肥胖者感染嚴重特殊傳染性肺炎(coronavirus disease 2019, COVID-19)後,其症狀嚴重程度與死亡率,均顯著高於非肥胖者。研究證實高心肺適能具有降低感染COVID-19風險,但目前肥胖者心肺適能好壞對感染COVID-19影響仍不清楚。本文目的是以COVID-19、obesity、overweight、cardiorespiratory fitness等關鍵詞,透過Google學術搜尋引擎,蒐集有關心肺適能程度對肥胖者COVID-19重症與死亡風險之相關研究。研究結果證實肥胖者經運動或增加身體活動提升心肺適能,在沒有明顯減重狀態下,仍可顯著降低COVID-19重症與死亡率。建議未來在肥胖者進行減重時,除了飲食控制及規律運動外,更應將提升心肺適能作為首要指標,進而更有效預防肥胖對人體健康的威脅。
After being infected with coronavirus disease 2019 (COVID-19), the severity and mortality in individuals with obesity were significantly higher than that of non-obese individuals. Studies have confirmed that high cardiorespiratory fitness can reduce the risk of COVID-19, but the influence of cardiorespiratory fitness in individuals with obesity upon infecting COVID-19 is still unclear. The purpose of this paper is to query the Google search engine for relevant research papers using "COVID-19," "obesity," "overweight," and "cardiorespiratory fitness" as keywords. The results of the study confirmed that obese individuals can significantly reduce the severity and mortality of COVID-19 through improvement of cardiorespiratory fitness via exercise or increased physical activity, even in the absence of significant weight loss. Therefore, this paper suggests that when obese individuals attempt a weight loss program incorporating diet control and regular exercise, the improvement of cardiorespiratory fitness should be the primary indicator. This will help prevent the health dangers associated with obesity more effectively.