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严重急性呼吸综合征冠状病毒2感染与肥胖:常见的炎症和代谢方面

SARS-CoV-2 infection and obesity: Common inflammatory and metabolic aspects.

作者信息

Michalakis Konstantinos, Ilias Ioannis

机构信息

Private Practice, 10-12 Dorylaiou Str, Athens, GR11521, Greece.

Department of Endocrinology, Diabetes & Metabolism, Elena Venizelou Hospital, 2 Elena Venizelou Sq, Athens, GR11521, Greece.

出版信息

Diabetes Metab Syndr. 2020 Jul-Aug;14(4):469-471. doi: 10.1016/j.dsx.2020.04.033. Epub 2020 Apr 29.

Abstract

BACKROUND AND AIMS

According to the World Obesity Federation, "obesity-related conditions seem to worsen the effect of Covid-19 (SARS-CoV-2)"; additionally the Centres for Disease Control and Prevention reported that "people with heart disease and diabetes are at higher risk of SARS-CoV-2 complications and that severe obesity poses a higher risk for severe illness". Recent reports have shown elevated levels of cytokines due to increased inflammation in patients with SARS-CoV-2 disease. On the other hand, obesity represents a state of low-grade inflammation, with various inflammatory products directly excreted by adipose tissue. In this concise report we aimed to assess common elements of obesity and SARS-CoV-2 infection.

METHODS

Pubmed search on obesity and SARS-CoV-2 infection.

RESULTS

We present "mechanistic" obesity-related problems that aggravate SARS-CoV-2 infection as well as tentative inflammatory/metabolic links between these diseases.

CONCLUSION

Obesity and SARS-CoV-2 share common elements of the inflammatory process (and possibly also metabolic disturbances), exacerbating SARS-CoV-2 infection in the obese.

摘要

背景与目的

根据世界肥胖联合会的说法,“肥胖相关病症似乎会加重新冠病毒(SARS-CoV-2)的影响”;此外,美国疾病控制与预防中心报告称,“患有心脏病和糖尿病的人感染SARS-CoV-2后出现并发症的风险更高,而重度肥胖会增加患重病的风险”。近期报告显示,感染SARS-CoV-2的患者因炎症增加导致细胞因子水平升高。另一方面,肥胖代表一种低度炎症状态,脂肪组织会直接分泌各种炎症产物。在这份简要报告中,我们旨在评估肥胖与SARS-CoV-2感染的共同因素。

方法

在PubMed上搜索肥胖与SARS-CoV-2感染相关内容。

结果

我们呈现了加重SARS-CoV-2感染的“机制性”肥胖相关问题,以及这些疾病之间初步的炎症/代谢联系。

结论

肥胖与SARS-CoV-2在炎症过程(可能还包括代谢紊乱)方面存在共同因素,会加重肥胖者的SARS-CoV-2感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3522/7189186/a1ead1644b7a/gr1_lrg.jpg

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