The association between body mass index class and coronavirus disease 2019 outcomes
Background/Objectives A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study’s primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19. Subjects/Methods Data on consecutive adult patients...
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| Published in | International Journal of Obesity Vol. 45; no. 3; pp. 700 - 705 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
Springer Science and Business Media LLC
01.03.2021
Nature Publishing Group UK Nature Publishing Group |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0307-0565 1476-5497 1476-5497 0307-0565 |
| DOI | 10.1038/s41366-020-00721-1 |
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| Abstract | Background/Objectives
A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study’s primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19.
Subjects/Methods
Data on consecutive adult patients hospitalized with laboratory-confirmed COVID-19 at Amiens University Hospital (Amiens, France) were extracted retrospectively. The association between BMI categories and the composite primary endpoint (admission to the intensive care unit or death) was probed in a logistic regression analysis.
Results
In total, 433 patients were included, and BMI data were available for 329: 20 were underweight (6.1%), 95 have a normal weight (28.9%), 90 were overweight (27.4%), and 124 were obese (37.7%). The BMI category was associated with the primary endpoint in the fully adjusted model; the odds ratio (OR) [95% confidence interval (CI)] for overweight and obesity were respectively 1.58 [0.77–3.24] and 2.58 [1.28–5.31]. The ORs [95% CI] for ICU admission were similar for overweight (3.16 [1.29–8.06]) and obesity (3.05 [1.25–7.82]) in the fully adjusted model. The unadjusted ORs for death were similar in all BMI categories while obesity only was associated with higher risk after adjustment.
Conclusions
Our results suggest that overweight (and not only obesity) is associated with ICU admission, but overweight is not associated with death. |
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| AbstractList | A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study's primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19.
Data on consecutive adult patients hospitalized with laboratory-confirmed COVID-19 at Amiens University Hospital (Amiens, France) were extracted retrospectively. The association between BMI categories and the composite primary endpoint (admission to the intensive care unit or death) was probed in a logistic regression analysis.
In total, 433 patients were included, and BMI data were available for 329: 20 were underweight (6.1%), 95 have a normal weight (28.9%), 90 were overweight (27.4%), and 124 were obese (37.7%). The BMI category was associated with the primary endpoint in the fully adjusted model; the odds ratio (OR) [95% confidence interval (CI)] for overweight and obesity were respectively 1.58 [0.77-3.24] and 2.58 [1.28-5.31]. The ORs [95% CI] for ICU admission were similar for overweight (3.16 [1.29-8.06]) and obesity (3.05 [1.25-7.82]) in the fully adjusted model. The unadjusted ORs for death were similar in all BMI categories while obesity only was associated with higher risk after adjustment.
Our results suggest that overweight (and not only obesity) is associated with ICU admission, but overweight is not associated with death. Background/Objectives A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study's primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19. Subjects/Methods Data on consecutive adult patients hospitalized with laboratory-confirmed COVID-19 at Amiens University Hospital (Amiens, France) were extracted retrospectively. The association between BMI categories and the composite primary endpoint (admission to the intensive care unit or death) was probed in a logistic regression analysis. Results In total, 433 patients were included, and BMI data were available for 329: 20 were underweight (6.1%), 95 have a normal weight (28.9%), 90 were overweight (27.4%), and 124 were obese (37.7%). The BMI category was associated with the primary endpoint in the fully adjusted model; the odds ratio (OR) [95% confidence interval (CI)] for overweight and obesity were respectively 1.58 [0.77-3.24] and 2.58 [1.28-5.31]. The ORs [95% CI] for ICU admission were similar for overweight (3.16 [1.29-8.06]) and obesity (3.05 [1.25-7.82]) in the fully adjusted model. The unadjusted ORs for death were similar in all BMI categories while obesity only was associated with higher risk after adjustment. Conclusions Our results suggest that overweight (and not only obesity) is associated with ICU admission, but overweight is not associated with death. A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study's primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19.BACKGROUND/OBJECTIVESA growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study's primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19.Data on consecutive adult patients hospitalized with laboratory-confirmed COVID-19 at Amiens University Hospital (Amiens, France) were extracted retrospectively. The association between BMI categories and the composite primary endpoint (admission to the intensive care unit or death) was probed in a logistic regression analysis.SUBJECTS/METHODSData on consecutive adult patients hospitalized with laboratory-confirmed COVID-19 at Amiens University Hospital (Amiens, France) were extracted retrospectively. The association between BMI categories and the composite primary endpoint (admission to the intensive care unit or death) was probed in a logistic regression analysis.In total, 433 patients were included, and BMI data were available for 329: 20 were underweight (6.1%), 95 have a normal weight (28.9%), 90 were overweight (27.4%), and 124 were obese (37.7%). The BMI category was associated with the primary endpoint in the fully adjusted model; the odds ratio (OR) [95% confidence interval (CI)] for overweight and obesity were respectively 1.58 [0.77-3.24] and 2.58 [1.28-5.31]. The ORs [95% CI] for ICU admission were similar for overweight (3.16 [1.29-8.06]) and obesity (3.05 [1.25-7.82]) in the fully adjusted model. The unadjusted ORs for death were similar in all BMI categories while obesity only was associated with higher risk after adjustment.RESULTSIn total, 433 patients were included, and BMI data were available for 329: 20 were underweight (6.1%), 95 have a normal weight (28.9%), 90 were overweight (27.4%), and 124 were obese (37.7%). The BMI category was associated with the primary endpoint in the fully adjusted model; the odds ratio (OR) [95% confidence interval (CI)] for overweight and obesity were respectively 1.58 [0.77-3.24] and 2.58 [1.28-5.31]. The ORs [95% CI] for ICU admission were similar for overweight (3.16 [1.29-8.06]) and obesity (3.05 [1.25-7.82]) in the fully adjusted model. The unadjusted ORs for death were similar in all BMI categories while obesity only was associated with higher risk after adjustment.Our results suggest that overweight (and not only obesity) is associated with ICU admission, but overweight is not associated with death.CONCLUSIONSOur results suggest that overweight (and not only obesity) is associated with ICU admission, but overweight is not associated with death. Background/ObjectivesA growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study’s primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19.Subjects/MethodsData on consecutive adult patients hospitalized with laboratory-confirmed COVID-19 at Amiens University Hospital (Amiens, France) were extracted retrospectively. The association between BMI categories and the composite primary endpoint (admission to the intensive care unit or death) was probed in a logistic regression analysis.ResultsIn total, 433 patients were included, and BMI data were available for 329: 20 were underweight (6.1%), 95 have a normal weight (28.9%), 90 were overweight (27.4%), and 124 were obese (37.7%). The BMI category was associated with the primary endpoint in the fully adjusted model; the odds ratio (OR) [95% confidence interval (CI)] for overweight and obesity were respectively 1.58 [0.77–3.24] and 2.58 [1.28–5.31]. The ORs [95% CI] for ICU admission were similar for overweight (3.16 [1.29–8.06]) and obesity (3.05 [1.25–7.82]) in the fully adjusted model. The unadjusted ORs for death were similar in all BMI categories while obesity only was associated with higher risk after adjustment.ConclusionsOur results suggest that overweight (and not only obesity) is associated with ICU admission, but overweight is not associated with death. Background/Objectives A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study’s primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19. Subjects/Methods Data on consecutive adult patients hospitalized with laboratory-confirmed COVID-19 at Amiens University Hospital (Amiens, France) were extracted retrospectively. The association between BMI categories and the composite primary endpoint (admission to the intensive care unit or death) was probed in a logistic regression analysis. Results In total, 433 patients were included, and BMI data were available for 329: 20 were underweight (6.1%), 95 have a normal weight (28.9%), 90 were overweight (27.4%), and 124 were obese (37.7%). The BMI category was associated with the primary endpoint in the fully adjusted model; the odds ratio (OR) [95% confidence interval (CI)] for overweight and obesity were respectively 1.58 [0.77–3.24] and 2.58 [1.28–5.31]. The ORs [95% CI] for ICU admission were similar for overweight (3.16 [1.29–8.06]) and obesity (3.05 [1.25–7.82]) in the fully adjusted model. The unadjusted ORs for death were similar in all BMI categories while obesity only was associated with higher risk after adjustment. Conclusions Our results suggest that overweight (and not only obesity) is associated with ICU admission, but overweight is not associated with death. A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study's primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19. In total, 433 patients were included, and BMI data were available for 329: 20 were underweight (6.1%), 95 have a normal weight (28.9%), 90 were overweight (27.4%), and 124 were obese (37.7%). The BMI category was associated with the primary endpoint in the fully adjusted model; the odds ratio (OR) [95% confidence interval (CI)] for overweight and obesity were respectively 1.58 [0.77-3.24] and 2.58 [1.28-5.31]. The ORs [95% CI] for ICU admission were similar for overweight (3.16 [1.29-8.06]) and obesity (3.05 [1.25-7.82]) in the fully adjusted model. The unadjusted ORs for death were similar in all BMI categories while obesity only was associated with higher risk after adjustment. Our results suggest that overweight (and not only obesity) is associated with ICU admission, but overweight is not associated with death. |
| Audience | Academic |
| Author | Moyet, Julien Maizel, Julien Schmit, Jean-Luc Lalau, Jean-Daniel Al-Salameh, Abdallah Vaysse, Benoit Andrejak, Claire Desailloud, Rachel Lanoix, Jean-Philippe Goeb, Vincent Dupont, Hervé Ganry, Olivier Deschasse, Guillaume Jaureguy, Maité Bennis, Youssef Brochot, Etienne Lion, Sylvie |
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| BackLink | https://cir.nii.ac.jp/crid/1872272492900695296$$DView record in CiNii https://www.ncbi.nlm.nih.gov/pubmed/33221825$$D View this record in MEDLINE/PubMed https://u-picardie.hal.science/hal-03547673$$DView record in HAL |
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| PublicationTitle | International Journal of Obesity |
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| References_xml | – ident: CR19 – volume: 108 start-page: 154262 year: 2020 ident: CR5 article-title: Severe obesity, increasing age and male sex are independently associated with worse in-hospital outcomes, and higher in-hospital mortality, in a cohort of patients with COVID-19 in the Bronx, New York publication-title: Metabolism doi: 10.1016/j.metabol.2020.154262 – volume: 307 start-page: 2526 year: 2012 end-page: 33 ident: CR14 article-title: Acute respiratory distress syndrome: the Berlin Definition publication-title: J Am Med Assoc – ident: CR15 – ident: CR2 – ident: CR16 – volume: 8 start-page: 475 year: 2020 end-page: 81 ident: CR12 article-title: Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study publication-title: Lancet Respir Med doi: 10.1016/S2213-2600(20)30079-5 – ident: CR17 – volume: 395 start-page: 1054 year: 2020 end-page: 62 ident: CR13 article-title: Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study publication-title: Lancet Lond Engl doi: 10.1016/S0140-6736(20)30566-3 – volume: 368 start-page: m1201 year: 2020 ident: CR18 article-title: Covid-19: most patients require mechanical ventilation in first 24 h of critical care publication-title: BMJ doi: 10.1136/bmj.m1201 – year: 2020 ident: CR3 article-title: High prevalence of obesity in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) requiring invasive mechanical ventilation publication-title: Obes Silver Spring Md doi: 10.1002/oby.22831. – ident: CR10 – ident: CR9 – volume: 369 start-page: m1966 year: 2020 ident: CR8 article-title: Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: prospective cohort study publication-title: BMJ doi: 10.1136/bmj.m1966 – year: 2020 ident: CR4 article-title: Morbid Obesity as an Independent Risk Factor for COVID-19 Mortality in Hospitalized Patients Younger than 50 publication-title: Obes Silver Spring Md doi: 10.1002/oby.22913. – volume: 369 start-page: m1985 year: 2020 ident: CR6 article-title: Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study publication-title: BMJ doi: 10.1136/bmj.m1985 – ident: CR7 – volume: 69 start-page: 458 year: 2020 end-page: 64 ident: CR1 article-title: Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019 - COVID-NET, 14 states, March 1-30, 2020 publication-title: MMWR Morb Mortal Wkly Rep doi: 10.15585/mmwr.mm6915e3 – volume: 12 year: 2014 ident: CR11 article-title: Obesity survival paradox in pneumonia: a meta-analysis publication-title: BMC Med doi: 10.1186/1741-7015-12-61 – volume: 11 year: 2016 ident: CR20 article-title: ‘Obesity Paradox’ in acute respiratory distress syndrome: asystematic review and meta-analysis publication-title: PloS ONE doi: 10.1371/journal.pone.0163677 – ident: 721_CR2 doi: 10.1001/jama.2020.6775 – volume: 108 start-page: 154262 year: 2020 ident: 721_CR5 publication-title: Metabolism doi: 10.1016/j.metabol.2020.154262 – volume: 368 start-page: m1201 year: 2020 ident: 721_CR18 publication-title: BMJ doi: 10.1136/bmj.m1201 – ident: 721_CR17 – volume: 12 year: 2014 ident: 721_CR11 publication-title: BMC Med doi: 10.1186/1741-7015-12-61 – volume: 369 start-page: m1985 year: 2020 ident: 721_CR6 publication-title: BMJ doi: 10.1136/bmj.m1985 – volume: 69 start-page: 458 year: 2020 ident: 721_CR1 publication-title: MMWR Morb Mortal Wkly Rep doi: 10.15585/mmwr.mm6915e3 – ident: 721_CR16 doi: 10.1016/S2213-8587(20)30160-1 – year: 2020 ident: 721_CR4 publication-title: Obes Silver Spring Md doi: 10.1002/oby.22913. – volume: 307 start-page: 2526 year: 2012 ident: 721_CR14 publication-title: J Am Med Assoc – ident: 721_CR19 doi: 10.1002/oby.22859 – ident: 721_CR7 doi: 10.1093/cid/ciaa415 – ident: 721_CR9 doi: 10.1038/s41586-020-2521-4 – ident: 721_CR10 doi: 10.1038/s41574-020-0364-6 – ident: 721_CR15 – year: 2020 ident: 721_CR3 publication-title: Obes Silver Spring Md doi: 10.1002/oby.22831. – volume: 8 start-page: 475 year: 2020 ident: 721_CR12 publication-title: Lancet Respir Med doi: 10.1016/S2213-2600(20)30079-5 – volume: 369 start-page: m1966 year: 2020 ident: 721_CR8 publication-title: BMJ doi: 10.1136/bmj.m1966 – volume: 11 year: 2016 ident: 721_CR20 publication-title: PloS ONE doi: 10.1371/journal.pone.0163677 – volume: 395 start-page: 1054 year: 2020 ident: 721_CR13 publication-title: Lancet Lond Engl doi: 10.1016/S0140-6736(20)30566-3 |
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A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study’s primary objective was to assess... A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study's primary objective was to assess the association... Background/Objectives A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study's primary objective was to assess... Background/ObjectivesA growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19). Our study’s primary objective was to assess... |
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| SubjectTerms | 692/308/174 692/699/2743/393 [SDV]Life Sciences [q-bio] Aged Aged, 80 and over Body Mass Index Body size Body weight Brief Communication Categories Confidence intervals Coronaviridae Coronaviruses COVID-19 COVID-19 - complications COVID-19 - epidemiology COVID-19 - mortality COVID-19 - therapy Death Endocrinology, Diabetes and Metabolism Epidemiology Female France Health Promotion and Disease Prevention Hospital patients Hospitalization Hospitalization - statistics & numerical data Humans Intensive Care Units Internal Medicine Life Sciences Male Medical research Medicine Medicine & Public Health Medicine (miscellaneous) Medicine, Experimental Metabolic Diseases Mortality Nutrition and Dietetics Obesity Obesity - complications Overweight Overweight - complications Patient outcomes Physiological aspects Public Health Regression analysis Retrospective Studies Statistical analysis Underweight Viral diseases |
| Title | The association between body mass index class and coronavirus disease 2019 outcomes |
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