Long-COVID, Metabolic and Endocrine Disease

Stefan R Bornstein1,2, Diana Cozma1, Margrit Kamel3

  • 1Department of Medicine III, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.

Hormone and Metabolic Research = Hormon- Und Stoffwechselforschung = Hormones Et Metabolisme
|June 20, 2022
PubMed

Insights

Long-COVID, a post-acute COVID-19 syndrome, affects up to 40% of infected individuals, causing chronic fatigue and cognitive issues. Management includes rehabilitation, diet, and potentially apheresis for symptom improvement.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Endocrinology

Background:

  • Long-COVID (post-acute COVID-19 syndrome) remains a significant global health challenge post-pandemic.
  • Up to 40% of SARS-CoV-2 infected individuals experience persistent, clinically relevant symptoms weeks to months after acute infection.
  • Key symptoms include chronic fatigue, dyspnea, and cognitive dysfunction, impacting quality of life.

Purpose of the Study:

  • To highlight the ongoing challenge of long-COVID and its impact.
  • To identify risk factors and potential long-term complications.
  • To emphasize the importance of structured management strategies for affected individuals.

Main Methods:

  • Review of current studies on long-COVID prevalence and symptoms.
  • Identification of risk factors such as overweight and diabetes mellitus.
  • Discussion of potential therapeutic interventions including rehabilitation, diet, and apheresis.

Main Results:

  • Overweight and diabetes mellitus are associated with an increased risk of long-COVID symptoms.
  • Steroid treatments for acute and long-COVID may lead to metabolic and endocrine disorders.
  • Structured rehabilitation, physical activity, and dietary management are crucial.

Conclusions:

  • Long-COVID presents a substantial and ongoing health burden requiring comprehensive management.
  • Integrated rehabilitation, lifestyle interventions, and targeted therapies like apheresis show promise for symptom amelioration.
  • Addressing metabolic and endocrine complications is vital for long-COVID patient care.

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