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Residence, Clinical Features, and Genetic Risk Factors Associated with Symptoms of COVID-19 in a Cohort of Older People in Madrid.

Identifieur interne : 000013 ( Main/Exploration ); précédent : 000012; suivant : 000014

Residence, Clinical Features, and Genetic Risk Factors Associated with Symptoms of COVID-19 in a Cohort of Older People in Madrid.

Auteurs : Teodoro Del Ser [Espagne] ; Miguel A. Fernández-Blázquez [Espagne] ; Meritxell Valentí [Espagne] ; María Ascensi N Zea-Sevilla [Espagne] ; Belén Frades [Espagne] ; Eva Alfayate [Espagne] ; Laura Saiz [Espagne] ; Olga Calero [Espagne] ; Fernando José García-L Pez [Espagne] ; Alberto Rábano [Espagne] ; Miguel Medina [Espagne] ; Miguel Calero [Espagne]

Source :

RBID : pubmed:33429394

Abstract

BACKGROUND

The older population has been especially affected by the severe acute respiratory syndrome coronavirus 2 pandemic (COVID-19).

OBJECTIVE

The aim of the study was to explore the incidence, severity, mortality rate, clinical features, and risk factors of symptoms of COVID-19 in home-dwelling older people, and its association with type of residence, cognitive deterioration, and neurodegenerative diseases.

METHODS

Data about symptoms of COVID-19 were collected through a telephone survey in the cohort of 913 older volunteers of the Vallecas Project, aged 75-90 years, most of them (902) home-dwelling, in Madrid, Spain. The association of demographic and anthropometric measures, genetic polymorphisms, comorbidities, life habits, type of residence, and frailty surrogates were explored as potential risk factors for the incidence, severity, and mortality of COVID-19 in the older population.

FINDINGS

Sixty-two cases reported symptoms compatible with COVID-19; 6 of them had died, 4 in their home and 2 in the nursing home. Moderate/severe cases were significantly older and more frequently males. The APOE ε4 allele was associated with the presence of symptoms of COVID-19. Higher systolic blood pressure, more intense smoking habit, more alcohol intake, lower consumption of coffee and tea, and cognitive impairment were associated with disease severity.

CONCLUSIONS

The estimated incidence of symptomatic COVID-19 in this older cohort of Madrid was 6.8%, with an overall mortality rate of 0.7% (18.2% in those living in a nursing home) and a fatality rate of 9.9%. Our exploratory study indicates that life habits, other clinical conditions and, the ε4 variant of the APOE gene are associated with the presence and clinical severity of coronavirus infection.


DOI: 10.1159/000513182
PubMed: 33429394


Affiliations:


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<name sortKey="Calero, Miguel" sort="Calero, Miguel" uniqKey="Calero M" first="Miguel" last="Calero">Miguel Calero</name>
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<series>
<title level="j">Gerontology</title>
<idno type="eISSN">1423-0003</idno>
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<date when="2021" type="published">2021</date>
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<p>
<b>BACKGROUND</b>
</p>
<p>The older population has been especially affected by the severe acute respiratory syndrome coronavirus 2 pandemic (COVID-19).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>The aim of the study was to explore the incidence, severity, mortality rate, clinical features, and risk factors of symptoms of COVID-19 in home-dwelling older people, and its association with type of residence, cognitive deterioration, and neurodegenerative diseases.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Data about symptoms of COVID-19 were collected through a telephone survey in the cohort of 913 older volunteers of the Vallecas Project, aged 75-90 years, most of them (902) home-dwelling, in Madrid, Spain. The association of demographic and anthropometric measures, genetic polymorphisms, comorbidities, life habits, type of residence, and frailty surrogates were explored as potential risk factors for the incidence, severity, and mortality of COVID-19 in the older population.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>FINDINGS</b>
</p>
<p>Sixty-two cases reported symptoms compatible with COVID-19; 6 of them had died, 4 in their home and 2 in the nursing home. Moderate/severe cases were significantly older and more frequently males. The APOE ε4 allele was associated with the presence of symptoms of COVID-19. Higher systolic blood pressure, more intense smoking habit, more alcohol intake, lower consumption of coffee and tea, and cognitive impairment were associated with disease severity.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The estimated incidence of symptomatic COVID-19 in this older cohort of Madrid was 6.8%, with an overall mortality rate of 0.7% (18.2% in those living in a nursing home) and a fatality rate of 9.9%. Our exploratory study indicates that life habits, other clinical conditions and, the ε4 variant of the APOE gene are associated with the presence and clinical severity of coronavirus infection.</p>
</div>
</front>
</TEI>
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<DateRevised>
<Year>2021</Year>
<Month>01</Month>
<Day>11</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1423-0003</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2021</Year>
<Month>Jan</Month>
<Day>11</Day>
</PubDate>
</JournalIssue>
<Title>Gerontology</Title>
<ISOAbbreviation>Gerontology</ISOAbbreviation>
</Journal>
<ArticleTitle>Residence, Clinical Features, and Genetic Risk Factors Associated with Symptoms of COVID-19 in a Cohort of Older People in Madrid.</ArticleTitle>
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<MedlinePgn>1-9</MedlinePgn>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The older population has been especially affected by the severe acute respiratory syndrome coronavirus 2 pandemic (COVID-19).</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of the study was to explore the incidence, severity, mortality rate, clinical features, and risk factors of symptoms of COVID-19 in home-dwelling older people, and its association with type of residence, cognitive deterioration, and neurodegenerative diseases.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Data about symptoms of COVID-19 were collected through a telephone survey in the cohort of 913 older volunteers of the Vallecas Project, aged 75-90 years, most of them (902) home-dwelling, in Madrid, Spain. The association of demographic and anthropometric measures, genetic polymorphisms, comorbidities, life habits, type of residence, and frailty surrogates were explored as potential risk factors for the incidence, severity, and mortality of COVID-19 in the older population.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">Sixty-two cases reported symptoms compatible with COVID-19; 6 of them had died, 4 in their home and 2 in the nursing home. Moderate/severe cases were significantly older and more frequently males. The APOE ε4 allele was associated with the presence of symptoms of COVID-19. Higher systolic blood pressure, more intense smoking habit, more alcohol intake, lower consumption of coffee and tea, and cognitive impairment were associated with disease severity.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The estimated incidence of symptomatic COVID-19 in this older cohort of Madrid was 6.8%, with an overall mortality rate of 0.7% (18.2% in those living in a nursing home) and a fatality rate of 9.9%. Our exploratory study indicates that life habits, other clinical conditions and, the ε4 variant of the APOE gene are associated with the presence and clinical severity of coronavirus infection.</AbstractText>
<CopyrightInformation>© 2021 S. Karger AG, Basel.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Del Ser</LastName>
<ForeName>Teodoro</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Alzheimer's Disease Investigation Research Unit, CIEN Foundation, Institute of Health Carlos III, Queen Sofia Foundation Alzheimer Research Center, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Fernández-Blázquez</LastName>
<ForeName>Miguel A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo>
<Affiliation>Alzheimer's Disease Investigation Research Unit, CIEN Foundation, Institute of Health Carlos III, Queen Sofia Foundation Alzheimer Research Center, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Valentí</LastName>
<ForeName>Meritxell</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Alzheimer's Disease Investigation Research Unit, CIEN Foundation, Institute of Health Carlos III, Queen Sofia Foundation Alzheimer Research Center, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Zea-Sevilla</LastName>
<ForeName>María Ascensión</ForeName>
<Initials>MA</Initials>
<AffiliationInfo>
<Affiliation>Alzheimer's Disease Investigation Research Unit, CIEN Foundation, Institute of Health Carlos III, Queen Sofia Foundation Alzheimer Research Center, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>Frades</LastName>
<ForeName>Belén</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Alzheimer's Disease Investigation Research Unit, CIEN Foundation, Institute of Health Carlos III, Queen Sofia Foundation Alzheimer Research Center, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<AffiliationInfo>
<Affiliation>Alzheimer's Disease Investigation Research Unit, CIEN Foundation, Institute of Health Carlos III, Queen Sofia Foundation Alzheimer Research Center, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>Saiz</LastName>
<ForeName>Laura</ForeName>
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<AffiliationInfo>
<Affiliation>Alzheimer's Disease Investigation Research Unit, CIEN Foundation, Institute of Health Carlos III, Queen Sofia Foundation Alzheimer Research Center, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<Affiliation>Centro de Investigación Biomédica en Red sobre Enfermedades Degenerativas (CIBERNED), Instituto de Salud Carlos III, Madrid, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Chronic Disease Program, Institute of Health Carlos III, Madrid, Spain.</Affiliation>
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<LastName>García-López</LastName>
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<Affiliation>National Epidemiology Centre, Institute of Health Carlos III, Madrid, Spain.</Affiliation>
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<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Alzheimer's Disease Investigation Research Unit, CIEN Foundation, Institute of Health Carlos III, Queen Sofia Foundation Alzheimer Research Center, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<Affiliation>Alzheimer's Disease Investigation Research Unit, CIEN Foundation, Institute of Health Carlos III, Queen Sofia Foundation Alzheimer Research Center, Madrid, Spain.</Affiliation>
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<AffiliationInfo>
<Affiliation>Centro de Investigación Biomédica en Red sobre Enfermedades Degenerativas (CIBERNED), Instituto de Salud Carlos III, Madrid, Spain.</Affiliation>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Centro de Investigación Biomédica en Red sobre Enfermedades Degenerativas (CIBERNED), Instituto de Salud Carlos III, Madrid, Spain, mcalero@fundacioncien.es.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Chronic Disease Program, Institute of Health Carlos III, Madrid, Spain, mcalero@fundacioncien.es.</Affiliation>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
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<Day>11</Day>
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<Country>Switzerland</Country>
<MedlineTA>Gerontology</MedlineTA>
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<CitationSubset>IM</CitationSubset>
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<Keyword MajorTopicYN="N">APOE gene</Keyword>
<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">Clinical features</Keyword>
<Keyword MajorTopicYN="N">Cognitive impairment</Keyword>
<Keyword MajorTopicYN="N">Incidence</Keyword>
<Keyword MajorTopicYN="N">Madrid</Keyword>
<Keyword MajorTopicYN="N">Mortality</Keyword>
<Keyword MajorTopicYN="N">Nursing home</Keyword>
<Keyword MajorTopicYN="N">Older people</Keyword>
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<Keyword MajorTopicYN="N">Vallecas Project</Keyword>
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