bollinger T, Bollinger A, Skrum L, Dimitrov S, Lange T, Solbach W. Sleep‐dependent activity of T cells and regulatory T cells. Clin Exp Immunol. 2009;155(2):231-8.
  18. Dimitrov S, Lange T, Gouttefangeas C, Jensen AT, Szczepanski M, Lehnnolz J, et al. Gαs-coupled receptor signaling and sleep regulate integrin activation of human antigen-specific T cells. J Exp Med. 2019;216(3):517-26.
  19. Benedict C, Brytting M, Markström A, Broman J-E, Schiöth HB. Acute sleep deprivation has no lasting effects on the human antibody titer response following a novel influenza A H1N1 virus vaccination. BMC Immunol. 2012;13(1):1-5.
  20. Seiler A, Fagundes CP, Christian LM. The impact of everyday stressors on the immune system and health. Stress Challenges and Immunity in Space: Springer; 2020. p. 71-92.
  21. Dhabhar FS. Effects of stress on immune function: the good, the bad, and the beautiful. Immunol Res. 2014;58(2):193-210.
  22. Miller GE, Cohen S, Pressman S, Barkin A, Rabin BS, Treanor JJ. Psychological stress and antibody response to influenza vaccination: when is the critical period for stress, and how does it get inside the body? Psychosom Med. 2004;66(2):215-23.
  23. Zhu J, Zhang M, Sanford LD, Tang X. Advice for COVID-19 vaccination: get some sleep. Sleep Breath. 2021:1-2.
  24. Benedict C, Cedernaes J. Could a good night's sleep improve COVID-19 vaccine efficacy? Lancet Respir Med. 2021;9(5):447-8.
  25. Lynn DJ, Benson SC, Lynn MA, Pulendran B. Modulation of immune responses to vaccination by the microbiota: implications and potential mechanisms. Nat Rev Immunol. 2021:1-14.
  26. Sender R, Fuchs S, Milo R. Revised estimates for the number of human and bacteria cells in the body. PLoS Biol. 2016;14(8):e1002533.
  27. Pabst O, Hornef M. Gut microbiota: a natural adjuvant for vaccination. Immunity. 2014;41(3):349-51.
  28. Oh JZ, Ravindran R, Chassaing B, Carvalho FA, Maddur MS, Bower M, et al. TLR5-mediated sensing of gut microbiota is necessary for antibody responses to seasonal influenza vaccination. Immunity. 2014;41(3):478-92.
  29. Lynn MA, Tumes DJ, Choo JM, Sribnaia A, Blake SJ, Leong LEX, et al. Early-life antibiotic-driven dysbiosis leads to dysregulated vaccine immune responses in mice. Cell Host Microbe. 2018;23(5):653-60.5.
  30. Zimmermann P, Curtis N. The influence of probiotics on vaccine responses–A systematic review. Vaccine. 2018;36(2):207-13.
  1. Lei W-T, Shih P-C, Liu S-J, Lin C-Y, Yeh T-L. Effect of probiotics and prebiotics on immune response to influenza vaccination in adults: a systematic review and meta-analysis of randomized controlled trials. Nutrients. 2017;9(11):1175.
  2. Cohen S, Tyrrell D, Russell MA, Jarvis MJ, Smith AP. Smoking, alcohol consumption, and susceptibility to the common cold. Am J Public Health. 1993;83(9):1277-83.
  3. Namujju PB, Pajunen E, Simen-Kapeu A, Hedman L, Merikukka M, Surcel H-M, et al. Impact of smoking on the quantity and quality of antibodies induced by human papillomavirus type 16 and 18 AS04-adjuvanted virus-like-particle vaccine–a pilot study. BMC Res Notes. 2014;7(1):1-6.
  4. Romeo J, Wärnberg J, Nova E, Díaz LE, Gómez-Martinez S, Marcos A. Moderate alcohol consumption and the immune system: a review. Br J Nutr. 2007;98(S1):S111-S5.
  5. Messaoudi I, Asquith M, Engelmann F, Park B, Brown M, Rau A, et al. Moderate alcohol consumption enhances vaccine-induced responses in rhesus macaques. Vaccine. 2013;32(1):54-61.