During the corona virus pandemic (Covid-19) as it is now, people who are overweight or obese are also a concern. Why is that?
Obesity is defined as a disruption in energy balance that causes metabolic disorders that trigger stress and tissue dysfunction.
Obesity is also related to cardiovascular disease and diabetes. They were also found to be prone to complications if they were infected with Covid-19.
Diederik Gommers, chairman of the Dutch intensive care association, told TV reporters last week that 66 percent -80 percent of Covid-19 patients in intensive care were overweight.
On the same TV news program, Peter van der Voort, from the University of Groningen teaching hospital, said the number of obese patients who were positive for Covid-19 was more in the ICU.
Obesity VS Covid-19
During the swine flu virus (H1N1) pandemic in 2009, research showed obesity as an independent risk factor in increasing morbidity and mortality after infection.
The study found that people whose body mass index (BMI) was 30 or more fared worse after being infected with the flu virus than people who had a BMI within normal limits, which was 24.9 or lower.
In another study, one of them from China, published last month, looked at 112 Covid-19 patients. 15 of the 17 patients who died were classified as overweight on a BMI scale. Then only 18 of the 95 survivors (19%) were classified as overweight on a BMI scale.
Based on these studies, making experts question obesity as a risk factor for Covid-19.
“Obesity is not only a matter of being overweight, but also related to the adverse effects of being overweight on the body,” experts said, as reported by Aljazeera.
One of the bad effects is interference with the lymphoid and neutrophil lines, the immune system. Both are cells that can tell of an infection from normal tissue and which need to be maintained in balance to maintain immunity.
Obesity can upset this balance and cause an increase in chronic inflammation in normal tissue. This imbalance in the immune system and chronic inflammation in normal tissues puts obese people at high risk of complications from infection and generally increases chronic disease.
Because the immune system works hard even when you are resting, it’s no wonder that obese people are prone to contracting Covid-19. He will also be at high risk of complications, including breathing difficulties and pneumonia.
In addition, according to Dr. Amir Khan, an NHS doctor and senior lecturer in the UK, obese patients are more difficult to intubate (the procedure of inserting an airway tube into the throat) because their necks tend to be thicker, which compresses the airways, especially if the patient is in a flat head position with his back.
“Plus, obese patients are more difficult to transport, sometimes the bed will not fit for just one person,” he concluded.