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老年人长期新冠的风险因素

Risk Factors for Long COVID in Older Adults.

作者信息

Hu Yunguang, Liu Yifan, Zheng Huiwen, Liu Longding

机构信息

Key Laboratory of Systemic Innovative Research on Virus Vaccines, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming 650118, China.

出版信息

Biomedicines. 2023 Nov 8;11(11):3002. doi: 10.3390/biomedicines11113002.

Abstract

As time has passed following the COVID-19 pandemic, individuals infected with SARS-CoV-2 have gradually exhibited a variety of symptoms associated with long COVID in the postacute phase of infection. Simultaneously, in many countries worldwide, the process of population aging has been accelerating. Within this context, the elderly population has not only become susceptible and high-risk during the acute phase of COVID-19 but also has considerable risks when confronting long COVID. Elderly individuals possess specific immunological backgrounds, and during the process of aging, their immune systems can enter a state known as "immunosenescence". This further exacerbates "inflammaging" and the development of various comorbidities in elderly individuals, rendering them more susceptible to long COVID. Additionally, long COVID can inflict both physical and mental harm upon elderly people, thereby reducing their overall quality of life. Consequently, the impact of long COVID on elderly people should not be underestimated. This review seeks to summarize the infection characteristics and intrinsic factors of older adults during the COVID-19 pandemic, with a focus on the physical and mental impact of long COVID. Additionally, it aims to explore potential strategies to mitigate the risk of long COVID or other emerging infectious diseases among older adults in the future.

摘要

自新冠疫情爆发以来,随着时间的推移,感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的个体在感染的急性期后逐渐出现了与新冠长期症状相关的各种症状。与此同时,在世界许多国家,人口老龄化进程一直在加速。在此背景下,老年人群不仅在新冠急性期易感染且属于高危人群,在面对新冠长期症状时也面临相当大的风险。老年人具有特定的免疫背景,在衰老过程中,他们的免疫系统会进入一种被称为“免疫衰老”的状态。这进一步加剧了老年人的“炎症衰老”和各种合并症的发展,使他们更容易受到新冠长期症状的影响。此外,新冠长期症状会对老年人造成身体和心理伤害,从而降低他们的整体生活质量。因此,新冠长期症状对老年人的影响不容小觑。本综述旨在总结新冠疫情期间老年人的感染特征和内在因素,重点关注新冠长期症状对身体和心理的影响。此外,它还旨在探索未来减轻老年人感染新冠长期症状或其他新发传染病风险的潜在策略。

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