Diabetes Research Unit, Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Sri Lanka; Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.
Best Pract Res Clin Endocrinol Metab. 2023 Jul;37(4):101753. doi: 10.1016/j.beem.2023.101753. Epub 2023 Mar 1.
Convergence of the two pandemics: metabolic syndrome and COVID-19 over last two years has posed unprecedented challenges to individuals as well as healthcare systems. Epidemiological data suggest a close association between metabolic syndrome and COVID-19 while variety of possible pathogenic connections have been proposed while some have been proven. Despite the evidence of high risk for adverse COVID-19 outcomes in people with metabolic syndrome, little is known about the differences in efficacy and safety among people with metabolic syndrome and without. It is important to recognize that among people with metabolic syndrome This review summarizes the current knowledge and epidemiological evidence on the association between metabolic syndrome and adverse COVID-19 outcomes, pathogenic interrelationships, management considerations for acute COVID-19 and post-COVID sequalae and sustaining care of people living with metabolic syndrome with appraisal of evidence and gaps in knowledge.
在过去的两年中,两种大流行病(代谢综合征和 COVID-19)的融合对个人和医疗保健系统都带来了前所未有的挑战。 流行病学数据表明代谢综合征和 COVID-19之间存在密切关联,同时也提出了多种可能的发病机制联系,其中一些已得到证实。 尽管有证据表明代谢综合征患者 COVID-19 不良结局的风险较高,但对于代谢综合征患者和非患者之间的疗效和安全性差异知之甚少。 重要的是要认识到,在代谢综合征患者中,这种合并症会增加 COVID-19 严重程度和不良结局的风险。 本文综述了代谢综合征与 COVID-19 不良结局之间的关联、发病机制相互关系、急性 COVID-19 和 COVID-19 后后遗症的管理注意事项以及代谢综合征患者的维持性护理方面的最新知识,评估了证据和知识空白。