Individuals with an unhealthy gastrointestinal tract are more likely to develop post-COVID syndrome compared to those with a healthier gastrointestinal tract.

Researchers from the Medical University of Vienna have unveiled that people with post-COVID syndrome often have different inflammatory markers and a disturbed intestinal barrier.

As part of the trial, the team of academics assessed the course of SARS-CoV-2 infections and gastrointestinal symptoms before, during and after the infection.

Additionally, they looked at stool, blood and saliva samples of people living with post-COVID syndrome.

They found that the people with pre-existing gastrointestinal complications were at greater risk of developing post-COVID syndrome fatigue.

People with post-COVID syndrome showed an increased LBP/sCD14 ratio and lower IL-33 levels, the findings have shown.

Lead author Eva Untersmayr-Elsenhuber said: “Our results suggest that SARS-CoV-2 infection can have long-term effects on the immune system and intestinal health that contribute to the development of post-COVID syndrome.”

By examining gastrointestinal symptoms and biomarkers, people at risk of post-COVID syndrome could be treated at an earlier stage.

Co-author Johanna Rohrhofer said: “What is particularly exciting is that our study participants were mostly young and healthy before the infection.

“Even the COVID disease was mostly mild or even asymptomatic. One difference was the more frequently reported gastrointestinal complaints in the group that developed post-viral fatigue.”

Eva Untersmayr-Elsenhuber concluded: “The identification of predictive markers for post-COVID syndrome could enable personalised prevention and treatment in the future.”

Read the full study in the journal Allergy.

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