Association between being underweight and excess body weight before SARS coronavirus type 2 infection and clinical outcomes of coronavirus disease 2019: Multicenter study

dc.contributor.authorSilva, José Adailton da
dc.contributor.authorBarros-Neto, Joao Araujo
dc.contributor.authorMello, Carolina Santos
dc.contributor.authorVasconcelos, Sandra Mary Lima
dc.contributor.authorClemente, Heleni Aires
dc.contributor.authorBadue, Gabriel Soares
dc.contributor.authorFerreira, Raphaela Costa
dc.contributor.authorAndrade, Maria Izabel Siqueira de
dc.contributor.authorNascimento, Carlos Queiroz do
dc.contributor.authorMacena, Mateus de Lima
dc.contributor.authorPetribu, Marina de Moraes Vasconcelos
dc.contributor.authorDourado, Keila Fernandes
dc.contributor.authorPinho, Claudia Porto Sabino
dc.contributor.authorVieira, Renata Adrielle Lima
dc.contributor.authorMello, Leilah Barbosa de
dc.contributor.authorNeves, Mariana Brandao das
dc.contributor.authorJesus, Camila Anjos de
dc.contributor.authorSantos, Tatiana Maria Palmeira dos
dc.contributor.authorSoares, Bruna L ucia de Mendonça
dc.contributor.authorMedeiros, Larissa de Brito
dc.contributor.authorFrança, Amanda Pereira de
dc.contributor.authorSales, Ana Lina de Carvalho Cunha
dc.contributor.authorFurtado, Elane Viana Hortegal
dc.contributor.authorOliveira, Alane Cabral
dc.contributor.authorFarias, Fernanda Orrico
dc.contributor.authorFreitas, Mariana Carvalho
dc.contributor.authorBueno, Nassib Bezerra
dc.date.accessioned2024-01-23T14:13:12Z
dc.date.available2024-01-23T14:13:12Z
dc.date.issued2019
dc.description.resumoObjectives: The present study aimed to identify associations between extremes in body weight status (underweight and excess body weight) before a COVID-19 diagnosis and clinical outcomes in patients infected with SARS coronavirus type 2. Methods: A multicenter cohort study was conducted in eight different states in northeastern Brazil. Demographic, clinical (previous diagnosis of comorbidities), and anthropometric (self-reported weight and height) data about individuals who tested positive for COVID-19 were collected. Outcomes included hospitalization, mechanical ventilation, and death. Multivariable logistic regression models, adjusted based on age, sex and previous comorbidities, were used to assess the effects of extremes in body weight status on clinical outcomes. Results: A total of 1308 individuals were assessed (33.6% were elderly individuals). The univariable analyses showed that only hospitalization was more often observed among underweight (3.2% versus 1.2%) and overweight (68.1% versus 63.3%) individuals. In turn, cardiovascular diseases were more often observed in all clinical outcomes (hospitalization: 19.7% versus 4.8%; mechanical ventilation: 19.9% versus 13.5%; death: 21.8% versus 14.1%). Based on the multivariable analysis, body weight status was not associated with risk of hospitalization (underweight: odds ratio [OR]: 1.10; 95% confidence interval [CI] 95%, 0.50 2.41 and excess body weight: OR: 0.81; 95 CI, 0.57 1.14), mechanical ventilation (underweight: OR: 0.92; 95% CI, 0.52 1.62 and excess weight: OR: 0.90; 95% CI, 0.67 1.19), and death (underweight: OR: 0.61; 95% CI, 0.31 1.20 and excess body weight: OR 0.88; 95% CI, 0.63 1.23). Conclusions: Being underweight and excess body weight were not independently associated with clinical outcomes in patients with COVID-19 in the herein analyzed cohort. This finding indicates that the association between these variables may be confounded by both age and comorbidities.pt_BR
dc.identifier.citationBARROS NETO, João Araújo; MELLO, Carolina Santos; VASCONCELOS, Sandra Mary Lima; BÁDUE, Gabriel Soares et al. Association between being underweight and excess body weight before SARS coronavirus type 2 infection and clinical outcomes of coronavirus disease 2019: multicenter study. Nutrition, [S.L.], v. 101, p. 111677, set. 2022. Elsevier BV. http://dx.doi.org/10.1016/j.nut.2022.111677. Disponível em: https://www.sciencedirect.com/science/article/pii/S0899900722000892?via%3Dihub. Acesso em: 04 dez. 2023.pt_BR
dc.identifier.doihttps://doi.org/10.1016/j.nut.2022.111677
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/57384
dc.languageenpt_BR
dc.publisherElsevierpt_BR
dc.subjectBody mass indexpt_BR
dc.subjectCoronaviruspt_BR
dc.subjectHospitalizationpt_BR
dc.subjectMechanical ventilationpt_BR
dc.subjectMortalitypt_BR
dc.titleAssociation between being underweight and excess body weight before SARS coronavirus type 2 infection and clinical outcomes of coronavirus disease 2019: Multicenter studypt_BR
dc.typearticlept_BR

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