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SAN DIEGO (KGTV) — New studies are showing that one of the most important risk factors for COVID-19 is weight, including for children.People who are obese are more than twice as likely to wind up in the hospital with COVID-19 as those with normal weight, and 48 percent more likely to die from it, according to a study last month that looked at hundreds of thousands of patients.“Some people have made the argument that the deaths from COVID are just in people with preexisting conditions. Well, this is a preexisting condition that affects a third of the U.S. population in the obese range and another third in the overweight range,” said Dr. Christian Ramers of Family Health Centers of San Diego. “So it’s extremely common.”More than 71 percent of adults are either overweight or obese, according to the CDC. Adults are considered overweight if their body mass index is 25 or higher, and obese if their BMI is 30 or higher.The U.S. has one of the highest rates of obesity in the world, and some experts have theorized it’s one of the reasons why the virus has hit our country harder than others.The risk extends to children as well, who are generally spared from severe cases of COVID-19. Among children hospitalized with the disease, 38 percent had obesity, by far the largest risk factor, according to a CDC study.But what is it about fat that makes the virus worse?There are several theories. People who are obese have blood that clots more easily, one of the main ways COVID-19 kills. Fat cells secrete tiny proteins that cause inflammation, another huge problem with COVID patients that can spiral out of control in what’s called a cytokine storm.Overall, obese people have weaker immune systems.“The theory is that the fat is taking over in certain parts of your body that normally are producing white blood cells,” said Dr. Marsha Blount of Sharp Rees-Stealy Medical Center.Extra fat on the abdomen makes it harder to get air into the lungs, exacerbating conditions like pneumonia. And the extra weight makes it harder to use a ventilator, said Dr. Ramers.On top of all that, people with obesity frequently have other underlying conditions.“Hypertension, diabetes, obesity, fatty liver -- these things are all associated with each other,” Dr. Ramers said. “What we’ve seen is that each of them is related to a poor outcome with COVID.”Studies have shown that simply being overweight increases the risk of COVID-19. A study of nearly 17,000 hospitalized patients in the U.S. found that 29 percent were overweight and another 48 percent were obese.The encouraging news, according to Dr. Blount, is that losing just 5 percent of your weight can have significant benefits. Dr. Blount teaches other physicians how to talk about weight loss with a technique called motivational interviewing.“That 5 percent has been proven time and time again to decrease the risk of getting diabetes. It decreases breast cancer risk for females. It lowers triglycerides and improves HDL, which are different lipid numbers and that thereby decreases your risk of stroke and heart attack,” she said.It can also reduce blood pressure, another major risk factor for COVID, suggesting a little weight loss can go a long way. 3215

SAN DIEGO (KGTV) - President Trump was in San Diego Tuesday and once again used the term "Fake News" referring to the media. It's a phrase that can be thrown around recklessly and a viewer attempted to use the expression to describe 10News in a story we covered Wednesday. That subject led our editorial team to address the topic in this week's 'Let's Talk' segment.  390

SAN DIEGO (KGTV) — One of America's best tiki bars is right here in San Diego, but you'll have to find it to enjoy one of their vibrant drinks.San Diego's False Idol, a hidden tiki bar inside Little Italy's Craft & Commerce, was named to Food Network's list of Best Tiki Bars in America.The speakeasy sports an array of tiki drinks from a traditional Mai Tai to concoctions dubbed Panther's Fang, Doctor Funk, and Hanalei Nights — nearly 40 cocktails in all featuring hundreds of different rums.RELATED: New urban, craft distillery opens in San Diego's East VillageFood Network heralds the expertise of Martin Cate, and the design of artists Bosko Hrnjak and Ignacio “Notch” Gonzalez as high points that transport guests from the secret entrance inside Craft & Commerce into a tropical paradise.If you've never been to the hideaway, CH Projects describes the oasis as an immersive environment complete with an indoor waterfall and flaming volcano, paying tribute to Polynesian elements and the, “'false idols' of mid-century American worship."False Idol is reservation based so you'll have to plan ahead of time. 1129

SAN DIEGO (KGTV) — Oktoberfest is the annual celebration of beer, though the event didn't start out that way.The official celebration, which takes place Sept. 19 - Oct. 4 in Munich, Germany, started as a wedding celebration to honor Bavarian Crown Prince Ludwig's marriage to Princess Therese von Sachsen-Hildburghausen. Festivities started on Oct. 12, 1820, but lasted until Oct. 17. In the years that followed, the celebration was repeated, until eventually the festival was extended and moved forward.The event has taken on a life of its own, spawning German-themed events across the globe. In San Diego, a handful of celebrations pay homage to the German holiday with delicious San Diego craft beers and international brews.San Diego Oktoberfests:Oktoberfest in El Cajon (Sept. 27 - Oct. 6) — Enjoy live German "Oom-Pah" music, traditional foods like bratwurst and ox-on-the-spit, German beers, folk games and dancing, and a kids' zone at El Cajon's massive Oktoberfest party. Cost: - ; More info.Encinitas Oktoberfest (Sept. 29) — Encinitas celebrates Oktoberfest with Gemütlichkeit Alpine Dancers, a street craft faire, and family fun zone parked with rides and games. A "Keepin' It Local" beer garden will boast authentic German foods and both German and San Diego brews. Cost: Free to attend; More info. La Mesa Oktoberfest (Oct. 4 - 6) — La Mesa Village claims their Oktoberfest is the largest this side of the Mississippi. Head over for three-days of traditional sing-a-longs, original glücklich games like stein races and keg bowling, contests and crafts, and traditional German dishes and food. Cost: Free to attend; More info.Carlsbad Oktoberfest (Oct. 5) — Not only can you enjoy Oktoberfest in Carlsbad, but help support the local Rotary Club. The event hosts costume contests, arts and crafts, games and rides, live music, and delicious authentic German meals and brews. Cost: Free - ; More info.Ocean Beach Oktoberfest (Oct. 11 - 12) — Salute Oktoberfest on the beach in OB, with free beachside performances and music, stein-holding and bratwurst-eating contests, delicious foods, craft vendors, and a beer garden with more live music. Cost: Free - ; More info. 2197

SAN DIEGO (KGTV) -- Public health experts are worried that with COVID-19 cases surging, family gatherings during the upcoming holiday season could make for an epidemiological disaster. While officials are urging people to follow stay-at-home orders and avoid indoor gatherings with those outside of the immediate household, they realize that many families will get together regardless of the risk.“There are a lot of reasons why don’t do the thing that your physician or your county board of supervisors would label compliant," said Dr. Rebecca Fielding-Miller, a social epidemiologist and associate professor at UC San Diego. "And so the best thing that we can do is say, OK. In the absence of perfection, here are the other things you can do to protect yourself.”Fielding-Miller recommends that a family that insists on getting together for Thanksgiving create, in effect, its own version of a bubble such as the one successfully used for the restart of the NBA season. To create the safest bubble possible requires invitees to the dinner to isolate beginning at least by Wednesday the week before Thanksgiving. Each person should then get a COVID test three days before the holiday so there is enough time to get the result back. Fielding-Miller said it's critical to have a conversation with guests to make sure they understand and agree to those safety measures. "When we talk about bubbles, your bubble is really only as safe as the person who is the least interested in maintaining the safety of the bubble," Fielding-Miller said.Once Thanksgiving Day arrives, eating outdoors is much safer than indoors. Fielding-Miller also suggests trying to keep members of different households spaced out as much as possible. It is also critical to wear masks as much as possible.She also said that safety efforts do not end on Thanksgiving Day. "You need a plan for, I would say, testing five to eight days after you spent time with your family, so you can immediately let people know if you are positive and they need to get tested,” Fielding-Miller said. She also recommends keeping your children home from school for at least the first two days after the holiday, to protect them from children who may have contracted the virus during Thanksgiving trips.Fielding-Miller said how San Diego behaves to control the spread of the virus over Thanksgiving will help determine the severity of the situation for the December holidays. But while she said this is likely to be a very difficult holiday season, there is reason for optimist. “A vaccine is coming and it really is darkest before the dawn. So now is rough, but it will get better.” 2641