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How to support your immune system with food, movement and self-care

 (Evening Standard)
(Evening Standard)

Suddenly everyone seems to be getting sick again — blame festvials, holidays or the effect the pandemic has had on our immune systems — but it’s true we’re all a lot busier than we’ve been for the last few summers. Perhaps you’re looking to steel yourself ahead of peak season in a bid to try and swerve the dreaded summer cold?

We know the term “boost your immunity” is overused and actually scientifically misleading, but while experts agree there’s “no magic fix”, there are ways you can support your health and therefore immune system to give yourself the best chance of fighting off future infections.

Here’s our expert-approved guide.

Eat right

Always aim to get essential nutrients from food sources in the first instance. Your main goal? To avoid deficiencies in vitamin A, C, D, E and K, zinc, selenium and iron. But this doesn’t necessarily mean taking supplements, points out immunologist Jenna Macciochi, author of Immunity: the science of staying well, “as more doesn’t mean better if you are not deficient.” Support your gut health with a diet rich in different sources of fibre. “Seventy per cent of the immune system is found in the gut — this is where gut bugs educate and regulate our immune system,” Macciochi explains. An easy way of doing this is to switch up your weekly shopping list to include a wider variety of fruit, veg, beans, pulses, nuts, seeds, herbs and spices. “These also contain lots of antioxidants, anti-inflammatory and antimicrobial nutrients, like polyphenols, curcumin and carotenoids, which all support immune function.” And ensure you’re getting sufficient amounts of protein, as this provides the building blocks for immune cells and antibodies.

Chelsea-based nutritional therapist Alice Mackintosh, founder of supplement brand Equi London, adds: “Vitamin C is essential for white blood cell production, and many studies have shown that getting at least 250mg daily can ameliorate symptoms and shorten the duration of colds and flu. The body is unable to store it so we need a daily supply.” Rich sources include citrus fruit, broccoli, kale, sprouts, sweet potatoes, butternut squash and peppers, as well as fresh herbs such as parsley.

“Vitamin A is vital for supporting the immune system and is found in liver, meat, fish, seafood, eggs, chillies and spinach,” Mackintosh continues. “Zinc helps to support us by promoting the production of antibodies that skilfully remember the details of intruders previously defeated so we can fight them again.” Zinc-rich foods, like poultry, sunflower and pumpkin seeds, chickpeas, cashew nuts, seafood and fish, have the added bonus of being high in protein. Mushrooms, meanwhile, particularly oyster, shiitake and medicinal mushrooms such as cordyceps, reishi and maitake, contain potent immune-supporting “beta-glucans”. Add them to meals, along with garlic (which has antibacterial and antiviral properties), ginger (antimicrobial and anti-inflammatory) and antioxidant-rich and anti-inflammatory spices like cinnamon and turmeric.

When to sup

Vitamin D is one of the few nutrients we struggle to obtain enough of from our diet. Usually, we produce it when our skin is exposed to sunlight, so the NHS recommends we supplement (10 micrograms per day) in the winter months. “Some people may benefit from year-round vitamin D supplementation depending on age, skin colour and time spent outside,” Macciochi says. She also recommends an omega 3 supplement if you don’t eat any oily fish, “it’s an important anti-inflammatory fat that helps turn off unwanted immune responses and lower unwanted inflammation. I’d also keep vitamin C and zinc in the house for when you do fall sick — these don’t need to be taken every day but can reduce symptoms.”

Probiotic foods like sauerkraut, kimchi, kefir and live yoghurt are known to help support gut health, but if you don’t consume these foods regularly, you may want to consider taking a probiotic supplement which can help to readdress the balance of friendly bacteria in the gut. “The beneficial bacteria that reside in the gut are our first line of defence, on which the immune system is highly reliant,” says Mackintosh. “Given our bacteria is so sensitive to what we eat, stress levels and medication such as antibiotics, it’s no wonder that it can easily become imbalanced, putting our immunity at risk.” Equi London’s Wellness Formula (£55 for a 30-day supply) contains a blend of vitamin D, reishi mushroom extract, probiotics and other protecting and nourishing vitamins and herbs. Meanwhile, liquid probiotic supplements like Symprove (four-week supply from £79, symprove.com) are easy to incorporate into your morning routine.

Move more

Regular exercise can also support your immune system. “It is really responsive to exercise,” says functional medicine practitioner and sports scientist Pete Williams, founder of Functional Medicine Associates. “The increase in blood flow and pressure that comes from exercise creates a better exchange of blood and lymph, increasing the ability to deliver cells around the body.” Moving daily has a “training effect” on the immune system, Williams continues, making it “much more ready for battle when needed.” But that doesn’t have to mean hours spent in the gym. “Even short periods of exercise can lead to more immune cells maturing out of the places that they are developed and into the bloodstream, those fresh immune cells are good at combating bugs and pathogens,” adds Ryan Thwaites, an immunologist at Imperial College London.

So, which type of exercise is best? Simply put, pretty much anything that elevates your heart rate and body temperature. That could be jogging or a Pilates or Yoga class that gets your heart pumping a little. “Muscle mass is really important to immune health, so aim to incorporate at least two muscle strengthening exercises into your week,” Macciochi advises, “and be sure to get up from your desk regularly to break up sedentary periods.”

Factor in self-care

Address other lifestyle factors, such as stress levels and sleep quality. These are all part of the immune health picture, too. “Sleep is huge in how well our immune system works,” says Macciochi. That might feel impossible if you’ve got a festival every other weekend for the forseeable, by try at least on the days you’re not partying and pubbing to stick to a consistent bedtime and wake time.

Adopting a regular meditation practice could also help. A 2016 review looked at the effects of mindfulness meditation on the immune system and found possible promising effects on inflammation, cell-mediated immunity and biological ageing. If you’re not already familiar with the Wim Hof method, there could even be a benefit in taking a cold shower first thing — another larger study found that a routine cold shower reduced the number of sick days taken by employees by 29 per cent. Try and squeeze in a couple of wild swims this summer and fit in the odd sauna. “There is emerging evidence around regular sauna use and cold water swimming, these work on various levels to support your immune system and are also a form of self-care and stress relief.”