Obesity and Impaired Metabolic Health Increase Risk of COVID-19-Related Mortality in Young and Middle-Aged Adults to the Level Observed in Older People: The LEOSS Registry.

COVID-19 diabetes hypertension impaired metabolic health mortality obesity

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2022
Historique:
received: 14 02 2022
accepted: 08 04 2022
entrez: 1 6 2022
pubmed: 2 6 2022
medline: 2 6 2022
Statut: epublish

Résumé

Advanced age, followed by male sex, by far poses the greatest risk for severe COVID-19. An unresolved question is the extent to which modifiable comorbidities increase the risk of COVID-19-related mortality among younger patients, in whom COVID-19-related hospitalization strongly increased in 2021. A total of 3,163 patients with SARS-COV-2 diagnosis in the Lean European Open Survey on SARS-CoV-2-Infected Patients (LEOSS) cohort were studied. LEOSS is a European non-interventional multi-center cohort study established in March 2020 to investigate the epidemiology and clinical course of SARS-CoV-2 infection. Data from hospitalized patients and those who received ambulatory care, with a positive SARS-CoV-2 test, were included in the study. An additive effect of obesity, diabetes and hypertension on the risk of mortality was observed, which was particularly strong in young and middle-aged patients. Compared to young and middle-aged (18-55 years) patients without obesity, diabetes and hypertension (non-obese and metabolically healthy;

Identifiants

pubmed: 35646955
doi: 10.3389/fmed.2022.875430
pmc: PMC9131026
doi:

Types de publication

Journal Article

Langues

eng

Pagination

875430

Informations de copyright

Copyright © 2022 Stefan, Sippel, Heni, Fritsche, Wagner, Jakob, Preißl, von Werder, Khodamoradi, Borgmann, Rüthrich, Hanses, Haselberger, Piepel, Hower, vom Dahl, Wille, Römmele, Vehreschild, Stecher, Solimena, Roden, Schürmann, Gallwitz, Hrabe de Angelis, Ludwig, Schulze, Jensen and Birkenfeld.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Diabetologia. 2020 Oct;63(10):2102-2111
pubmed: 32647915
Int Rev Immunol. 2021;40(1-2):72-107
pubmed: 33155525
Brain Behav Immun. 2020 Jul;87:184-187
pubmed: 32454138
Lancet Infect Dis. 2021 Nov;21(11):1485-1486
pubmed: 34506735
J Am Heart Assoc. 2021 Feb;10(5):e019259
pubmed: 33629868
N Engl J Med. 2021 Apr 15;384(15):1412-1423
pubmed: 33626250
Nat Rev Endocrinol. 2020 Oct;16(10):545-555
pubmed: 32690918
MMWR Morb Mortal Wkly Rep. 2021 Jan 22;70(3):88-94
pubmed: 33476314
Nat Rev Endocrinol. 2021 Mar;17(3):135-149
pubmed: 33479538
Sci Data. 2020 Dec 10;7(1):435
pubmed: 33303746
Lancet Diabetes Endocrinol. 2020 Oct;8(10):813-822
pubmed: 32798472
N Engl J Med. 2020 Jun 25;382(26):2534-2543
pubmed: 32459916
Science. 2021 Jan 15;371(6526):284-288
pubmed: 33446556
Nat Rev Microbiol. 2021 Jul;19(7):409-424
pubmed: 34075212
Nat Rev Endocrinol. 2020 Jul;16(7):341-342
pubmed: 32327737
JAMA Intern Med. 2020 Sep 9;:
pubmed: 32902580
Diabetes Care. 2021 Jan;44(1):50-57
pubmed: 33097559
Nature. 2021 Jan;589(7843):500-501
pubmed: 33479534
JAMA. 2021 Apr 6;325(13):1241-1243
pubmed: 33729423
Circulation. 2020 Jul 7;142(1):4-6
pubmed: 32320270
Nature. 2006 Dec 14;444(7121):881-7
pubmed: 17167477
Nature. 2021 Jun;594(7862):259-264
pubmed: 33887749
Nat Rev Endocrinol. 2021 Jan;17(1):11-30
pubmed: 33188364
Nat Rev Endocrinol. 2022 Feb;18(2):75-76
pubmed: 34873287
Cell Metab. 2018 Dec 4;28(6):922-934.e4
pubmed: 30174303
N Engl J Med. 2020 Jun 11;382(24):2372-2374
pubmed: 32302078
Med (N Y). 2021 May 14;2(5):501-504
pubmed: 33786465
Nature. 2020 Oct;586(7830):488-489
pubmed: 33082543
Infection. 2021 Feb;49(1):63-73
pubmed: 33001409
Lancet. 2021 Feb 6;397(10273):452-455
pubmed: 33515491
Lancet Respir Med. 2021 Dec;9(12):1439-1449
pubmed: 34599903
Nature. 2020 Aug;584(7821):430-436
pubmed: 32640463
Cell. 2021 Dec 22;184(26):6229-6242.e18
pubmed: 34910927
Lancet Diabetes Endocrinol. 2021 Jun;9(6):350-359
pubmed: 33932335
Lancet Diabetes Endocrinol. 2020 Sep;8(9):782-792
pubmed: 32687793
JAMA Intern Med. 2020 Nov 1;180(11):1436-1447
pubmed: 32667668
Lancet Diabetes Endocrinol. 2019 Sep;7(9):715-725
pubmed: 31301983
Clin Exp Immunol. 2019 Aug;197(2):205-213
pubmed: 31251396
Nature. 2021 Feb;590(7846):382-384
pubmed: 33594289
Med (N Y). 2020 Dec 18;1(1):33-42
pubmed: 32838359
Obes Rev. 2020 Nov;21(11):e13128
pubmed: 32845580
Diabetes Care. 2021 Jun;44(6):1281-1290
pubmed: 33858854
Cell Metab. 2021 Mar 2;33(3):479-498
pubmed: 33529600
Med (N Y). 2021 May 14;2(5):493-497
pubmed: 33899041
Science. 2021 Feb 12;371(6530):741-745
pubmed: 33436525
Diabetologia. 2021 May;64(5):1184-1186
pubmed: 33594475
MMWR Morb Mortal Wkly Rep. 2020 Jun 19;69(24):759-765
pubmed: 32555134
BMJ. 2020 May 22;369:m1985
pubmed: 32444460
Lancet Diabetes Endocrinol. 2020 Jul;8(7):616-627
pubmed: 32559477
Nat Rev Endocrinol. 2019 May;15(5):261-273
pubmed: 30670819

Auteurs

Norbert Stefan (N)

Institute of Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich, Tübingen, Germany.
Department of Internal Medicine IV, University Hospital of Tübingen, Tübingen, Germany.
German Center for Diabetes Research (DZD), Munich, Germany.

Katrin Sippel (K)

Institute of Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich, Tübingen, Germany.
Department of Internal Medicine IV, University Hospital of Tübingen, Tübingen, Germany.
German Center for Diabetes Research (DZD), Munich, Germany.

Martin Heni (M)

Institute of Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich, Tübingen, Germany.
Department of Internal Medicine IV, University Hospital of Tübingen, Tübingen, Germany.
German Center for Diabetes Research (DZD), Munich, Germany.

Andreas Fritsche (A)

Institute of Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich, Tübingen, Germany.
Department of Internal Medicine IV, University Hospital of Tübingen, Tübingen, Germany.
German Center for Diabetes Research (DZD), Munich, Germany.

Robert Wagner (R)

Institute of Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich, Tübingen, Germany.
Department of Internal Medicine IV, University Hospital of Tübingen, Tübingen, Germany.
German Center for Diabetes Research (DZD), Munich, Germany.

Carolin E M Jakob (CEM)

Department of Internal Medicine I, Faculty of Medicine, University Hospital Cologne, Cologne, University of Cologne, Cologne, Germany.
German Center for Infection Research (DZIF), Partner-Site Bonn-Cologne, Cologne, Germany.

Hubert Preißl (H)

Institute of Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich, Tübingen, Germany.
German Center for Diabetes Research (DZD), Munich, Germany.

Alexander von Werder (A)

German Center for Infection Research (DZIF), Partner-Site Bonn-Cologne, Cologne, Germany.
Department of Internal Medicine II, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich, Munich, Germany.

Yascha Khodamoradi (Y)

Department of Internal Medicine, Infectious Diseases, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany.

Stefan Borgmann (S)

Department of Infectious Diseases and Infection Control, Ingolstadt Hospital, Ingolstadt, Germany.

Maria Madeleine Rüthrich (MM)

Department of Internal Medicine II, University Hospital Jena, Jena, Germany.

Frank Hanses (F)

Emergency Department, University Hospital Regensburg, Regensburg, Germany.

Martina Haselberger (M)

Department of Internal Medicine I, Passau Hospital, Passau, Germany.

Christiane Piepel (C)

Department of Internal Medicine I, Hospital Bremen-Center, Bremen, Germany.

Martin Hower (M)

Department for Pneumology, Infectiology, Internal Medicine and Intensive Care, gGmbH, Dortmund, Germany.

Jürgen Vom Dahl (J)

Division of Cardiology, Hospital Maria Hilf Mönchengladbach, Mönchengladbach, Germany.

Kai Wille (K)

University Clinic for Hematology, Oncology, Hemostaseology and Palliative Care, University of Bochum, Minden, Germany.

Christoph Römmele (C)

Internal Medicine III - Gastroenterology and Infectious Diseases, University Hospital of Augsburg, Augsburg, Germany.

Janne Vehreschild (J)

German Center for Diabetes Research (DZD), Munich, Germany.
Department of Internal Medicine I, Faculty of Medicine, University Hospital Cologne, Cologne, University of Cologne, Cologne, Germany.
Department of Internal Medicine, Hematology and Oncology, University Hospital Cologne, Goethe University Frankfurt, Frankfurt am Main, Germany.

Melanie Stecher (M)

Department of Internal Medicine I, Faculty of Medicine, University Hospital Cologne, Cologne, University of Cologne, Cologne, Germany.
German Center for Infection Research (DZIF), Partner-Site Bonn-Cologne, Cologne, Germany.

Michele Solimena (M)

German Center for Diabetes Research (DZD), Munich, Germany.
Helmholtz Center Munich, Faculty of Medicine, Paul Langerhans Institute Dresden, University Hospital, Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Michael Roden (M)

German Center for Diabetes Research (DZD), Munich, Germany.
Department of Endocrinology and Diabetology, Medical Faculty and University Hospital, Heinrich-Heine University, Düsseldorf, Germany.
Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich- Heine University, Düsseldorf, Germany.

Annette Schürmann (A)

German Center for Diabetes Research (DZD), Munich, Germany.
Department of Experimental Diabetology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.

Baptist Gallwitz (B)

Department of Internal Medicine IV, University Hospital of Tübingen, Tübingen, Germany.

Martin Hrabe de Angelis (M)

German Center for Diabetes Research (DZD), Munich, Germany.
Institute of Experimental Genetics, Helmholtz Zentrum München, Oberschleißheim, Germany.
TUM School of Life Sciences (SoLS), Chair of Experimental Genetics, Technische Universität München, Freising, Germany.

David S Ludwig (DS)

New Balance Foundation Obesity Prevention Center, Boston Children's Hospital, Boston, MA, United States.
Department of Pediatrics, Harvard Medical School, Boston, MA, United States.
Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States.

Matthias B Schulze (MB)

German Center for Diabetes Research (DZD), Munich, Germany.
Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.

Bjoern Erik Ole Jensen (BEO)

Department of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.

Andreas L Birkenfeld (AL)

Institute of Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich, Tübingen, Germany.
Department of Internal Medicine IV, University Hospital of Tübingen, Tübingen, Germany.
German Center for Diabetes Research (DZD), Munich, Germany.

Classifications MeSH