October 15, 2020

Covid-19 and Obesity

Articles by Dr. Erdman are for informational purposes, and are not to be taken as specific medical advice.

 

This China virus sure does have people relying on false information for everything from mask use to who’s at risk. 

There is risk in every move you make, every day.  This virus is no different. Some people are at elevated risk, others have very little risk.  So how do you discern who is at risk and who is not? Are there any parameters you can measure to see if you are high or low risk? Absolutely!

Dr. Mercola did an interview with Dr. Aseem Malhotra, a British cardiologist, who delves into the role insulin resistance plays in the Covid-19 pandemic picture.

Dr Malhotra claims the real pandemic is poor metabolic health. As early as March, the data out of China and Italy showed a clear link with obesity and poor outcomes with this virus.

Obesity, aside from old age, has been identified as one of the primary risk factors for being hospitalized with Covid. In patients under 60, obesity doubles your risk of being hospitalized.

Obesity causes your body to constantly be in a state of chronic inflammation. This cause’s more proinflammatory cytokines in circulation which increases your risk of a “cytokine storm,” this is what kills most people. It makes your body more susceptible to infectious diseases, from Covid to Ebola to UTI’s.

Insulin resistance is the root cause of obesity, brought on by a flawed diet. An April 15, 2020 article in “The Scientist” shows evidence that higher blood glucose levels impact viral replication and the development of the cytokine storm.

While obesity likely doubles your risk of death, metabolic syndrome increases that likelihood by 3.5 times, and increases the likelihood of hospitalization by 5 times.

Dr. Malhotra indicates most people have poor metabolic health or metabolic inflexibility. There are two primary subsets of metabolic health, insulin resistance and Vitamin D deficiency.

The five metabolic parameters of ill health and insulin resistance include the following:

1.      1.  A large waist circumference. (your waist circumference should be less than 90% of your hip circumference)

2.      2.  Prediabetes or Type 2 diabetes

3.       3. Prehypertension or hypertension (high blood pressure)

4.     4.  High blood triglycerides (ideally 2.5 times your HDL level)

5.      5.  Low HDL cholesterol (the good cholesterol)

If you have all five of these under control, you are in good metabolic health. Having three or more is indicative of metabolic syndrome. Of course Vitamin D levels are highly important.  A the very lowest, your vitamin D should be 40 ng/ml, but ideally it should be 60-80 ng/ml.

In conclusion, optimize your health. Limit or eliminate foods that promote insulin resistance. Topping the list are processed foods high in “vegetable oils,” added sugars and carbohydrates like bread, pasta and white rice. Be more physically active, optimize your sleep and reduce stress.

Most importantly, get your vitamin D levels higher, its cheap and easy to do so you have no excuse!