肥胖人群面临COVID-19并发症风险。

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Health Epidemiology and Genomics Pub Date : 2020-11-06 eCollection Date: 2020-01-01 DOI:10.1017/gheg.2020.6
Sarah Cuschieri, Stephan Grech
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引用次数: 26

摘要

导言:全球公共卫生受到两大流行病的挑战;COVID-19和肥胖。考虑到全球肥胖的流行,探索与COVID-19的关系具有临床重要性。目的是就COVID-19与肥胖之间的关系提供全面的总结和建议。方法:通过文献检索,对COVID-19与肥胖的关系进行综述。结果:肥胖状态促进慢性炎症,维生素D缺乏,阻碍免疫,引起机械性肺压迫。这些增加了对COVID-19感染的易感性,并发症包括需要有创通气。现有的合并症增加了这些并发症。保持社交距离和自我隔离的预防措施可能会增加污名化和心理威慑。因此,需要针对这一弱势群体提出特别建议。结论:肥胖人群是COVID-19的弱势群体,在本次大流行期间需要特别关注,以避免并发症和卫生保健系统负担。如果没有COVID-19疫苗接种,建议定期进行身体活动和健康饮食,同时注意心理健康。可以考虑延长检疫时间并给予预防性维生素D。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Obesity population at risk of COVID-19 complications.

Introduction: Global public health is challenged by two concurrent epidemics; COVID-19 and obesity. Considering the global prevalence of obesity, exploring relationships with COVID-19 are of clinical importance. The aim was to provide a comprehensive summary and recommendations on this relationship between COVID-19 and obesity.

Method: A literature search was performed to prepare a narrative review of COVID-19 and obesity.

Results: An obesity state promotes chronic inflammation, vitamin D deficiency, hinders immunity and causes mechanical lung compression. These increase susceptibilities to COVID-19 infection, complications including the requirement of invasive ventilation. Existing co-morbidities enhances these complications. Preventive measures of social distancing and self-isolation may increase stigmatisation and psychological deterrents. Hence, special recommendations targeting this vulnerable population are required.

Conclusion: The obese population is a COVID-19 vulnerable group, requiring special attention during this pandemic to avoid complications and healthcare systems burden. Lacking COVID-19 vaccination, regular physical activity and a healthy diet are recommended with attention to mental health. A prolonged quarantine duration and administration of prophylactic vitamin D may be considered.

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来源期刊
Global Health Epidemiology and Genomics
Global Health Epidemiology and Genomics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.40
自引率
0.00%
发文量
10
审稿时长
20 weeks
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