Evidence map›Paper›PMID 32735706›Full record

ArticleObesity (Silver Spring, Md.)2020

Overweight and Obesity are Risk Factors of Severe Illness in Patients with COVID-19.

Jian Wang, Li Zhu, Longgen Liu, Xiang-An Zhao, Zhaoping Zhang, Leyang Xue, Xuebing Yan, Songping Huang, Yang Li, Juan Cheng and 17 more

Open access · bronzeAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Obesity as an independent risk factor for COVID-19 severity and mortality.The Cochrane database of systematic reviews · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 9 institutions in 1 country.

Jian Wang *Department of Infectious Diseases, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Li Zhu *Department of Infectious Diseases, The Affiliated Infectious Diseases Hospital of Soochow University, Suzhou, China.
Longgen Liu *Department of Infectious Diseases, The Third People's Hospital of Changzhou, Changzhou, China.
Xiang-An Zhao *Department of Gastroenterology, Northern Jiangsu People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou, China.
Zhaoping Zhang *Department of Infectious Diseases, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Leyang Xue *Department of Critical Medicine, Huai'an No. 4 People's Hospital, Huai'an, China.
Xuebing YanDepartment of Infectious Diseases, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Songping HuangDepartment of Infectious Diseases, Nantong Third People's Hospital, Nantong University, Nantong, China.
Yang LiDepartment of Infectious Diseases, Taizhou People's Hospital, Taizhou, China.
Juan ChengDepartment of Infectious Diseases, Yancheng Second People's Hospital, Yancheng, China.
Biao ZhangDepartment of Quality Control Office, Huai'an No. 4 People's Hospital, Huai'an, China.
Tianmin XuDepartment of Gastroenterology, Northern Jiangsu People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou, China.
Chunyang LiDepartment of Infectious Diseases, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Fang JiDepartment of Infectious Diseases, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Fang MingDepartment of Infectious Diseases, Nantong Third People's Hospital, Nantong University, Nantong, China.
Yun ZhaoDepartment of Infectious Diseases, The Third People's Hospital of Yangzhou, Yangzhou, China.
Huaping ShaoDepartment of Infectious Diseases, The People's Hospital of Suqian, Suqian, China.
Dawen SangDepartment of Infectious Diseases, Yancheng Second People's Hospital, Yancheng, China.
Haiyan ZhaoDepartment of Infectious Diseases, The People's Hospital of Suqian, Suqian, China.
Xinying GuanDepartment of Neurology, The Affiliated Hospital of Kangda College of Nanjing Medical University, The First People's Hospital of Lianyungang, Lianyungang, China.
Xiaobing ChenDepartment of Emergency, The Affiliated Hospital of Kangda College of Nanjing Medical University, The First People's Hospital of Lianyungang, Lianyungang, China.
Yuxin ChenDepartment of Laboratory Medicine, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Rahma IssaDepartment of Infectious Diseases, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China.
Jie WeiDepartment of Infectious Diseases, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China.
Rui HuangDepartment of Infectious Diseases, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Chuanwu ZhuDepartment of Infectious Diseases, The Affiliated Infectious Diseases Hospital of Soochow University, Suzhou, China.
Chao WuDepartment of Infectious Diseases, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.ORCID https://orcid.org/0000-0002-1657-010X
Nanjing Drum Tower Hospital · CNXuzhou Medical College · CNZhaotong University · CNNantong University · CNNorthern Jiangsu People's Hospital · CNSoochow University · CNSuizhou Central Hospital · CNThe First People’s Hospital of Lianyungang · CNYancheng Second People's Hospital · CN

Funding

Fundamental Research Funds for the Central Universities 14380459
6 · The paper itself

Abstract

objectiveThis study aimed to observe the clinical characteristics of patients with coronavirus disease 2019 (COVID-19) with overweight and obesity.

methodsConsecutive patients with COVID-19 from 10 hospitals of Jiangsu province, China, were enrolled.

resultsA total of 297 patients with COVID-19 were included, and 39.39% and 13.47% of patients had overweight and obesity, respectively. The proportions of bilateral pneumonia (92.50% vs. 73.57%, P = 0.033) and type 2 diabetes (17.50% vs. 3.57%, P = 0.006) were higher in patients with obesity than lean patients. The proportions of severe illness in patients with overweight (12.82% vs. 2.86%, P = 0.006) and obesity (25.00% vs. 2.86%, P < 0.001) were significantly higher than lean patients. More patients with obesity developed respiratory failure (20.00% vs. 2.86%, P < 0.001) and acute respiratory distress syndrome (5.00% vs. 0%, P = 0.024) than lean patients. The median days of hospitalization were longer in patients with obesity than lean patients (17.00 days vs. 14.00 days, P = 0.029). Overweight (OR, 4.222; 95% CI: 1.322-13.476; P = 0.015) and obesity (OR, 9.216; 95% CI: 2.581-32.903; P = 0.001) were independent risk factors of severe illness. Obesity (HR, 6.607; 95% CI: 1.955-22.329; P = 0.002) was an independent risk factor of respiratory failure.

conclusionsOverweight and obesity were independent risk factors of severe illness in COVID-19 patients. More attention should be paid to these patients.

Indexed as

AdultAnimalsBetacoronavirusCoronavirus InfectionsCOVID-19Diabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedObesityOverweightPandemicsPneumonia, ViralRetrospective StudiesRisk Factors

Identifiers

PMID32735706
PMCPMC7436536
OpenAlexW3046680245

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.