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肥胖对出院的 COVID-19 患者的长期影响。

Long-term effects of obesity on COVID-19 patients discharged from hospital.

机构信息

Department of Integrated Traditional Chinese and Western Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Department of Emergency Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Immun Inflamm Dis. 2021 Dec;9(4):1678-1685. doi: 10.1002/iid3.522. Epub 2021 Sep 9.

Abstract

INTRODUCTION

Obesity has been reported as a risk factor for COVID-19 prognosis. However, the long-term effects of obesity on patients discharged from the hospital are unclear, and the present study aims to address this issue.

METHODS

A cohort study was conducted using data from patients diagnosed with COVID-19 who were discharged from Wuhan Union Hospital between February 20, 2020, and March 20, 2020. The 118 patients with COVID-19 were divided into the non-obesity group and the obesity group according to their body mass index (BMI). All the patients were invited to fill out a series of scales to assess cardiopulmonary function. Data on population baseline characteristics, clinical manifestations, laboratory examinations, chest computed tomography (CT), and lung function were collected and analyzed.

RESULTS

The clinical manifestations and pathological changes on CT images of obese patients were more serious after discharge than those of non-obese patients. In addition, we found significant abnormalities in metabolic indicators such as blood lipids, uric acid, and liver function in obese patients. Most importantly, the antibody titer of COVID-19 obese patients was inversely correlated with BMI.

CONCLUSION

In the long term, obesity affects clinical manifestations, immune function and endocrine metabolism in patients discharged after recovering from COVID-19.

摘要

简介

肥胖已被报道为 COVID-19 预后的一个危险因素。然而,肥胖对出院患者的长期影响尚不清楚,本研究旨在解决这一问题。

方法

采用回顾性队列研究方法,收集 2020 年 2 月 20 日至 3 月 20 日期间从武汉协和医院出院的 COVID-19 患者的临床资料,根据 BMI 将 118 例 COVID-19 患者分为非肥胖组和肥胖组。所有患者出院后均被邀请填写一系列量表,以评估心肺功能。收集并分析患者的人口基线特征、临床表现、实验室检查、胸部 CT 和肺功能等数据。

结果

肥胖患者出院后的临床表现和 CT 图像上的病理变化比非肥胖患者更为严重。此外,我们发现肥胖患者的血脂、尿酸和肝功能等代谢指标存在明显异常。最重要的是,COVID-19 肥胖患者的抗体滴度与 BMI 呈负相关。

结论

长期来看,肥胖影响 COVID-19 出院患者的临床表现、免疫功能和内分泌代谢。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9afc/8589408/1271cced6b06/IID3-9-1678-g002.jpg

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