Evidence map›Paper›PMID 35357112›Full record

ArticleAsia Pacific journal of clinical nutrition2022

Central obesity in low BMI as a risk factor for COVID-19 severity in South Indians.

Shalini G Hegde, Shashank Dhareshwar, Sulagna Bandyopadhyay, Rebecca R Kuriyan, Jyothi Idiculla, Santu Ghosh, Anura V Kurpad, Nirupama Shivakumar

Open access · greenAbstract read
In one paragraph

Article in Asia Pacific journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Shalini G HegdeDepartment of Paediatric Surgery, St. John's Medical College Hospital, India.
Shashank DhareshwarDepartment of Nephrology, St. John's Medical College Hospital Bengaluru, India.
Sulagna BandyopadhyayDivision of Nutrition, St. John's Research Institute, Bengaluru, India.
Rebecca R KuriyanDivision of Nutrition, St. John's Research Institute, Bengaluru, India.
Jyothi IdicullaDepartment of Medicine, St. John's Medical College Hospital, Bengaluru, India.
Santu GhoshDepartment of Biostatistics, St. John's Medical College, Bengaluru, India.
Anura V KurpadDivision of Nutrition, St. John's Research Institute, Bengaluru, India.
Nirupama ShivakumarDivision of Nutrition, St. John's Research Institute, Bengaluru, India. Email: nirupama.s@sjri.res.in; nirupamas26@gmail.com.
St. John's National Academy of Health Sciences · INSt.John's Medical College Hospital · IN

Funding

DBT-Wellcome Trust India Alliance IA/CRC/19/1/610006
6 · The paper itself

Abstract

BACKGROUND AND

objectivesSouth Asians are known to have excess adiposity at a lower body mass index, with truncal fat accumulation. Whether this confers higher risk to develop severe COVID-19 is not known. This study evaluated body mass index, body fat mass and waist circumference as risk factors for COVID-19 severity and its progression, in South Asian adults. METHODS AND STUDY

designDetails of COVID-19 patients (19-90 years) were obtained prospectively, along with weight, height, waist circumference and body fat mass assessed by bioelectrical impedance analysis. Binomial logistic and Poisson regression were performed to test associations between waist circumference, body fat mass and body mass index to evaluate the adjusted OR or relative risk for disease severity at admission and length of stay.

resultsAfter adjusting for age, sex, height and co-morbidities, body mass index >23 kg/m2 (adjusted OR 2.758, 95% CI 1.025, 7.427), waist circumference (adjusted OR 1.047, 95% CI 1.002, 1.093) and body fat mass (adjusted OR 1.111, 95% CI 1.013, 1.219) were associated with a significant risk for disease severity at admission, while only waist circumference (adjusted relative risk 1.004, 95% CI 1.001, 1.008), and body fat mass (adjusted relative risk 1.011, 95% CI 1.003, 1.018), were associated with a significantly longer length of stay.

conclusionsBody mass index, at a lower cut-off of >23 kg/m2, is a significant risk factor for COVID-19 disease severity in the group of patients studied. The waist circumference and body fat mass are also good indicators for both severity at admission and length of stay.

Indexed as

COVID-19Obesity, AbdominalAdultAsian PeopleBody Mass IndexHumansRisk Factors

Identifiers

PMID35357112
PMCPMC7612990
OpenAlexW4221083502

What OpenQuestion holds

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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.