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Association between being underweight and excess body weight before SARS coronavirus type 2 infection and clinical outcomes of coronavirus disease 2019: Multicenter study.


ABSTRACT:

Objectives

The present study aimed to identify associations between extremes in body weight status (underweight and excess body weight) before a COVID-19 diagnosis and clinical outcomes in patients infected with SARS coronavirus type 2.

Methods

A multicenter cohort study was conducted in eight different states in northeastern Brazil. Demographic, clinical (previous diagnosis of comorbidities), and anthropometric (self-reported weight and height) data about individuals who tested positive for COVID-19 were collected. Outcomes included hospitalization, mechanical ventilation, and death. Multivariable logistic regression models, adjusted based on age, sex and previous comorbidities, were used to assess the effects of extremes in body weight status on clinical outcomes.

Results

A total of 1308 individuals were assessed (33.6% were elderly individuals). The univariable analyses showed that only hospitalization was more often observed among underweight (3.2% versus 1.2%) and overweight (68.1% versus 63.3%) individuals. In turn, cardiovascular diseases were more often observed in all clinical outcomes (hospitalization: 19.7% versus 4.8%; mechanical ventilation: 19.9% versus 13.5%; death: 21.8% versus 14.1%). Based on the multivariable analysis, body weight status was not associated with risk of hospitalization (underweight: odds ratio [OR]: 1.10; 95% confidence interval [CI] 95%, 0.50-2.41 and excess body weight: OR: 0.81; 95 CI, 0.57-1.14), mechanical ventilation (underweight: OR: 0.92; 95% CI, 0.52-1.62 and excess weight: OR: 0.90; 95% CI, 0.67-1.19), and death (underweight: OR: 0.61; 95% CI, 0.31-1.20 and excess body weight: OR 0.88; 95% CI, 0.63-1.23).

Conclusions

Being underweight and excess body weight were not independently associated with clinical outcomes in patients with COVID-19 in the herein analyzed cohort. This finding indicates that the association between these variables may be confounded by both age and comorbidities.

SUBMITTER: Barros-Neto JA 

PROVIDER: S-EPMC8975608 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Association between being underweight and excess body weight before SARS coronavirus type 2 infection and clinical outcomes of coronavirus disease 2019: Multicenter study.

Barros-Neto João Araújo JA   Mello Carolina Santos CS   Vasconcelos Sandra Mary Lima SML   Bádue Gabriel Soares GS   Ferreira Raphaela Costa RC   Andrade Maria Izabel Siqueira de MIS   Nascimento Carlos Queiroz do CQD   Macena Mateus de Lima ML   Silva José Adailton da JAD   Clemente Heleni Aires HA   Petribu Marina de Moraes Vasconcelos MMV   Dourado Keila Fernandes KF   Pinho Claudia Porto Sabino CPS   Vieira Renata Adrielle Lima RAL   Mello Leilah Barbosa de LB   Neves Mariana Brandão das MBD   Jesus Camila Anjos de CA   Santos Tatiana Maria Palmeira Dos TMPD   Soares Bruna Lúcia de Mendonça BLM   Medeiros Larissa de Brito LB   França Amanda Pereira de AP   Sales Ana Lina de Carvalho Cunha ALCC   Furtado Elane Viana Hortegal EVH   Oliveira Alane Cabral AC   Farias Fernanda Orrico FO   Freitas Mariana Carvalho MC   Bueno Nassib Bezerra NB  

Nutrition (Burbank, Los Angeles County, Calif.) 20220401


<h4>Objectives</h4>The present study aimed to identify associations between extremes in body weight status (underweight and excess body weight) before a COVID-19 diagnosis and clinical outcomes in patients infected with SARS coronavirus type 2.<h4>Methods</h4>A multicenter cohort study was conducted in eight different states in northeastern Brazil. Demographic, clinical (previous diagnosis of comorbidities), and anthropometric (self-reported weight and height) data about individuals who tested p  ...[more]

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