Overweight and Obesity are Risk Factors for Coronavirus Disease 2019: A Propensity Score-Matched Case-Control Study

Although obesity is a risk factor for infection, whether it has the same effect on coronavirus disease 2019 (COVID-19) need confirming. We conducted a retrospective propensity score matched case-control study to examine the association between obesity and COVID-19. This study included data from the...

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Main Authors: Wonjun Ji, Rugyeom Lee, Kyungmin Huh, Minsun Kang, In Cheol Hwang, Munkhzul Radnaabaatar, Dae Ho Lee, Jaehun Jung
Format: Article
Language:English
Published: Korean Endocrine Society 2021-02-01
Series:Endocrinology and Metabolism
Subjects:
Online Access:http://www.e-enm.org/upload/pdf/enm-2020-856.pdf
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author Wonjun Ji
Rugyeom Lee
Kyungmin Huh
Minsun Kang
In Cheol Hwang
Munkhzul Radnaabaatar
Dae Ho Lee
Jaehun Jung
author_facet Wonjun Ji
Rugyeom Lee
Kyungmin Huh
Minsun Kang
In Cheol Hwang
Munkhzul Radnaabaatar
Dae Ho Lee
Jaehun Jung
author_sort Wonjun Ji
collection DOAJ
description Although obesity is a risk factor for infection, whether it has the same effect on coronavirus disease 2019 (COVID-19) need confirming. We conducted a retrospective propensity score matched case-control study to examine the association between obesity and COVID-19. This study included data from the Nationwide COVID-19 Registry and the Biennial Health Checkup database, until May 30, 2020. We identified 2,231 patients with confirmed COVID-19 and 10-fold-matched negative test controls. Overweight (body mass index [BMI] 23 to 24.9 kg/m2; adjusted odds ratio [aOR], 1.16; 95% confidence interval [CI], 1.1.03 to 1.30) and class 1 obesity (BMI 25 to 29.9 kg/m2; aOR, 1.27; 95% CI, 1.14 to 1.42) had significantly increased COVID-19 risk, while classes 2 and 3 obesity (BMI ≥30 kg/m2) showed similar but non-significant trend. Females and those <50 years had more robust association pattern. Overweight and obesity are possible risk factors of COVID-19.
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spelling doaj.art-eb86be064be143b69785bc00656a9c1d2022-12-22T02:40:00ZengKorean Endocrine SocietyEndocrinology and Metabolism2093-596X2093-59782021-02-0136119620010.3803/EnM.2020.8562134Overweight and Obesity are Risk Factors for Coronavirus Disease 2019: A Propensity Score-Matched Case-Control StudyWonjun Ji0Rugyeom Lee1Kyungmin Huh2Minsun Kang3In Cheol Hwang4Munkhzul Radnaabaatar5Dae Ho Lee6Jaehun Jung7 Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Artificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Division of Infectious Diseases, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Artificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Family Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Artificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Artificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaAlthough obesity is a risk factor for infection, whether it has the same effect on coronavirus disease 2019 (COVID-19) need confirming. We conducted a retrospective propensity score matched case-control study to examine the association between obesity and COVID-19. This study included data from the Nationwide COVID-19 Registry and the Biennial Health Checkup database, until May 30, 2020. We identified 2,231 patients with confirmed COVID-19 and 10-fold-matched negative test controls. Overweight (body mass index [BMI] 23 to 24.9 kg/m2; adjusted odds ratio [aOR], 1.16; 95% confidence interval [CI], 1.1.03 to 1.30) and class 1 obesity (BMI 25 to 29.9 kg/m2; aOR, 1.27; 95% CI, 1.14 to 1.42) had significantly increased COVID-19 risk, while classes 2 and 3 obesity (BMI ≥30 kg/m2) showed similar but non-significant trend. Females and those <50 years had more robust association pattern. Overweight and obesity are possible risk factors of COVID-19.http://www.e-enm.org/upload/pdf/enm-2020-856.pdfcovid-19obesityoverweightinfections
spellingShingle Wonjun Ji
Rugyeom Lee
Kyungmin Huh
Minsun Kang
In Cheol Hwang
Munkhzul Radnaabaatar
Dae Ho Lee
Jaehun Jung
Overweight and Obesity are Risk Factors for Coronavirus Disease 2019: A Propensity Score-Matched Case-Control Study
Endocrinology and Metabolism
covid-19
obesity
overweight
infections
title Overweight and Obesity are Risk Factors for Coronavirus Disease 2019: A Propensity Score-Matched Case-Control Study
title_full Overweight and Obesity are Risk Factors for Coronavirus Disease 2019: A Propensity Score-Matched Case-Control Study
title_fullStr Overweight and Obesity are Risk Factors for Coronavirus Disease 2019: A Propensity Score-Matched Case-Control Study
title_full_unstemmed Overweight and Obesity are Risk Factors for Coronavirus Disease 2019: A Propensity Score-Matched Case-Control Study
title_short Overweight and Obesity are Risk Factors for Coronavirus Disease 2019: A Propensity Score-Matched Case-Control Study
title_sort overweight and obesity are risk factors for coronavirus disease 2019 a propensity score matched case control study
topic covid-19
obesity
overweight
infections
url http://www.e-enm.org/upload/pdf/enm-2020-856.pdf
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