Differences in mortality rate among patients hospitalized with severe COVID‐19 according to their body mass index.

2021 ◽  
Author(s):  
Alejandra Albarrán‐Sánchez ◽  
Claudia Ramírez‐Rentería ◽  
Juan C. Anda‐Garay ◽  
Maura E. Noyola‐García ◽  
Paolo Alberti‐Minutti ◽  
...  
2020 ◽  
Vol 6 (2) ◽  
pp. 00101-2019 ◽  
Author(s):  
Hanna-Riikka Kreivi ◽  
Tuomas Itäluoma ◽  
Adel Bachour

IntroductionThe prevalence of obesity is continually increasing worldwide, which increases the incidence of obesity hypoventilation syndrome (OHS) and its consequent mortality.MethodsWe reviewed the therapy mode, comorbidity and mortality of all OHS patients treated at our hospital between 2005 and 2016. The control group consisted of randomly selected patients with obstructive sleep apnoea (OSA) treated during the same period.ResultsWe studied 206 OHS patients and 236 OSA patients. The OHS patients were older (56.3 versus 52.3 years, p<0.001) and heavier (body mass index 46.1 versus 32.2 kg·m−2, p<0.001), and the percentage of women was higher (41.2% versus 24.2%, p<0.001), respectively. The OHS patients had more hypertension (83% versus 61%, p<0.001) and diabetes (62% versus 31%, p<0.001) than the OSA patients, but no higher stroke (4% versus 8%, p=0.058) or ischaemic heart disease (14% versus 15%, p=0.437) incidence. The 5- and 10-year, unadjusted survival rates were lower among the OHS patients than among the OSA patients (83% versus 96% and 74% versus 91%, respectively; p<0.001). Differences in mortality rates were not related to age, sex or body mass index; covariates such as Charlson Comorbidity Index and ventilation therapy predicted survival. The mortality rate decreased significantly (p<0.001) both in OHS and OSA patients even after adjusting for covariates.ConclusionsThe mortality rate in OHS was significantly higher than that in OSA patients even after adjusting for covariates. Ventilation therapy by continuous positive airway pressure or noninvasive ventilation have reduced mortality significantly in all patients.


2020 ◽  
Vol 9 (5) ◽  
pp. 1289
Author(s):  
Chang Seong Kim ◽  
Kyung-Do Han ◽  
Hong Sang Choi ◽  
Eun Hui Bae ◽  
Seong Kwon Ma ◽  
...  

In this study based on a large nationally representative sample of Korean adults, we investigated the potential associations of the body mass index (BMI) and waist circumference (WC) with mortality in patients undergoing hemodialysis. We obtained the data of 18,699 participants >20 years of age who were followed up with for 4 years and for whom BMI and WC information were available, using a nationally representative dataset from the Korean National Health Insurance System. Patients were stratified into five levels by their baseline BMI and into six levels by their WC (5-cm increments). A total of 4975 deaths occurred during a median follow-up period of 48.2 months. Participants with a higher BMI had a lower mortality rate than those with a lower BMI. In a fully adjusted Cox regression analysis, being overweight and obese was associated with a significantly lower relative risk of all-cause mortality relative to the reference group. Conversely, the mortality rate was higher among participants with a high WC than among those with a low WC. Participants with the highest WC had a higher risk of mortality, while those with the lowest WC level had a significantly lower risk of mortality. In conclusion, all-cause mortality was positively associated with WC, a measure of abdominal obesity, and inversely associated with BMI, a measure of body volume, in patients undergoing hemodialysis.


Author(s):  
Rubavel M ◽  
Jonas Richard A ◽  
Winnie Joyce A

<span lang="EN-IN">Adolescence is a critical period of life. This is a time of rapid development of the body, brain, and behaviours. They undergo puberty changes and also face difficulties that may affect health throughout life which is a setback for the growth of adolescent girls. It is important to study the nutritional status of adolescent girls. The study has been taken up on the Nutritional aspects of the Adolescent girls to focus on the Socio-Economic conditions of the families, Nutritional intake of the Adolescent Girls, and status of Body Mass Index (BMI) and Mid Upper Arm Circumference (MUAC) among the adolescents and to suggest recommendation to improve the Nutritional status of adolescent girls. This study would help to create a positive effect in reducing health problems and bring out strategies to improve the health condition of Adolescent Girls. It would help to create a positive effect on the problem of Maternal Mortality Ratio, Infant Mortality Rate, Neonatal Mortality Rate, and Crude Birth Rate. It may help to reduce the drop-out rate in school as well as in pursuing Higher Education. This study focuses on the situational analysis of the nutritional status of adolescents by measuring the BMI (Body Mass Index) in the rural villages of Karnataka, India, and suggests intervention strategies and proposes policies to enhance the health of the adolescent girls.</span>


2018 ◽  
Vol 55 (6) ◽  
pp. 569-577 ◽  
Author(s):  
Rezvan Salehidoost ◽  
Asieh Mansouri ◽  
Massoud Amini ◽  
Sima Aminorroaya Yamini ◽  
Ashraf Aminorroaya

2011 ◽  
Vol 36 (8) ◽  
pp. 1121-1126 ◽  
Author(s):  
K R Fontaine ◽  
R McCubrey ◽  
T Mehta ◽  
N M Pajewski ◽  
S W Keith ◽  
...  

2020 ◽  
Author(s):  
Ata Mahmoodpoor ◽  
Fahimeh Karrubi ◽  
Mohammad-Salar Hosseini ◽  
Afshin Iranpour ◽  
Sarvin Sanaie

Abstract Background: Obesity, a wide-ranging disorder all around the world, is associated with significant morbidity and mortality in the general population. Regarding the present controversies, this study aims to evaluate the possible association of body mass index (BMI) and mortality in patients admitted to intensive care units.Methods: During this cross-sectional study, all patients admitted to the intensive care unit of two university affiliated hospitals in northwest of Iran from November 2017 to March 2019 were enrolled. The demographic characteristics of patients, length of stay in the intensive care unit and hospital, organ failure, mortality, duration of mechanical ventilation and vasopressor-therapy, type of nutrition, the occurrence of nosocomial infection, type of admission (medical, surgical, trauma) were recorded for all patients. According to the WHO classification of BMI, patients were divided into the six groups, and the data were analyzed accordingly.Results: Of the 502 patients studied, 267 were male (53.2%) and 235 were female (46.8%). The highest mortality rate was observed among the obesity class II patients (35 < BMI < 40) with 28.6%, while the lowest rate was observed in the normal-weight patients (18.5 < BMI < 25) with 3.9%. The highest length of hospital stay was seen in patients with BMI > 30 with 12 days of hospitalizations. APACHE II and waist circumference had a statistically significant relationship with the mortality rate of patients (P-value < 0.001).Conclusion: The current study showed that BMI could be related to mortality, regardless of waist circumference and APACHE II score. However, considering waist circumference and APACHE II score as confounding factors, BMI does not have a significant effect on mortality and only affect the morbidity of patients.


2015 ◽  
Vol 46 (2) ◽  
pp. 399-406 ◽  
Author(s):  
Hyemin Jang ◽  
Jong Hun Kim ◽  
Seong Hye Choi ◽  
Yunhwan Lee ◽  
Chang Hyung Hong ◽  
...  

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Sarvin Sanaie ◽  
Mohammad-Salar Hosseini ◽  
Fahimeh Karrubi ◽  
Afshin Iranpour ◽  
Ata Mahmoodpoor

Background: Obesity is a severe multifactorial disorder that carries high morbidity and mortality. Objectives: This study aimed to evaluate the possible association between body mass index (BMI) and mortality in patients admitted to intensive care units (ICU). Methods: In this cross-sectional study, all patients admitted to the ICU were studied. The demographic characteristics, ICU, and hospital length of stay, organ failure, mortality, duration of mechanical ventilation, the occurrence of nosocomial infection, and type of admission were recorded for all patients. Patients were categorized based on their BMI. Results: In total, 502 patients were studied who 53.2% of them were male. Most of the death (28.6%) were recorded in the obesity class II patients, while the lowest rate (3.9%) was for the normal-weight patients (P value < 0.001). The APACHE II and waist circumference had a statistically significant association with the mortality rate (P value < 0.001). After adjusting for age and gender, a significant association was found between waist circumference and mortality rate (OR = 1.15, 95% CI = 1.03 - 1.29; P value = 0.014), APACHE II score, and mortality rate (OR = 2.79, 95% CI = 1.91 - 4.07, P value < 0.001); but there was no significant association between BMI and mortality rate. Conclusions: This study demonstrated that BMI is associated with an increased risk of mortality, regardless of age and gender. However, after adjusting for age and gender as confounding factors, BMI didn’t have a significant effect on mortality, while the APACHE II score and waist circumference affected the mortality rate.


Author(s):  
K. Karthika ◽  
Anjali Wagh

Background: India is now facing a double burden with underweight on one side, and a rapid upsurge in overweight, particularly in the urban settings on the other side. With a maternal mortality rate of 174 per100,000 live births and with an infant mortality rate of 38 per 1000 live births, there is an absolute need to focus upon the health of the mothers and thence that of the new-born. So, we planned to study the correlation between the BMI of the mother with that of the outcome of the pregnancy.Methods: 152 women, who were registered and gave birth in the respective hospitals during the study period were selected randomly and were enrolled for the study. A detailed history was taken on their socio-economic class, obstetric status, diet and body mass index was calculated. And, the anthropometry of the new borns was taken.Results: Mothers with BMI less than normal had babies of low birth weight in major proportion (86%). Mothers with BMI falling under normal range had 13% low birth weight babies. Mothers with BMI more than normal had 55.5% low birth weight babies, 29.6% normal birth weight babies and also around 15% high birth weight babies.Conclusions: There is a definite correlation between the BMI of mother and the anthropometry of the child. Any deviation from the normal body mass index of the mother is seen to be related to a change in the anthropometry of the newborn.


2016 ◽  
Vol 19 (5) ◽  
pp. E218-E223 ◽  
Author(s):  
Serkan Akarsu ◽  
Ä°rem Ä°ris Kan ◽  
Tolunay Sevingil ◽  
Mustafa Tok

Background: This study aims to investigate the effect of body mass index (BMI) on mortality and morbidity in patients undergoing coronary artery bypass grafting (CABG) surgery.Methods: We retrospectively evaluated the medical records of 403 patients undergoing coronary artery bypass surgery in our center. The patients were divided into 5 groups according to their BMI values. Preoperative demographic characteristics, operative data, and postoperative complications during the six-month follow-up period were compared between the groups. Results: There were no statistically significant differences between the groups except the coexistence of peripheral artery disease (P = .009), ejection fraction (P = .021) and chronic obstructive pulmonary disease (P = .044). There were no statistically significant differences between the groups in terms of postoperative complications. No relationship was found between postoperative complications and the implemented surgical procedures. An overall 30-day mortality rate of 1.48% was observed, and the six-month mortality rate was 1.7%.Conclusion: According to this study, obesity does not lead to an increased risk of mortality and other adverse outcomes after CABG surgery. However, obesity may prolong hospital stay and increase the cost of CABG operation.


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