What are the best foods or drinks to consume when you
have a cold?
If you search for the answers online, you will find plenty of
articles claiming that certain “immune-boosting” foods or drinks — like garlic,
citrus, cranberries, chili pepper, and pomegranate juice — can ease symptoms or
speed recovery from a common cold.
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But “we do not have strong enough information suggesting that
everyone should be eating specific foods during a viral infection,” said
Colleen Tewksbury, an assistant professor in nutrition science at the
University of Pennsylvania School of Nursing.
That said, it is important to feed yourself well, Tewksbury said.
A cold — especially if it affects your sense of taste and smell — can squelch
your appetite, yet your body still needs calories and nutrients to function and
fight the infection, she said. “Anything you can do that will help you feel a
bit more comforted and meet some of your nutritional needs during that time
will be helpful.”
Tewksbury suggested turning to hydrating and nourishing foods
and drinks that are also comforting, such as the ones you were given when you
were sick as a child or those grounded in your cultural traditions.
Soup is soothing, and backed by a bit of science“Soup tends to be a good go-to,” Tewksbury said — especially if
it includes a healthy balance of nutrients, including protein (such as beans or
chicken), carbohydrates (rice, noodles or potatoes), some fat (from meat, oils
or dairy) and “veggies that will pack in some additional vitamin and mineral
punches.”
Soup is “filling, it’s nourishing, it helps with fluid intake,”
Tewksbury said.
And in fact, said Stephen Rennard, a professor of pulmonary,
critical care and sleep medicine at the University of Nebraska Medical Center,
there is a little bit of lab-based science to back it up.
In 2000, Rennard and his team published a study that
investigated how chicken soup affects the body’s neutrophils, immune cells that
travel to the site of infection and initiate inflammation, contributing to
symptoms including sore throat and cough. In the lab, researchers placed
neutrophils in small plastic wells and added a substance that usually attracts
them, similar to what happens during an infection. But when the cells were
bathed in chicken soup, they did not migrate nearly as much toward the
substance.
In theory, Rennard said, this reduced neutrophil movement could
translate to lower inflammation and fewer symptoms. But cells in a lab dish
cannot explain what, if anything, happens to cells in a body. And understanding
how — or even if — chicken soup might influence cold symptoms requires
expensive and time-consuming clinical trials, which have not been done, Rennard
said.
Still, Rennard believes in the therapeutic value of chicken
soup, which has been a recommended remedy for hundreds of years. He thinks that
some of chicken soup’s benefits may stem from the emotional, rather than
physical, experience. If “somebody makes you some
chicken soup, especially if
you really like the way it tastes, you’re going to feel better because they’re
taking care of you,” he said. “And that’s independent of whether there’s any
medicinal activities in the soup.”
In the study, Rennard used a recipe from the family of his wife,
Barbara, who was also a co-author: It calls for a whole chicken simmered with
carrots, celery, parsnips, onions, turnips, and sweet potatoes, served with
matzo balls. Rennard also tested 13 canned or instant soups in the study,
including a few vegetarian options, and most slowed the movement of neutrophils
to some degree.
A couple of small human studies have also suggested that sipping
soup or a hot drink, even just hot water, can help loosen nasal mucus and make
breathing feel easier. And of course, any liquid provides fluids, and
“hydration makes it easier to clear secretions,” Rennard said.
Honey can helpMultiple randomized controlled trials have found that honey can
reduce the frequency and severity of nighttime coughing in children, in some
cases better than over-the-counter cough syrups. There is less research among
adults, but a systematic
review published in 2020 suggested that honey’s
benefits may extend to other age groups.
It is not clear how honey helps to quell a cough, but
researchers have hypothesized that its throat-coating, antimicrobial and
anti-inflammatory properties may contribute.
Do not give honey to infants who are younger than 12 months old,
though, because it might contain bacteria that can cause a serious condition
called infant botulism. For children older than 1 year, the American Academy of
Pediatrics recommends giving half to one teaspoon of honey as needed; eat it
right out of the spoon or stir into a cup of hot tea.
Go easy on alcoholSome cold sufferers may seek comfort in a hot toddy, which
traditionally includes a splash of whiskey and honey in hot water. But keep in
mind that drinking alcohol when you are also taking medications for cold,
cough, and allergy symptoms can be dangerous, especially if the medications
include acetaminophen, which can cause liver damage if mixed with alcohol,
Tewksbury warned.
Alcohol can also be dehydrating, and though there is not much
research on this point, it stands to reason that drinking while sick with a
virus might worsen how you feel, Tewksbury added. That being said, if a hot
toddy is what you are craving when you have the sniffles and you are not taking
any medications that will negatively interact with alcohol, Tewksbury said she
would not discourage mixing a drink. Just remember that it probably will not
help you heal any quicker.
You can also make a nonalcoholic hot toddy using tea instead of
liquor and adding flavor with honey, lemon, ginger or other spices.
The milk-mucus effect is murkyMany people believe that drinking cow’s milk increases mucus
production, but research testing this belief is limited, with mixed results.
Several Australian studies published in the 1990s found no link
between milk drinking and mucus, including among people infected with a common
cold virus. Yet in a recent trial of 108 adults who did not have colds but who
suffered from chronic overproduction of mucus, researchers found that those
following a dairy-free diet for six days had reduced self-reported snot
secretions.
“There is little evidence that dairy universally increases mucus
production for everyone,” Tewksbury said. But this may vary from person to
person, so if dairy makes you feel phlegmy, avoiding it when you have a cold is
reasonable, she said. Otherwise, dairy products can be a convenient and
balanced source of nutrition. The Academy of Nutrition and Dietetics recommends
blending frozen fruit with milk (or soy milk) for a nutritious and hydrating
smoothie for children when they are sick.
In the end, “food is so personal,” Tewksbury said. When you are
feeling flattened by a cold, she suggested asking yourself: “What are the
things that can help me feel most nourished during this time, to help support
myself? And that’s different for everybody.”
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