Obesity raises risk of death from corona virus among men

poornima lagadapati

Active member
The coronavirus has been an unpredictable foe from the start. It triggers silent or barely perceptible infections in some individuals, while in others it sets off a cascade of complications that overwhelm the body and lead to death.

Why some patients sail through the disease and others are felled by it is a question that has bedeviled doctors.

Older age and chronic health conditions like high blood pressure and heart disease are known to increase the risk of severe Covid-19. The Centers for Disease Control and Prevention also lists extreme obesity as a high risk.

But is excess weight in and of itself to blame? Or all of the health problems that accompany obesity, like metabolic disorders and breathing problems?

A new study points to obesity itself as a culprit. An analysis of thousands of patients treated at a Southern California health system identified extreme obesity as an independent risk factor for dying among Covid-19 patients — most strikingly, among younger and middle-aged adults 60 and younger, and particularly among men.

Among women with the illness, body mass index — a measure of body fat based on height and weight — does not appear to be independently associated with an increased risk of dying at any age, the authors said, possibly because women carry weight differently than do men, who tend to have more visceral and abdominal fat. The study was published in Annals of Internal Medicine on Wednesday.

“Body mass index is a really important, strong independent risk factor for death among those who are diagnosed with Covid-19,” said Sara Tartof, the study’s first author, a research scientist at Kaiser Permanente of Southern California.


But “the impact is not uniform across the population,” she added. “You don’t really see it for the older ages, and we didn’t see it as an important risk for females at any age.”
 
This global pandemic is also quickly becoming a global economic crisis, which will disproportionately affect the world’s most vulnerable population. In many countries this same segment of the population is also the one at higher risk of obesity, which might worsen the obesity crisis in the future.

In addition to that, the current pandemic might contribute to an increase in obesity rates as weight loss programmes (which are often delivered in groups) and interventions such as surgery are being severely curtailed at present – and this is likely to go on for a long period of time. The measures introduced in some countries (e.g. not leaving the home for several weeks even for those who are not sick) will have an impact on mobility and enforced physical inactivity even for short periods of time increases the risk of metabolic disease.

Finally, the current crisis and the need for self-isolation is prompting many to rely on processed food with longer shelf life (instead of fresh produce) and canned food (with higher quantities of sodium) and we might see an increase in weight if this persists for a longer period of time.
 
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