Kim Min-Ji, Jeon Jae-Han
Department of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
J Metab Bariatr Surg. 2021 Jun;10(1):1-8. doi: 10.17476/jmbs.2021.10.1.1. Epub 2021 Jun 30.
Obesity, which is one of the most important noncommunicable diseases, has become an epidemic. With the outbreak of the coronavirus disease 2019 (COVID-19) pandemic, the collision of these two health risks has increased the threat of adverse events and serious threats to public health. In this review, the impact of obesity on COVID-19 severity and mortality is presented. The mechanism by which obesity increases susceptibility and severity is discussed. As a low-grade inflammatory disease, obesity provides a pro-inflammatory milieu by which adipose tissue expressing angiotensin converting enzyme 2, which is known as a receptor for severe acute respiratory syndrome coronavirus 2, works as a viral reservoir. Finally, the role of metabolic and bariatric surgeries during the COVID-19 era will be discussed.
肥胖是最重要的非传染性疾病之一,已成为一种流行病。随着2019年冠状病毒病(COVID-19)大流行的爆发,这两种健康风险的碰撞增加了不良事件的威胁,并对公众健康构成严重威胁。在这篇综述中,阐述了肥胖对COVID-19严重程度和死亡率的影响。讨论了肥胖增加易感性和严重程度的机制。作为一种低度炎症性疾病,肥胖提供了一种促炎环境,表达血管紧张素转换酶2(已知为严重急性呼吸综合征冠状病毒2的受体)的脂肪组织在其中充当病毒储存库。最后,将讨论代谢和减肥手术在COVID-19时代的作用。