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严重急性呼吸综合征冠状病毒2(SARS-CoV-2)与宿主的相互作用:肥胖者感染2019冠状病毒病(COVID-19)出现不良结局的风险增加

SARS-CoV-2-host dynamics: Increased risk of adverse outcomes of COVID-19 in obesity.

作者信息

Yadav Rakhee, Aggarwal Sandeep, Singh Archna

机构信息

Department of Biochemistry, All India Institute of Medical Sciences, New Delhi, India.

Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Diabetes Metab Syndr. 2020 Sep-Oct;14(5):1355-1360. doi: 10.1016/j.dsx.2020.07.030. Epub 2020 Jul 21.

Abstract

BACKGROUND AND AIM

The pandemic of COVID-19 has put forward the public health system across countries to prepare themselves for the unprecedented outbreak of the present time. Recognition of the associated risks of morbidity and mortality becomes not only imperative but also fundamental to determine the prevention strategies as well as targeting the high-risk populations for appropriate therapies.

METHODS

We reviewed, collated and analysed the online database i.e. Pubmed, Google scholar, Researchgate to highlight the demographic and mechanistic link between obesity and associated risks of severity in COVID-19.

RESULTS

We observed a changing dynamic in the reporting from the time of initial pandemic in China to currently reported research. While, initially body mass index (BMI) did not find a mention in the data, it is now clearly emerging that obesity is one of the profound risk factors for complications of COVID-19.

CONCLUSION

Our review will help clinicians and health policy makers in considering the importance of obesity in making the prevention and therapeutic strategies of COVID-19. An extra attention and precaution for patients with obesity in COVID-19 pandemic is recommended.

摘要

背景与目的

新冠疫情促使各国公共卫生系统为应对当前前所未有的疫情爆发做好准备。认识到相关的发病和死亡风险不仅势在必行,而且对于确定预防策略以及针对高危人群进行适当治疗至关重要。

方法

我们检索、整理并分析了在线数据库,即PubMed、谷歌学术、Researchgate,以突出肥胖与新冠严重程度相关风险之间的人口统计学和机制联系。

结果

我们观察到从中国最初爆发疫情到目前报告的研究,报告情况发生了变化。虽然最初数据中未提及体重指数(BMI),但现在很明显肥胖是新冠并发症的重要风险因素之一。

结论

我们的综述将有助于临床医生和卫生政策制定者认识到肥胖在制定新冠预防和治疗策略中的重要性。建议在新冠疫情期间对肥胖患者给予额外关注和预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51e2/7372253/7f5f49945ed6/gr1_lrg.jpg

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