COVID 19 and Obesity

Happy 4th July to all liberated viewers. COVID 19 and Obesity. Firstly, of course vitamin A, D E and K are fat soluble. https://covid.joinzoe.com/post/covid-obesity People who are very overweight (obese) Greater risk of severe symptoms Ending up in hospital Even if they are young https://www.medrxiv.org/content/10.1101/2020.04.25.20079251v1 UK Obesity 28.7% of adults in the UK are classified as obese A further 35% are overweight 63.7 obese or overweight 36.3% health weight
Obesity Statistics
Potentially putting the majority at increased risk US obesity https://www.cdc.gov/obesity/data/adult.html CDC Common, serious, costly disease US prevalence = 42.4%, 2017 - 2018 Overweight = 32.5% Normal weight = 25% https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity BMI, 30 or more = obese BMI, 25.0 to 29.9 = overweight BMI calculator, https://www.nhs.uk/live-well/healthy-weight/bmi-calculator/ Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer Leading causes of preventable, premature death Annual medical cost of obesity, $1,429 Ethnicity Non-Hispanic blacks, 49.6% Hispanics, 44.8% Non-Hispanic whites, 42.2% Non-Hispanic Asians, 17.4% Age Young adults, 40% aged 20 to 39 years Middle-aged adults, 44.8% aged 40 to 59 years 60 years + 42.8% Stigmatisation It’s vital not to further stigmatise those who are overweight or obese as they may already suffer from poorer healthcare https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(19)30045-3/fulltext Study from China People who developed critical COVID and died had a higher average BMI than people developing only mild disease https://pubmed.ncbi.nlm.nih.gov/32120458/ Study from the US https://academic.oup.com/cid/article/doi/10.1093/cid/ciaa415/5818333 Younger age group patients hospitalized more likely to be obese People from the UK admitted to CCU, 73% were overweight or obese https://www.icnarc.org/Our-Audit/Audits/Cmp/Reports COVID symptom tracker https://covid.joinzoe.com/about 2.6m people, data taken on height, weight, medical conditions, daily health report People who are obese about 20% more likely to be hospitalised with COVID symptoms Compared with people with lower BMI More likely to need respiratory support such as ventilation Across all the age groups, including younger people. https://www.medrxiv.org/content/10.1101/2020.04.25.20079251v1 Obesity affects health and immunity Increases the chances of developing chronic health problems, diabetes, heart disease, hypertension, some cancers Increases risk of infections
Obesity and the Immune System
Impaired immune response https://pubmed.ncbi.nlm.nih.gov/16790384/ Easier for bacteria and viruses to invade the body and set up an infection Makes severe COVID complications from infections more likely, e.g. acute respiratory distress syndrome (ARDS) More likely to catch seasonal flu Suffer for longer More risk of severe outcomes More likely to transmit infection to others https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7130453/ Why so much obesity? Combined interaction between physical, social, and environmental factors Tips for obesity in the current pandemic Social distancing, hygiene guidelines, face covering Move towards a normal weight Good nutrients Consider vitamin D Regular outdoor physical activity Consider mental health Ask about a flu jab

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