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Evaluating Possible Mechanisms Linking Obesity to COVID-19: a Narrative Review
Maryam Vasheghani1, Zahra Hessami2, Mahsa Rekabi3
1Chronic Respiratory Diseases Research Center (CRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Obesity is linked to increased COVID-19 risk, severity, and mortality. This review explores the biological mechanisms connecting obesity and coronavirus disease 2019 (COVID-19) to inform potential treatments.
Area of Science:
- * Medical Science
- * Epidemiology
- * Immunology
Background:
- * Coronavirus disease 2019 (COVID-19) is a global pandemic with no specific antiviral treatments currently available.
- * Vaccine accessibility remains a significant global challenge.
- * Observational studies suggest a correlation between high obesity prevalence and COVID-19 incidence, with higher body mass index associated with increased disease risk, severity, and mortality.
Purpose of the Study:
- * To systematically review and elucidate the underlying biological mechanisms linking obesity to COVID-19.
- * To explore how obesity influences susceptibility, disease progression, and outcomes in COVID-19 patients.
Main Methods:
- * Comprehensive literature search of relevant scientific databases.
- * Review and synthesis of existing research on obesity and viral infections, specifically focusing on COVID-19.
- * Analysis of proposed pathophysiological pathways connecting adipose tissue, inflammation, and viral pathogenesis.
Main Results:
- * Obesity is associated with a pro-inflammatory state, potentially exacerbating COVID-19-induced cytokine storms.
- * Adipose tissue can act as a reservoir for SARS-CoV-2, the virus causing COVID-19, potentially prolonging viral shedding and transmission.
- * Metabolic dysregulation common in obesity may impair immune responses critical for combating viral infections.
Conclusions:
- * Obesity presents a significant risk factor for severe COVID-19 outcomes.
- * Understanding the mechanistic links between obesity and COVID-19 is crucial for developing targeted therapeutic strategies.
- * Further research into the specific molecular and immunological pathways is warranted to mitigate COVID-19's impact on individuals with obesity.
Abstract:
Currently, pneumonia caused by the coronavirus disease 2019 (COVID-19) is a pandemic. To date, there is no specific antiviral treatment for the disease, and universal access to the vaccine is a serious challenge. Some observational studies have shown that COVID-19 is more common in countries with a high prevalence of obesity and that people with COVID-19 have a higher body mass index. In these studies, obesity increased the risk of disease, as well as its severity and mortality. This study aimed to review the mechanisms that link obesity to COVID-19.
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