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与老年人感染 SARS-CoV-2 相关的营养和炎症标志物。

Nutritional and Inflammatory Markers Associated with SARS-CoV-2 Infection in the Elderly.

机构信息

Brain Institute of Rio Grande do Sul (BraIns), Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre 90610-000, RS, Brazil.

Graduate Program in Biomedical Gerontology, School of Medicine, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre 90619-900, RS, Brazil.

出版信息

Int J Mol Sci. 2024 Jul 15;25(14):7749. doi: 10.3390/ijms25147749.

Abstract

The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has posed unprecedented challenges to global health systems, particularly among vulnerable populations such as the elderly. Understanding the interplay between anthropometric markers, molecular profiles, and disease severity is crucial for effective clinical management and intervention strategies. We conducted a cohort study comprising 43 elderly COVID-19 patients admitted to São Lucas Hospital, PUCRS, Brazil. Anthropometric measurements, including calf circumference (CC) and abdominal circumference (AC), were assessed alongside molecular analyses of peripheral blood samples obtained within 48 h of hospital admission. Sociodemographic data were collected from electronic medical records for comprehensive analysis. Our findings revealed a possible relationship between overweight status, increased abdominal adiposity, and prolonged hospitalization duration, alongside heightened disease severity. We also found no significant correlations between BMI, vitamin D levels, and clinical outcomes. Elevated oxygen requirements were observed in both normal and overweight individuals, with the latter necessitating prolonged oxygen therapy. Molecular analyses revealed changes in the inflammatory profile regarding the outcome of the patients. Our study highlights the critical importance of both anthropometric and molecular markers in predicting disease severity and clinical outcomes in elderly individuals with COVID-19.

摘要

由 SARS-CoV-2 病毒引起的 COVID-19 大流行给全球卫生系统带来了前所未有的挑战,特别是在老年人等弱势群体中。了解人体测量标志物、分子谱和疾病严重程度之间的相互作用对于有效的临床管理和干预策略至关重要。我们对巴西圣卢卡斯医院收治的 43 名老年 COVID-19 患者进行了队列研究。在入院后 48 小时内采集外周血样本进行分子分析的同时,还评估了人体测量学测量值,包括小腿围(CC)和腹围(AC)。从电子病历中收集社会人口统计学数据进行综合分析。我们的研究结果表明,超重状态、腹部脂肪增加和住院时间延长与疾病严重程度升高之间可能存在关联。我们还发现 BMI 和维生素 D 水平与临床结果之间没有显著相关性。在正常体重和超重个体中都观察到需要更高的氧气需求,后者需要延长氧疗。分子分析显示,患者结局方面的炎症特征发生了变化。我们的研究强调了人体测量和分子标志物在预测老年 COVID-19 患者疾病严重程度和临床结果方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fc6/11277511/e782211b90cf/ijms-25-07749-g001.jpg

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