Obesity: A critical risk factor in the <scp>COVID</scp>‐19 pandemic

  • See Kwok
    Cardiovascular Trials Unit Manchester University NHS Foundation Trust Manchester UK
  • Safwaan Adam
    Faculty of Biology Medicine and Health, University of Manchester Manchester UK
  • Jan Hoong Ho
    Cardiovascular Trials Unit Manchester University NHS Foundation Trust Manchester UK
  • Zohaib Iqbal
    Cardiovascular Trials Unit Manchester University NHS Foundation Trust Manchester UK
  • Peter Turkington
    Department of Respiratory Medicine Salford Royal NHS Foundation Trust Salford UK
  • Salman Razvi
    Cardiovascular Research Centre Institute of Genetic Medicine, Newcastle University Newcastle upon Tyne UK
  • Carel W. Le Roux
    Diabetes Complications Research Centre University College Dublin Dublin Ireland
  • Handrean Soran
    Cardiovascular Trials Unit Manchester University NHS Foundation Trust Manchester UK
  • Akheel A. Syed
    Faculty of Biology Medicine and Health, University of Manchester Manchester UK

説明

<jats:title>Summary</jats:title><jats:p>Obesity is an emerging independent risk factor for susceptibility to and severity of coronavirus disease 2019 (COVID‐19) caused by the severe acute respiratory syndrome coronavirus‐2 (SARS‐CoV‐2). Previous viral pandemics have shown that obesity, particularly severe obesity (BMI > 40 kg/m<jats:sup>2</jats:sup>), is associated with increased risk of hospitalization, critical care admission and fatalities. In this narrative review, we examine emerging evidence of the influence of obesity on COVID‐19, the challenges to clinical management from pulmonary, endocrine and immune dysfunctions in individuals with obesity and identify potential areas for further research. We recommend that people with severe obesity be deemed a vulnerable group for COVID‐19; clinical trials of pharmacotherapeutics, immunotherapies and vaccination should prioritize inclusion of people with obesity.</jats:p>

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