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Are my unfit patients more at risk from COVID-19?
YES! The epidemiological data suggest that people with modifiable risks of chronic lifestyle-related diseases such as obesity, heart disease, hypertension and type 2 diabetes are profoundly more at risk of death from this virus.1 While it is also true of the elderly and those with immune deficiencies, these risks are more difficult to modify.
Even before COVID-19, the medical world was aware of the public health emergency created by a lack of physical activity.2 The increase in hypertension, type 2 diabetes and obesity in the western world has been profound. We have developed a population ‘at risk’ due to underlying comorbidities, many of which can be improved with exercise. The reality, however, is that …
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