May 10, 2021, 05:47:45 PM | TOI.in
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Mind your belly fat, it poses major challenge in Covid treatment, recovery

Identified as a comorbidity, obesity has turned out to be a major challenge in Covid treatment, especially in the second wave. Obese patients take more time to recovery as their body movement gets restricted while they also need higher ventilation pressure. Doctors said the younger population, which has put on belly fat in last one year, too is at as much risk as an obese person. As compared to patients having proportionate body mass index (BMI) but a potbelly, those with a lean tummy recovered faster from Covid. Ahead of the third wave, doctors said people still have time to improve their fitness and physique to protect themselves from getting severe Covid. Dr Imran Noor Mohammed, critical care specialist, said lung capacity goes down due to abdomen pressure. “Lungs remain compressed because of fat on chest and abdomen. The way lungs must work becomes difficult. Obese patients also need bipap for a longer time and higher requirement of ventilator. The inflammatory markers too are high due to body fat. If the abdomen is flat, the recovery is fast,” he said. As lung expansion, a crucial activity in Covid, becomes cumbersome among obese patients, a lot depends on physiotherapy en route to recovery. “Prone position is also not possible for many obese patients. These are logistic challenges while treatment hurdles are related to size of oxygen masks, which is often not available,” Dr Mohammad said adding that even lean obesity is harmful in Covid scenario.

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