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Why more obese people died during COVID-19 pandemic?
- 1. COVID-19 Pandemic: Prevention & Protection Why more people with Obesity died? Dr. C. Rajeswaran FRCP(UK);MSc Consultant Physician
- 2. Outcome of People with Obesity in COVID-19 Pandemic ‘US is the FATTEST nation in the world:, & the “UK is the fattest in Europe” 75% of Covid-19 patients in NHS Intensive Care Units were overweight or obese. In New York, 90% of the people ventilated were obese 99% of deaths in Italy have been in patients with obesity and obesity related co-morbid conditions Nearly 100,000 deaths in US & 50,000 deaths in the UK
- 3. Why more obese people died & were ventilated? Exaggerated inflammatory response Poor respiratory reserve and ventilation Associated co-morbid conditions ( Diabetes, Hypertension ….) Impairs immune responses to viral infection
- 4. Endothelial dysfunction Why more obese people died & were ventilated? Predilection to clots Obese people have vitamin D deficiency
- 5. Why more obese people died & were ventilated? Difficult to keep obese people prone due to body habitus Difficulty in ventilation Obese men have low testosterone, reducing immunity
- 6. What should be done ? Obesity is a Chronic inflammatory condition with metabolic consequences Obesity also called ABCD (Adiposity Based Chronic Disease) Diets alone do not help Help patients identify Hunger patterns & provide solutions Management now, is not “What” to do, Find out “WHY” are they doing it
- 7. Advice for Morbidly Obese Diabetics Prevent huge fluctuation in blood glucose Keep MAGE(Mean Amplitude Glycaemic Excursion) low • Helps control hunger, which in turn controls body weight • Reduces endothelial dysfunction • Check Blood glucose more frequently