Favre Lucie, Pantet Olivier, Papadimitriou Olivgeris Matthaiois
Service d'endocrinologie, diabétologie et métabolisme, CHUV, 1011 Lausanne.
Service de médecine intensive adulte, CHUV, 1011 Lausanne.
Rev Med Suisse. 2021 Mar 24;17(731):558-563.
The COVID-19 pandemic has become a major public health crisis and increasing evidence demonstrates a strong correlation between obesity and severe forms of SARS-CoV-2 infections. Several mechanisms are advanced to explain this collusion. Obesity leads to an altered and delayed initial immune response, a chronic low-grade inflammation that promotes cytokine storm and a hypercoagulable state. Diagnosis is sometimes delayed by a tendency for these patients to avoid medical consultations and care complicated by weight and ventilation difficulties. In this article, we propose to review the mechanisms potentially involved in the collusion of these two pandemics.
新冠疫情已成为一场重大的公共卫生危机,越来越多的证据表明肥胖与严重的新冠病毒感染之间存在密切关联。人们提出了几种机制来解释这种关联。肥胖会导致初始免疫反应改变和延迟,引发慢性低度炎症,进而促进细胞因子风暴和高凝状态。由于这些患者倾向于避免就医,且因体重和通气困难而使护理变得复杂,诊断有时会延迟。在本文中,我们建议回顾这两种大流行相互关联中可能涉及的机制。