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肥胖、身体活动与 COVID-19。

Obesity, Physical Activity, and COVID-19.

机构信息

Grand Canyon University, 19013 W Solano Dr. Litchfield Park, Phoenix, AZ, 85340, USA.

出版信息

Adv Exp Med Biol. 2024;1457:431-446. doi: 10.1007/978-3-031-61939-7_24.

Abstract

Estimates suggest that over 80% of people with COVID-19 may experience mild to no symptoms. The Centers for Disease Control and Prevention (CDC) reported that around 7-8% of positive COVID-19 cases were hospitalized in the first year of the pandemic. A substantial body of evidence points to obesity, sedentary behavior, and low physical activity levels as risk factors for susceptibility to the virus and the severity of symptoms. Obese individuals are 46% more likely to contract the virus than those of normal weight, and those who are physically active have an 11% reduced risk of contracting the virus. Medical experts have also identified obesity, sedentary behavior, and physical inactivity as risk factors for severe COVID-19 symptoms and long COVID. Evidence from bariatric surgery suggests that weight loss decreases the susceptibility and severity of COVID-19. The mechanisms linking obesity, sedentary behavior, and physical activity to COVID-19 are somewhat similar. Obesity, sedentary behavior, and low physical activity are all linked to inflammation, immune dysfunction, and comorbidities such as diabetes and cardiovascular disease that increase COVID-19 risk. Additionally, achieving the recommended 150 min of moderate-intensity exercise seems to be the desired dose for protection from COVID-19.

摘要

研究表明,超过 80%的 COVID-19 患者可能出现轻度或无症状。美国疾病控制与预防中心(CDC)报告称,在大流行的第一年,约有 7-8%的 COVID-19 阳性病例住院。大量证据表明,肥胖、久坐行为和低身体活动水平是易感染病毒和症状严重程度的危险因素。肥胖个体感染病毒的可能性比正常体重者高 46%,而身体活跃者感染病毒的风险降低 11%。医学专家还将肥胖、久坐行为和身体活动不足确定为 COVID-19 严重症状和长新冠的危险因素。减重手术的证据表明,体重减轻可降低 COVID-19 的易感性和严重程度。肥胖、久坐行为和身体活动不足与 COVID-19 之间的联系机制有些相似。肥胖、久坐行为和低身体活动都与炎症、免疫功能障碍以及糖尿病和心血管疾病等合并症有关,这些合并症会增加 COVID-19 的风险。此外,达到建议的 150 分钟中等强度运动似乎是预防 COVID-19 的理想剂量。

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