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Dos Reis EC, de Freitas Monteiro EL, Meneguci J, Rodrigues P, Palma A, Virtuoso Junior JS, Passos SRL, Borges Dos Santos MA. Body mass index and sex differences for mortality in hospitalized COVID-19 patients: a path analysis using a brazilian national database. BMC Public Health 2023; 23:1655. [PMID: 37644418 PMCID: PMC10464316 DOI: 10.1186/s12889-023-16218-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Accepted: 06/29/2023] [Indexed: 08/31/2023] Open
Abstract
Previous studies have shown that associations between obesity and other comorbidities favor worse outcomes in COVID-19. However, it is not clear how these factors interrelate and whether effects on men and women differ. We conducted an observational, cross-sectional study using a national COVID-19 inpatient database. We studied differences in direct and indirect effects of obesity and comorbidities according to sex and body mass index (BMI) categories in hospitalized COVID-19 patients in Brazil using path analysis models and logistic regression. For men, path analysis showed a direct association between BMI and death and a negative correlation of death and chronic cardiovascular disease (CCD). For women, the association of BMI and death was indirect, mediated by admission to the ICU and comorbidities and association with CCD was non-significant. In the logistic regression analyses, there was a positive association between death and BMI, age, diabetes mellitus, kidney and lung diseases and ICU admission. We highlight the need to consider the distinct impact of obesity and sex on COVID-19, of monitoring of BMI and of the design for specific male-targeted approaches to manage obesity.
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Affiliation(s)
- Erika Cardoso Dos Reis
- Escola de Nutrição, Departamento de Nutrição Clínica e Social, Universidade Federal de Ouro Preto, Minas Gerais, Rua Dois, Campus Morro do Cruzeiro, Ouro Preto, Ouro Preto, MG, CEP 35.400-000, Brasil.
| | - Elma Lúcia de Freitas Monteiro
- Universidade Federal do Triângulo Mineiro. Programa de Pós Graduação em Atenção à Saúde, Av. Frei Paulino, nº 30 - Bairro Abadia, Uberaba, Minas Gerais, CEP: 38025-180, Brasil
| | - Joilson Meneguci
- Universidade Federal do Triângulo Mineiro. Programa de Pós Graduação em Atenção à Saúde, Av. Frei Paulino, nº 30 - Bairro Abadia, Uberaba, Minas Gerais, CEP: 38025-180, Brasil
| | - Phillipe Rodrigues
- Escola de Educação Física e Desportos, Universidade Federal do Rio de Janeiro, Av. Carlos Chagas Filho, 540 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro - RJ, Rio de Janeiro, RJ, CEP: 21941-599, Brasil
| | - Alexandre Palma
- Universidade Federal do Triângulo Mineiro. Programa de Pós Graduação em Atenção à Saúde, Av. Frei Paulino, nº 30 - Bairro Abadia, Uberaba, Minas Gerais, CEP: 38025-180, Brasil
| | - Jair Sindra Virtuoso Junior
- Universidade Federal do Triângulo Mineiro, Programa de Pós Graduação em Atenção à Saúde, Av. Frei Paulino, nº 30 - Bairro Abadia, Uberaba, Minas Gerais, CEP: 38025-180, Brasil
| | - Sonia Regina Lambert Passos
- Instituto Nacional de Infectologia Evandro Chagas (INI/FIOCRUZ), Av. Brasil, 4036, sala 201 A - Manguinhos, Rio de Janeiro, CEP: 21040-360, Brasil
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Yazdanbakhsh M, Saghaei Dehkordi S. An Overview of Published Articles in Archives of Academic Emergency Medicine in 2021. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE 2022; 10:e18. [PMID: 35402996 PMCID: PMC8986493 DOI: 10.22037/aaem.v10i1.1555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Mehrnoosh Yazdanbakhsh
- Journal Office, Emergency Ward, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Somayeh Saghaei Dehkordi
- Journal Office, Emergency Ward, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,Corresponding author: Somayeh Saghaei Dehkordi; Emergency Ward, Shohadaye Tajrish Hospital, Shahrdari Avenue, Tajrish Square, Tehran, Iran. Tel: 00989388136564
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Statsenko Y, Al Zahmi F, Habuza T, Almansoori TM, Smetanina D, Simiyu GL, Neidl-Van Gorkom K, Ljubisavljevic M, Awawdeh R, Elshekhali H, Lee M, Salamin N, Sajid R, Kiran D, Nihalani S, Loney T, Bedson A, Dehdashtian A, Al Koteesh J. Impact of Age and Sex on COVID-19 Severity Assessed From Radiologic and Clinical Findings. Front Cell Infect Microbiol 2022; 11:777070. [PMID: 35282595 PMCID: PMC8913498 DOI: 10.3389/fcimb.2021.777070] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 12/17/2021] [Indexed: 12/25/2022] Open
Abstract
Background Data on the epidemiological characteristics and clinical features of COVID-19 in patients of different ages and sex are limited. Existing studies have mainly focused on the pediatric and elderly population. Objective Assess whether age and sex interact with other risk factors to influence the severity of SARS-CoV-2 infection. Material and Methods The study sample included all consecutive patients who satisfied the inclusion criteria and who were treated from 24 February to 1 July 2020 in Dubai Mediclinic Parkview (560 cases) and Al Ain Hospital (605 cases), United Arab Emirates. We compared disease severity estimated from the radiological findings among patients of different age groups and sex. To analyze factors associated with an increased risk of severe disease, we conducted uni- and multivariate regression analyses. Specifically, age, sex, laboratory findings, and personal risk factors were used to predict moderate and severe COVID-19 with conventional machine learning methods. Results Need for O2 supplementation was positively correlated with age. Intensive care was required more often for men of all ages (p < 0.01). Males were more likely to have at least moderate disease severity (p = 0.0083). These findings were aligned with the results of biochemical findings and suggest a direct correlation between older age and male sex with a severe course of the disease. In young males (18–39 years), the percentage of the lung parenchyma covered with consolidation and the density characteristics of lesions were higher than those of other age groups; however, there was no marked sex difference in middle-aged (40–64 years) and older adults (≥65 years). From the univariate analysis, the risk of the non-mild COVID-19 was significantly higher (p < 0.05) in midlife adults and older adults compared to young adults. The multivariate analysis provided similar findings. Conclusion Age and sex were important predictors of disease severity in the set of data typically collected on admission. Sexual dissimilarities reduced with age. Age disparities were more pronounced if studied with the clinical markers of disease severity than with the radiological markers. The impact of sex on the clinical markers was more evident than that of age in our study.
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Affiliation(s)
- Yauhen Statsenko
- College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
- *Correspondence: Yauhen Statsenko, ; Fatmah Al Zahmi, ; Jamal Al Koteesh,
| | - Fatmah Al Zahmi
- Mediclinic Parkview Hospital, Dubai, United Arab Emirates
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
- *Correspondence: Yauhen Statsenko, ; Fatmah Al Zahmi, ; Jamal Al Koteesh,
| | - Tetiana Habuza
- College of Information Technology, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Taleb M. Almansoori
- College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Darya Smetanina
- College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Gillian Lylian Simiyu
- College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Klaus Neidl-Van Gorkom
- College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Milos Ljubisavljevic
- College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Rasha Awawdeh
- Mediclinic Parkview Hospital, Dubai, United Arab Emirates
| | | | - Martin Lee
- Mediclinic Parkview Hospital, Dubai, United Arab Emirates
| | - Nassim Salamin
- Mediclinic Parkview Hospital, Dubai, United Arab Emirates
| | - Ruhina Sajid
- Mediclinic Parkview Hospital, Dubai, United Arab Emirates
| | - Dhanya Kiran
- Mediclinic Parkview Hospital, Dubai, United Arab Emirates
| | | | - Tom Loney
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Antony Bedson
- Radiology Department, Sheikh Shakhbout Medical City, Al Ain, United Arab Emirates
| | | | - Jamal Al Koteesh
- College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
- Radiology Department, Tawam Hospital, Al Ain, United Arab Emirates
- *Correspondence: Yauhen Statsenko, ; Fatmah Al Zahmi, ; Jamal Al Koteesh,
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