The Role of Obesity in the Poor Prognosis of COVID-19 Infection: A Review of 192 Patients

Context. COVID-19 pandemic affects the whole world and continues to impact the health system daily. It also led to a high rate of hospitalizations, some of which required admission to the intensive care units. At the same time, obesity has been a major health problem for many years and continues to...

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Main Authors: Ziad Feghaly, Rany Aoun, Christian Mouawad, Bilal Chamaa, Houssam Dahboul, Serge Kassar, Michael Osseis, Roger Noun, Ghassan Chakhtoura
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Interdisciplinary Perspectives on Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2024/7212355
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author Ziad Feghaly
Rany Aoun
Christian Mouawad
Bilal Chamaa
Houssam Dahboul
Serge Kassar
Michael Osseis
Roger Noun
Ghassan Chakhtoura
author_facet Ziad Feghaly
Rany Aoun
Christian Mouawad
Bilal Chamaa
Houssam Dahboul
Serge Kassar
Michael Osseis
Roger Noun
Ghassan Chakhtoura
author_sort Ziad Feghaly
collection DOAJ
description Context. COVID-19 pandemic affects the whole world and continues to impact the health system daily. It also led to a high rate of hospitalizations, some of which required admission to the intensive care units. At the same time, obesity has been a major health problem for many years and continues to worsen. These two pandemics appear to be converging since obesity increasingly appears to be a poor prognostic factor for COVID-19 infection. Methods. We performed a retrospective study on all patients having COVID-19 infection and admitted to our institution between March 2020 and June 2021. Inclusion criteria included any patient over the age of 18 admitted to our institution’s COVID-19 unit, or intensive care unit, with a positive COVID-19 PCR or positive COVID-19 serology (IgM). Results. 192 patients met the inclusion criteria, with an average age of 62.68 years and a slight male predominance (64.58%). 76.04% of hospitalized patients and 80% of those admitted to the ICU were either overweight or obese. No statistically significant difference was found regarding the risk of in-hospital mortality and invasive ventilation. The same applies to the length of stay, admission to intensive care, O2 needs, and for the various complications (all p values were >0.05). Patients with obesity type II and III have an increased risk of cardiac arrests and need for intubation and mechanical ventilation. Conclusion. Obesity tends to be a major risk factor for a pejorative evolution in the COVID-19 infection.
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spelling doaj-art-545a79aeab3d4a6c853f6ee975d157bd2025-08-20T03:18:11ZengWileyInterdisciplinary Perspectives on Infectious Diseases1687-70982024-01-01202410.1155/2024/7212355The Role of Obesity in the Poor Prognosis of COVID-19 Infection: A Review of 192 PatientsZiad Feghaly0Rany Aoun1Christian Mouawad2Bilal Chamaa3Houssam Dahboul4Serge Kassar5Michael Osseis6Roger Noun7Ghassan Chakhtoura8Department of Digestive SurgeryDepartment of Digestive SurgeryDepartment of Digestive SurgeryDepartment of Digestive SurgeryDepartment of Digestive SurgeryDepartment of Digestive SurgeryDepartment of Digestive SurgeryDepartment of Digestive SurgeryDepartment of Digestive SurgeryContext. COVID-19 pandemic affects the whole world and continues to impact the health system daily. It also led to a high rate of hospitalizations, some of which required admission to the intensive care units. At the same time, obesity has been a major health problem for many years and continues to worsen. These two pandemics appear to be converging since obesity increasingly appears to be a poor prognostic factor for COVID-19 infection. Methods. We performed a retrospective study on all patients having COVID-19 infection and admitted to our institution between March 2020 and June 2021. Inclusion criteria included any patient over the age of 18 admitted to our institution’s COVID-19 unit, or intensive care unit, with a positive COVID-19 PCR or positive COVID-19 serology (IgM). Results. 192 patients met the inclusion criteria, with an average age of 62.68 years and a slight male predominance (64.58%). 76.04% of hospitalized patients and 80% of those admitted to the ICU were either overweight or obese. No statistically significant difference was found regarding the risk of in-hospital mortality and invasive ventilation. The same applies to the length of stay, admission to intensive care, O2 needs, and for the various complications (all p values were >0.05). Patients with obesity type II and III have an increased risk of cardiac arrests and need for intubation and mechanical ventilation. Conclusion. Obesity tends to be a major risk factor for a pejorative evolution in the COVID-19 infection.http://dx.doi.org/10.1155/2024/7212355
spellingShingle Ziad Feghaly
Rany Aoun
Christian Mouawad
Bilal Chamaa
Houssam Dahboul
Serge Kassar
Michael Osseis
Roger Noun
Ghassan Chakhtoura
The Role of Obesity in the Poor Prognosis of COVID-19 Infection: A Review of 192 Patients
Interdisciplinary Perspectives on Infectious Diseases
title The Role of Obesity in the Poor Prognosis of COVID-19 Infection: A Review of 192 Patients
title_full The Role of Obesity in the Poor Prognosis of COVID-19 Infection: A Review of 192 Patients
title_fullStr The Role of Obesity in the Poor Prognosis of COVID-19 Infection: A Review of 192 Patients
title_full_unstemmed The Role of Obesity in the Poor Prognosis of COVID-19 Infection: A Review of 192 Patients
title_short The Role of Obesity in the Poor Prognosis of COVID-19 Infection: A Review of 192 Patients
title_sort role of obesity in the poor prognosis of covid 19 infection a review of 192 patients
url http://dx.doi.org/10.1155/2024/7212355
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