The association between obesity and outpatient visits for acute respiratory infections in Ontario, Canada.
Identifieur interne : 000243 ( Main/Exploration ); précédent : 000242; suivant : 000244The association between obesity and outpatient visits for acute respiratory infections in Ontario, Canada.
Auteurs : M A Campitelli [Canada] ; L C Rosella [Canada] ; J C Kwong [Canada]Source :
- International journal of obesity (2005) [ 1476-5497 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Consultation médicale (), Facteurs de risque, Facteurs temps, Femelle, Humains, Indice de masse corporelle, Infections de l'appareil respiratoire (épidémiologie), Maladie aigüe, Mâle, Médecine générale (), Obésité (), Obésité (épidémiologie), Odds ratio, Ontario (épidémiologie), Patients en consultation externe (), Prévalence, Service hospitalier d'urgences (), Études de cohortes, Études rétrospectives.
- MESH :
- épidémiologie : Infections de l'appareil respiratoire, Obésité, Ontario.
- Adolescent, Adulte, Adulte d'âge moyen, Consultation médicale, Facteurs de risque, Facteurs temps, Femelle, Humains, Indice de masse corporelle, Maladie aigüe, Mâle, Médecine générale, Obésité, Odds ratio, Patients en consultation externe, Prévalence, Service hospitalier d'urgences, Études de cohortes, Études rétrospectives.
English descriptors
- KwdEn :
- Acute Disease, Adolescent, Adult, Body Mass Index, Cohort Studies, Emergency Service, Hospital (statistics & numerical data), Female, General Practice (statistics & numerical data), Humans, Male, Middle Aged, Obesity (complications), Obesity (epidemiology), Odds Ratio, Office Visits (statistics & numerical data), Ontario (epidemiology), Outpatients (statistics & numerical data), Prevalence, Respiratory Tract Infections (epidemiology), Retrospective Studies, Risk Factors, Time Factors.
- MESH :
- geographic , epidemiology : Ontario.
- complications : Obesity.
- epidemiology : Obesity, Respiratory Tract Infections.
- statistics & numerical data : Emergency Service, Hospital, General Practice, Office Visits, Outpatients.
- Acute Disease, Adolescent, Adult, Body Mass Index, Cohort Studies, Female, Humans, Male, Middle Aged, Odds Ratio, Prevalence, Retrospective Studies, Risk Factors, Time Factors.
Abstract
OBJECTIVE
Recent evidence suggests that obesity increases the risk of severe outcomes following respiratory infection. It is less clear whether obesity is associated with the risk of being infected with influenza or other respiratory pathogens. Therefore, we examined the association between obesity and outpatient visits for acute respiratory infections (ARIs).
DESIGN
We conducted a retrospective cohort study for a period of over 13 years on 104,665 individuals in Ontario, Canada who responded to population health surveys and agreed to linkage with health administrative data. Individuals aged 18-64 years who responded to a survey within 5 years prior to the start of an influenza season were included. Poisson regression, with adjustment for relevant confounders, was used to measure the association between self-reported body mass index (BMI) and outpatient visits for ARI. We conducted numerous sensitivity analyses to assess the robustness of our findings.
RESULTS
We observed higher rates of outpatient visits for ARI during influenza season periods compared with normal weight individuals for those who were overweight (BMI 25-29.9; rate ratio (RR) 1.10; 95% confidence interval (95% CI) 1.07-1.13), obese class I (BMI 30-34.9; RR 1.17; 95% CI 1.13-1.22) and obese class II or III (BMI ≥35; RR 1.19; 95% CI 1.12-1.25). Associations of a similar magnitude were observed during non-influenza season periods. Obesity was a greater risk factor for ARIs managed in emergency departments than physician offices.
CONCLUSIONS
Obese individuals are at an increased risk of outpatient visits for ARI during both influenza and non-influenza season periods, suggesting that the effect of obesity on the risk of respiratory infections is not limited to influenza. Interventions designed to reduce the prevalence of obesity may have the added benefit reducing the population burden of respiratory infections.
DOI: 10.1038/ijo.2013.57
PubMed: 23670219
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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xml:lang="fr">Canada</country><wicri:regionArea>1] Department of Primary Care and Population Health, Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada [2] Public Health Ontario, Toronto, Ontario, Canada [3] The Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada [4] The Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada [5] University Health Network, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">International journal of obesity (2005)</title><idno type="eISSN">1476-5497</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease</term><term>Adolescent</term><term>Adult</term><term>Body Mass Index</term><term>Cohort Studies</term><term>Emergency Service, Hospital (statistics & numerical data)</term><term>Female</term><term>General Practice (statistics & numerical data)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Obesity (complications)</term><term>Obesity (epidemiology)</term><term>Odds Ratio</term><term>Office Visits (statistics & numerical data)</term><term>Ontario (epidemiology)</term><term>Outpatients (statistics & numerical data)</term><term>Prevalence</term><term>Respiratory Tract Infections (epidemiology)</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Time Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Consultation médicale ()</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Infections de l'appareil respiratoire (épidémiologie)</term><term>Maladie aigüe</term><term>Mâle</term><term>Médecine générale ()</term><term>Obésité ()</term><term>Obésité (épidémiologie)</term><term>Odds ratio</term><term>Ontario (épidémiologie)</term><term>Patients en consultation externe ()</term><term>Prévalence</term><term>Service hospitalier d'urgences ()</term><term>Études de cohortes</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ontario</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Obesity</term><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Service, Hospital</term><term>General Practice</term><term>Office Visits</term><term>Outpatients</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections de l'appareil respiratoire</term><term>Obésité</term><term>Ontario</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Adolescent</term><term>Adult</term><term>Body Mass Index</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Odds Ratio</term><term>Prevalence</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Consultation médicale</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Maladie aigüe</term><term>Mâle</term><term>Médecine générale</term><term>Obésité</term><term>Odds ratio</term><term>Patients en consultation externe</term><term>Prévalence</term><term>Service hospitalier d'urgences</term><term>Études de cohortes</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Recent evidence suggests that obesity increases the risk of severe outcomes following respiratory infection. It is less clear whether obesity is associated with the risk of being infected with influenza or other respiratory pathogens. Therefore, we examined the association between obesity and outpatient visits for acute respiratory infections (ARIs).</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>We conducted a retrospective cohort study for a period of over 13 years on 104,665 individuals in Ontario, Canada who responded to population health surveys and agreed to linkage with health administrative data. Individuals aged 18-64 years who responded to a survey within 5 years prior to the start of an influenza season were included. Poisson regression, with adjustment for relevant confounders, was used to measure the association between self-reported body mass index (BMI) and outpatient visits for ARI. We conducted numerous sensitivity analyses to assess the robustness of our findings.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We observed higher rates of outpatient visits for ARI during influenza season periods compared with normal weight individuals for those who were overweight (BMI 25-29.9; rate ratio (RR) 1.10; 95% confidence interval (95% CI) 1.07-1.13), obese class I (BMI 30-34.9; RR 1.17; 95% CI 1.13-1.22) and obese class II or III (BMI ≥35; RR 1.19; 95% CI 1.12-1.25). Associations of a similar magnitude were observed during non-influenza season periods. Obesity was a greater risk factor for ARIs managed in emergency departments than physician offices.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Obese individuals are at an increased risk of outpatient visits for ARI during both influenza and non-influenza season periods, suggesting that the effect of obesity on the risk of respiratory infections is not limited to influenza. Interventions designed to reduce the prevalence of obesity may have the added benefit reducing the population burden of respiratory infections.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23670219</PMID><DateCompleted><Year>2014</Year><Month>10</Month><Day>01</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1476-5497</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><Issue>1</Issue><PubDate><Year>2014</Year><Month>Jan</Month></PubDate></JournalIssue><Title>International journal of obesity (2005)</Title><ISOAbbreviation>Int J Obes (Lond)</ISOAbbreviation></Journal><ArticleTitle>The association between obesity and outpatient visits for acute respiratory infections in Ontario, Canada.</ArticleTitle><Pagination><MedlinePgn>113-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1038/ijo.2013.57</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Recent evidence suggests that obesity increases the risk of severe outcomes following respiratory infection. It is less clear whether obesity is associated with the risk of being infected with influenza or other respiratory pathogens. Therefore, we examined the association between obesity and outpatient visits for acute respiratory infections (ARIs).</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">We conducted a retrospective cohort study for a period of over 13 years on 104,665 individuals in Ontario, Canada who responded to population health surveys and agreed to linkage with health administrative data. Individuals aged 18-64 years who responded to a survey within 5 years prior to the start of an influenza season were included. Poisson regression, with adjustment for relevant confounders, was used to measure the association between self-reported body mass index (BMI) and outpatient visits for ARI. We conducted numerous sensitivity analyses to assess the robustness of our findings.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We observed higher rates of outpatient visits for ARI during influenza season periods compared with normal weight individuals for those who were overweight (BMI 25-29.9; rate ratio (RR) 1.10; 95% confidence interval (95% CI) 1.07-1.13), obese class I (BMI 30-34.9; RR 1.17; 95% CI 1.13-1.22) and obese class II or III (BMI ≥35; RR 1.19; 95% CI 1.12-1.25). Associations of a similar magnitude were observed during non-influenza season periods. Obesity was a greater risk factor for ARIs managed in emergency departments than physician offices.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Obese individuals are at an increased risk of outpatient visits for ARI during both influenza and non-influenza season periods, suggesting that the effect of obesity on the risk of respiratory infections is not limited to influenza. Interventions designed to reduce the prevalence of obesity may have the added benefit reducing the population burden of respiratory infections.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Campitelli</LastName><ForeName>M A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Department of Primary Care and Population Health, Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosella</LastName><ForeName>L C</ForeName><Initials>LC</Initials><AffiliationInfo><Affiliation>1] Department of Primary Care and Population Health, Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada [2] Public Health Ontario, Toronto, Ontario, Canada [3] The Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kwong</LastName><ForeName>J C</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>1] Department of Primary Care and Population Health, Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada [2] Public Health Ontario, Toronto, Ontario, Canada [3] The Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada [4] The Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada [5] University Health Network, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>130553-1</GrantID><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant><Grant><GrantID>XIN 82408</GrantID><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>04</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Obes (Lond)</MedlineTA><NlmUniqueID>101256108</NlmUniqueID><ISSNLinking>0307-0565</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000208" MajorTopicYN="N">Acute Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015992" MajorTopicYN="N">Body Mass Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058006" MajorTopicYN="N">General Practice</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009765" MajorTopicYN="N">Obesity</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009819" MajorTopicYN="N">Office Visits</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009864" MajorTopicYN="N" Type="Geographic">Ontario</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010045" MajorTopicYN="N">Outpatients</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012141" MajorTopicYN="N">Respiratory Tract Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">CAMS4040</OtherID><CoiStatement>All authors report no conflicts of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>11</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>02</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>03</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>5</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>5</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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