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Association between obesity and hospitalization in mild COVID-19 adult outpatients in Brazil: a prospective cohort study
Sartor, Ivaine Tais Sauthier; David, Caroline Nespolo de; Telo, Gabriela Heiden; Zavaglia, Gabriela Oliveira; Fernandes, Ingrid Rodrigues; Kern, Luciane Beatriz; Polese-Bonatto, Márcia; Azevedo, Thaís Raupp; Santos, Amanda Paz; Almeida, Walquiria Aparecida Ferreira de; Porto, Victor Bertollo Gomes; Varela, Fernanda Hammes; Scotta, Marcelo Comerlato; Rosa, Regis Goulart; Stein, Renato T..
  • Sartor, Ivaine Tais Sauthier; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • David, Caroline Nespolo de; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Telo, Gabriela Heiden; Pontifícia Universidade Católica do Rio Grande do Sul. Faculdade de Medicina. Porto Alegre. BR
  • Zavaglia, Gabriela Oliveira; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Fernandes, Ingrid Rodrigues; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Kern, Luciane Beatriz; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Polese-Bonatto, Márcia; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Azevedo, Thaís Raupp; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Santos, Amanda Paz; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Almeida, Walquiria Aparecida Ferreira de; Ministério da Saúde do Brasil. Programa Nacional de Imunizações. Brasília. BR
  • Porto, Victor Bertollo Gomes; Ministério da Saúde do Brasil. Programa Nacional de Imunizações. Brasília. BR
  • Varela, Fernanda Hammes; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Scotta, Marcelo Comerlato; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Rosa, Regis Goulart; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
  • Stein, Renato T.; Hospital Moinhos de Vento. Responsabilidade Social. Porto Alegre. BR
Arch. endocrinol. metab. (Online) ; 66(4): 512-521, July-Aug. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1403225
ABSTRACT
ABSTRACT

Objective:

To evaluate the association between obesity and hospitalization in mild COVID-19 adult outpatients in Brazil. Subjects and

methods:

Adults with signs and symptoms suggestive of acute SARS-CoV-2 infection who sought treatment in two hospital (public and private) emergency departments were prospectively enrolled. Patients with confirmed COVID-19 at inclusion were followed by phone calls at days D7, D14 and D28. Multivariable logistic regression models were employed to explore the association between obesity and other potential predictors for hospitalization.

Results:

A total of 1,050 participants were screened, and 297 completed the 28-day follow-up and were diagnosed with COVID-19 by RT-PCR. The median age was 37.2 (IQR 29.7-44.6) years, and 179 (60.0%) were female. The duration of symptoms was 3.0 (IQR 2.0-5.0) days, and 10.0 (IQR 8.0-12.0) was the median number of symptoms at inclusion. Ninety-five (32.0%) individuals had obesity, and 233 (78.5%) had no previous medical conditions. Twenty-three participants (7.7%) required hospitalization during the follow-up period. After adjusting, obesity (BMI ≥ 30.0 kg/m2) (OR = 2.69, 95% CI 1.63-4.83, P < 0.001) and older age (OR = 1.05, 95% CI 1.01-1.09, P < 0.001) were significantly associated with higher risks of hospitalization.

Conclusion:

Obesity, followed by aging, was the main factor associated with hospital admission for COVID-19 in a young population in a low-middle income country. Our findings highlighted the need to promote additional protection for individuals with obesity, such as vaccination, and to encourage lifestyle changes.


Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study / Prognostic study / Risk factors Country/Region as subject: South America / Brazil Language: English Journal: Arch. endocrinol. metab. (Online) Journal subject: Endocrinology / Metabolism Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Moinhos de Vento/BR / Ministério da Saúde do Brasil/BR / Pontifícia Universidade Católica do Rio Grande do Sul/BR

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Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study / Prognostic study / Risk factors Country/Region as subject: South America / Brazil Language: English Journal: Arch. endocrinol. metab. (Online) Journal subject: Endocrinology / Metabolism Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Moinhos de Vento/BR / Ministério da Saúde do Brasil/BR / Pontifícia Universidade Católica do Rio Grande do Sul/BR