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.

Obesity Surgery
|February 3, 2022
PubMed

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.

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