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Updated: Oct 30, 2025

Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
Published on: September 27, 2024
Association between cardiometabolic risk factors and COVID-19 susceptibility, severity and mortality: a review
Yasaman Sharifi1,2, Moloud Payab3, Erfan Mohammadi-Vajari4
1Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Insights
Cardio-metabolic risk factors like obesity and hypertension worsen COVID-19 outcomes, especially in older adults. Managing these conditions is crucial for better prognosis and reducing mortality during the pandemic.
Area of Science:
- Epidemiology
- Public Health
- Internal Medicine
Background:
- The COVID-19 pandemic, declared by WHO in March 2020, highlighted the need to understand disease-exacerbating factors.
- Older populations (60+) often present with cardio-metabolic risk factors, including obesity, hypertension, diabetes, and dyslipidemia.
- These pre-existing conditions are suspected to worsen COVID-19 prognosis and increase mortality.
Purpose of the Study:
- To review existing literature on the impact of cardio-metabolic risk factors on COVID-19.
- To assess the effectiveness of COVID-19 management strategies on these underlying conditions.
Main Methods:
- Systematic review of articles published since the beginning of the COVID-19 pandemic.
- Analysis of studies investigating hypertension, diabetes mellitus, dyslipidemia, and obesity in relation to COVID-19.
Main Results:
- Hypertension, diabetes mellitus, dyslipidemia, and obesity were found to exacerbate COVID-19 disease progression through various mechanisms.
- The inflammatory response triggered by COVID-19 can create a detrimental cycle, complicating the management of these chronic conditions.
Conclusions:
- Cardio-metabolic risk factors significantly worsen COVID-19 outcomes.
- Effective management of hypertension, diabetes, dyslipidemia, and obesity is vital for improving patient prognosis and reducing mortality associated with COVID-19.
Abstract:
The novel coronavirus, which began spreading from China Wuhan and gradually spreaded to most countries, led to the announcement by the World Health Organization on March 11, 2020, as a new pandemic. The most important point presented by the World Health Organization about this disease is to better understand the risk factors that exacerbate the course of the disease and worsen its prognosis. Due to the high majority of cardio metabolic risk factors like obesity, hypertension, diabetes, and dyslipidemia among the population over 60 years old and higher, these cardio metabolic risk factors along with the age of these people could worsen the prognosis of the coronavirus disease of 2019 (COVID-19) and its mortality. In this study, we aimed to review the articles from the beginning of the pandemic on the impression of cardio metabolic risk factors on COVID-19 and the effectiveness of COVID-19 on how to manage these diseases. All the factors studied in this article, including hypertension, diabetes mellitus, dyslipidemia, and obesity exacerbate the course of Covid-19 disease by different mechanisms, and the inflammatory process caused by coronavirus can also create a vicious cycle in controlling these diseases for patients.
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