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新型冠状病毒肺炎(COVID-19)与心血管代谢危险因素的潜在机制及关联

Proposed Mechanisms and Associations of COVID-19 with Cardiometabolic Risk Factors.

作者信息

Reddy Koushik R, Faridi Kamil F, Aggarwal Monica, Tirumalai Adithi A, Singh Tamanna, Tejtel Kristen S, Williams Kim, Litwin Sheldon E, Dastmalchi Lily Nedda, White Beth Ann, Barnard Neal, Ornish Dean, Batts Travis, Ajene George, Aspry Karen, Kris Etherton Penny, Hull Sarah C, Freeman Andrew M

机构信息

Division of Cardiology, Department of Medicine, James A. Haley VA Medical Center, University of South Florida, Tampa, FL, USA (KRR).

Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA (KFF).

出版信息

Am J Lifestyle Med. 2024 Sep 2:15598276241269532. doi: 10.1177/15598276241269532.

Abstract

Cardiovascular disease (CVD) and cardiometabolic risk (CMR) are highly prevalent globally. The interplay between CVD/CMR and COVID-19 morbidity and mortality has been intensely studied over the last three years and has yielded some important discoveries and warnings for public health. Despite many advances in cardiovascular medicine, CVD continues to be the global leading cause of death. Much of this disease burden results from high CMR imposed by behaviors centered around poor nutrition related to lifestyle choices and systemic constraints. Increased CVD/CMR contributed to the COVID-19 pandemic's unprecedented wave of disability and death, and the current state of cardiovascular health been equated to a "Population Code Blue." There is an urgent and unmet need to reorient our priorities towards health promotion and disease prevention. This manuscript will review how nutrition and lifestyle affect outcomes in COVID-19 and how some interventions and healthy lifestyle choices can markedly reduce disease burden, morbidity, and mortality.

摘要

心血管疾病(CVD)和心血管代谢风险(CMR)在全球范围内高度流行。在过去三年中,人们对CVD/CMR与新冠病毒感染的发病率和死亡率之间的相互作用进行了深入研究,并取得了一些重要发现,为公共卫生提供了警示。尽管心血管医学取得了许多进展,但CVD仍然是全球主要的死亡原因。这种疾病负担很大程度上源于与生活方式选择和系统性限制相关的不良营养行为所带来的高CMR。CVD/CMR的增加导致了新冠疫情前所未有的残疾和死亡浪潮,目前的心血管健康状况被等同于“群体紧急医疗情况”。迫切需要重新调整我们的优先事项,转向健康促进和疾病预防。本手稿将回顾营养和生活方式如何影响新冠病毒感染的结果,以及一些干预措施和健康的生活方式选择如何显著减轻疾病负担、发病率和死亡率。

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