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肥胖和COVID-19流行病:流行病学,机制和管理
Yanping Yang1, Yuanlin Song1,2,3, Dongni Hou2
1Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, People's Republic of China.
肥胖增加了严重的冠状病毒疾病2019 (COVID-19) 和并发症的风险. 这篇评论探讨了肥胖问题.
科学领域:
- 医学科学 医学科学 医学科学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 肥胖是一个主要的全球健康威胁,与代谢功能障碍和慢性炎症有关.
- 肥胖与感染的易感性和严重性增加有关,包括COVID-19.
- 随着COVID-19的流行,肥胖患者的风险变得更加严重.
研究的目的:
- 审查关于肥胖对COVID-19易感性,严重性和预后的影响的临床证据.
- 讨论与肥胖和COVID-19相关的潜在病理生理机制.
- 提出预防和治疗肥胖的策略,以减轻SARS-CoV-2的传播和影响.
主要方法:
- 关于肥胖和COVID-19的临床研究的文献综述.
- 分析病理生理机制,包括呼吸功能,炎症,ACE2表达和代谢因素.
- 综合证据以提供公共卫生建议的信息.
主要成果:
- 肥胖显著增加了严重COVID-19的风险,住院和死亡率.
- 机制包括呼吸机制受损,炎症反应加剧,ACE2表达变化和代谢失调.
- 肥胖症通过复杂的生物相互作用加剧了COVID-19的严重程度.
结论:
- 肥胖症对严重的COVID-19结果构成重大风险.
- 通过预防和治疗解决肥胖问题对于管理SARS-CoV-2大流行病至关重要.
- 针对肥胖的公共卫生干预措施对于减少COVID-19负担至关重要.
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