High Body Mass Index as a Risk Factor for Hospitalization Due to Influenza: A Case-Control Study.
Identifieur interne : 000143 ( Main/Exploration ); précédent : 000142; suivant : 000144High Body Mass Index as a Risk Factor for Hospitalization Due to Influenza: A Case-Control Study.
Auteurs : Vicente Martín [Espagne] ; Jesús Castilla [Espagne] ; Pere Godoy [Espagne] ; Miguel Delgado-Rodríguez [Espagne] ; Nuria Soldevila [Espagne] ; Tania Fernández-Villa [Espagne] ; Antonio J. Molina [Espagne] ; Jenaro Astray [Espagne] ; Ady Castro [Espagne] ; Fernando González-Candelas [Espagne] ; José María Mayoral [Espagne] ; José María Quintana [Espagne] ; Ángela Domínguez [Espagne]Source :
- Archivos de bronconeumologia [ 1579-2129 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Alcoolisme (épidémiologie), Comorbidité (MeSH), Espagne (épidémiologie), Facteurs de risque (MeSH), Femelle (MeSH), Fumer (épidémiologie), Grippe humaine (thérapie), Grippe humaine (épidémiologie), Hospitalisation (MeSH), Humains (MeSH), Indice de masse corporelle (MeSH), Mâle (MeSH), Niveau d'instruction (MeSH), Obésité (épidémiologie), Pandémies (MeSH), Pneumopathie infectieuse (épidémiologie), Sous-type H1N1 du virus de la grippe A (MeSH), Sujet âgé (MeSH), Vaccination (statistiques et données numériques), Vaccins antigrippaux (MeSH), Études cas-témoins (MeSH).
- MESH :
- statistiques et données numériques : Vaccination.
- thérapie : Grippe humaine.
- épidémiologie : Alcoolisme, Espagne, Fumer, Grippe humaine, Obésité, Pneumopathie infectieuse.
- Adulte d'âge moyen, Comorbidité, Facteurs de risque, Femelle, Hospitalisation, Humains, Indice de masse corporelle, Mâle, Niveau d'instruction, Pandémies, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Vaccins antigrippaux, Études cas-témoins.
English descriptors
- KwdEn :
- Aged (MeSH), Alcoholism (epidemiology), Body Mass Index (MeSH), Case-Control Studies (MeSH), Comorbidity (MeSH), Educational Status (MeSH), Female (MeSH), Hospitalization (MeSH), Humans (MeSH), Influenza A Virus, H1N1 Subtype (MeSH), Influenza Vaccines (MeSH), Influenza, Human (epidemiology), Influenza, Human (therapy), Male (MeSH), Middle Aged (MeSH), Obesity (epidemiology), Pandemics (MeSH), Pneumonia (epidemiology), Risk Factors (MeSH), Smoking (epidemiology), Spain (epidemiology), Vaccination (statistics & numerical data).
- MESH :
- chemical : Influenza Vaccines.
- epidemiology : Alcoholism, Influenza, Human, Obesity, Pneumonia, Smoking, Spain.
- statistics & numerical data : Vaccination.
- therapy : Influenza, Human.
- Aged, Body Mass Index, Case-Control Studies, Comorbidity, Educational Status, Female, Hospitalization, Humans, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Pandemics, Risk Factors.
Abstract
INTRODUCTION
Obesity has emerged as a significant independent predictor of severity in pandemic influenzaA (H1N1)pdm09. The aim of this study was to investigate the association between body mass index (BMI) and the risk of hospitalization due to influenza.
METHODS
Hospitalized patients (n=755) with laboratory-confirmed influenza were individually matched by age, admission/visit date, and province with an outpatient (n=783) with laboratory-confirmed influenza and an outpatient control (n=950). We compared the BMI using conditional logistic regression adjusted for potential confounding factors (aOR). The population attributable fraction (PAF) was calculated.
RESULTS
A higher BMI was associated with an increased risk of hospitalization compared to both outpatient cases (aOR=1.11; 95%CI: 1.07-1.16) and outpatient controls (aOR=1.04; 95%CI: 1.01-1.07). Compared with normal weight, obesity type I, obesity type II and obesity type III was associated with a greater likelihood of hospitalization compared with outpatient cases (aOR=1.85, 95%CI: 1.05-3.26; aOR=5.24, 95%CI: 1.94-14.15 and aOR=44.38, 95%CI: 4.47-440.5). Compared with normal weight, obesity type II and obesity type III was associated with a greater likelihood of hospitalization compared with outpatient controls (aOR=4.37, 95%CI: 1.79-10.69 and aOR=4.95, 95%CI: 1.45-16.87). In persons without influenza vaccination, all categories of BMI≥30kg/m(2) were associated with a greater likelihood of hospitalization compared with normal weight in both outpatient cases and outpatient controls. The PAF of hospitalization by influenza due to BMI ranged from 21.9% to 8.5%; in the case of unvaccinated against influenza between 20.5% to 16.9%.
CONCLUSION
A high BMI is associated with an increased risk of hospitalization due to influenza. High percentage of hospital admissions are attributable to their BMI, especially in non vaccinated.
DOI: 10.1016/j.arbres.2015.11.006
PubMed: 26809749
Affiliations:
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Molina</name><affiliation wicri:level="1"><nlm:affiliation>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León</wicri:regionArea><wicri:noRegion>León</wicri:noRegion></affiliation></author><author><name sortKey="Astray, Jenaro" sort="Astray, Jenaro" uniqKey="Astray J" first="Jenaro" last="Astray">Jenaro Astray</name><affiliation wicri:level="3"><nlm:affiliation>Subdirección de Vigilancia, Comunidad de Madrid, Madrid, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Subdirección de Vigilancia, Comunidad de Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Castro, Ady" sort="Castro, Ady" uniqKey="Castro A" first="Ady" last="Castro">Ady Castro</name><affiliation wicri:level="3"><nlm:affiliation>CIBER Enfermedades Respiratorias, Madrid, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Enfermedades Respiratorias, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Gonzalez Candelas, Fernando" sort="Gonzalez Candelas, Fernando" uniqKey="Gonzalez Candelas F" first="Fernando" last="González-Candelas">Fernando González-Candelas</name><affiliation wicri:level="1"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Unidad Mixta Genómica y Salud CSISP (FISABIO), Universitat de València, Valencia, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid, España; Unidad Mixta Genómica y Salud CSISP (FISABIO), Universitat de València, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Mayoral, Jose Maria" sort="Mayoral, Jose Maria" uniqKey="Mayoral J" first="José María" last="Mayoral">José María Mayoral</name><affiliation wicri:level="1"><nlm:affiliation>Servicio de Vigilancia de Andalucía, Sevilla, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Vigilancia de Andalucía, Sevilla</wicri:regionArea><wicri:noRegion>Sevilla</wicri:noRegion></affiliation></author><author><name sortKey="Quintana, Jose Maria" sort="Quintana, Jose Maria" uniqKey="Quintana J" first="José María" last="Quintana">José María Quintana</name><affiliation wicri:level="1"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Fundación Vasca de Innovación e Investigación Sanitarias, Sondika, Vizcaya, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid, España; Fundación Vasca de Innovación e Investigación Sanitarias, Sondika, Vizcaya</wicri:regionArea><wicri:noRegion>Vizcaya</wicri:noRegion></affiliation></author><author><name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Ángela" last="Domínguez">Ángela Domínguez</name><affiliation wicri:level="4"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Departament de Salut Pública, Universitat de Barcelona, Barcelona, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid, España; Departament de Salut Pública, Universitat de Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université de Barcelone</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:26809749</idno><idno type="pmid">26809749</idno><idno type="doi">10.1016/j.arbres.2015.11.006</idno><idno type="wicri:Area/Main/Corpus">00148</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">00148</idno><idno type="wicri:Area/Main/Curation">000148</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000148</idno><idno type="wicri:Area/Main/Exploration">000148</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">High Body Mass Index as a Risk Factor for Hospitalization Due to Influenza: A Case-Control Study.</title><author><name sortKey="Martin, Vicente" sort="Martin, Vicente" uniqKey="Martin V" first="Vicente" last="Martín">Vicente Martín</name><affiliation wicri:level="3"><nlm:affiliation>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León, España; CIBER Epidemiología y Salud Pública, Madrid, España. Electronic address: vicente.martin@unileon.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León, España; CIBER Epidemiología y Salud Pública, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Castilla, Jesus" sort="Castilla, Jesus" uniqKey="Castilla J" first="Jesús" last="Castilla">Jesús Castilla</name><affiliation wicri:level="1"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Instituto de Salud Pública de Navarra, Pamplona, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid, España; Instituto de Salud Pública de Navarra, Pamplona</wicri:regionArea><wicri:noRegion>Pamplona</wicri:noRegion></affiliation></author><author><name sortKey="Godoy, Pere" sort="Godoy, Pere" uniqKey="Godoy P" first="Pere" last="Godoy">Pere Godoy</name><affiliation wicri:level="3"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Departament de Salut, Generalitat de Catalunya, Barcelona, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid, España; Departament de Salut, Generalitat de Catalunya, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Delgado Rodriguez, Miguel" sort="Delgado Rodriguez, Miguel" uniqKey="Delgado Rodriguez M" first="Miguel" last="Delgado-Rodríguez">Miguel Delgado-Rodríguez</name><affiliation wicri:level="1"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; División de Medicina Preventiva y Salud Pública, Universidad de Jaén, Jaén, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid, España; División de Medicina Preventiva y Salud Pública, Universidad de Jaén, Jaén</wicri:regionArea><wicri:noRegion>Jaén</wicri:noRegion></affiliation></author><author><name sortKey="Soldevila, Nuria" sort="Soldevila, Nuria" uniqKey="Soldevila N" first="Nuria" last="Soldevila">Nuria Soldevila</name><affiliation wicri:level="3"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Fernandez Villa, Tania" sort="Fernandez Villa, Tania" uniqKey="Fernandez Villa T" first="Tania" last="Fernández-Villa">Tania Fernández-Villa</name><affiliation wicri:level="1"><nlm:affiliation>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León</wicri:regionArea><wicri:noRegion>León</wicri:noRegion></affiliation></author><author><name sortKey="Molina, Antonio J" sort="Molina, Antonio J" uniqKey="Molina A" first="Antonio J" last="Molina">Antonio J. Molina</name><affiliation wicri:level="1"><nlm:affiliation>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León</wicri:regionArea><wicri:noRegion>León</wicri:noRegion></affiliation></author><author><name sortKey="Astray, Jenaro" sort="Astray, Jenaro" uniqKey="Astray J" first="Jenaro" last="Astray">Jenaro Astray</name><affiliation wicri:level="3"><nlm:affiliation>Subdirección de Vigilancia, Comunidad de Madrid, Madrid, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Subdirección de Vigilancia, Comunidad de Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Castro, Ady" sort="Castro, Ady" uniqKey="Castro A" first="Ady" last="Castro">Ady Castro</name><affiliation wicri:level="3"><nlm:affiliation>CIBER Enfermedades Respiratorias, Madrid, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Enfermedades Respiratorias, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Gonzalez Candelas, Fernando" sort="Gonzalez Candelas, Fernando" uniqKey="Gonzalez Candelas F" first="Fernando" last="González-Candelas">Fernando González-Candelas</name><affiliation wicri:level="1"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Unidad Mixta Genómica y Salud CSISP (FISABIO), Universitat de València, Valencia, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid, España; Unidad Mixta Genómica y Salud CSISP (FISABIO), Universitat de València, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Mayoral, Jose Maria" sort="Mayoral, Jose Maria" uniqKey="Mayoral J" first="José María" last="Mayoral">José María Mayoral</name><affiliation wicri:level="1"><nlm:affiliation>Servicio de Vigilancia de Andalucía, Sevilla, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Vigilancia de Andalucía, Sevilla</wicri:regionArea><wicri:noRegion>Sevilla</wicri:noRegion></affiliation></author><author><name sortKey="Quintana, Jose Maria" sort="Quintana, Jose Maria" uniqKey="Quintana J" first="José María" last="Quintana">José María Quintana</name><affiliation wicri:level="1"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Fundación Vasca de Innovación e Investigación Sanitarias, Sondika, Vizcaya, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid, España; Fundación Vasca de Innovación e Investigación Sanitarias, Sondika, Vizcaya</wicri:regionArea><wicri:noRegion>Vizcaya</wicri:noRegion></affiliation></author><author><name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Ángela" last="Domínguez">Ángela Domínguez</name><affiliation wicri:level="4"><nlm:affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Departament de Salut Pública, Universitat de Barcelona, Barcelona, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>CIBER Epidemiología y Salud Pública, Madrid, España; Departament de Salut Pública, Universitat de Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université de Barcelone</orgName></affiliation></author></analytic><series><title level="j">Archivos de bronconeumologia</title><idno type="eISSN">1579-2129</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Alcoholism (epidemiology)</term><term>Body Mass Index (MeSH)</term><term>Case-Control Studies (MeSH)</term><term>Comorbidity (MeSH)</term><term>Educational Status (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (MeSH)</term><term>Humans (MeSH)</term><term>Influenza A Virus, H1N1 Subtype (MeSH)</term><term>Influenza Vaccines (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (therapy)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Obesity (epidemiology)</term><term>Pandemics (MeSH)</term><term>Pneumonia (epidemiology)</term><term>Risk Factors (MeSH)</term><term>Smoking (epidemiology)</term><term>Spain (epidemiology)</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Alcoolisme (épidémiologie)</term><term>Comorbidité (MeSH)</term><term>Espagne (épidémiologie)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Fumer (épidémiologie)</term><term>Grippe humaine (thérapie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation (MeSH)</term><term>Humains (MeSH)</term><term>Indice de masse corporelle (MeSH)</term><term>Mâle (MeSH)</term><term>Niveau d'instruction (MeSH)</term><term>Obésité (épidémiologie)</term><term>Pandémies (MeSH)</term><term>Pneumopathie infectieuse (épidémiologie)</term><term>Sous-type H1N1 du virus de la grippe A (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Vaccination (statistiques et données numériques)</term><term>Vaccins antigrippaux (MeSH)</term><term>Études cas-témoins (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alcoholism</term><term>Influenza, Human</term><term>Obesity</term><term>Pneumonia</term><term>Smoking</term><term>Spain</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Alcoolisme</term><term>Espagne</term><term>Fumer</term><term>Grippe humaine</term><term>Obésité</term><term>Pneumopathie infectieuse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Body Mass Index</term><term>Case-Control Studies</term><term>Comorbidity</term><term>Educational Status</term><term>Female</term><term>Hospitalization</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Facteurs de risque</term><term>Femelle</term><term>Hospitalisation</term><term>Humains</term><term>Indice de masse corporelle</term><term>Mâle</term><term>Niveau d'instruction</term><term>Pandémies</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Sujet âgé</term><term>Vaccins antigrippaux</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Obesity has emerged as a significant independent predictor of severity in pandemic influenzaA (H1N1)pdm09. The aim of this study was to investigate the association between body mass index (BMI) and the risk of hospitalization due to influenza.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Hospitalized patients (n=755) with laboratory-confirmed influenza were individually matched by age, admission/visit date, and province with an outpatient (n=783) with laboratory-confirmed influenza and an outpatient control (n=950). We compared the BMI using conditional logistic regression adjusted for potential confounding factors (aOR). The population attributable fraction (PAF) was calculated.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A higher BMI was associated with an increased risk of hospitalization compared to both outpatient cases (aOR=1.11; 95%CI: 1.07-1.16) and outpatient controls (aOR=1.04; 95%CI: 1.01-1.07). Compared with normal weight, obesity type I, obesity type II and obesity type III was associated with a greater likelihood of hospitalization compared with outpatient cases (aOR=1.85, 95%CI: 1.05-3.26; aOR=5.24, 95%CI: 1.94-14.15 and aOR=44.38, 95%CI: 4.47-440.5). Compared with normal weight, obesity type II and obesity type III was associated with a greater likelihood of hospitalization compared with outpatient controls (aOR=4.37, 95%CI: 1.79-10.69 and aOR=4.95, 95%CI: 1.45-16.87). In persons without influenza vaccination, all categories of BMI≥30kg/m(2) were associated with a greater likelihood of hospitalization compared with normal weight in both outpatient cases and outpatient controls. The PAF of hospitalization by influenza due to BMI ranged from 21.9% to 8.5%; in the case of unvaccinated against influenza between 20.5% to 16.9%.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>A high BMI is associated with an increased risk of hospitalization due to influenza. High percentage of hospital admissions are attributable to their BMI, especially in non vaccinated.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26809749</PMID><DateCompleted><Year>2018</Year><Month>01</Month><Day>04</Day></DateCompleted><DateRevised><Year>2018</Year><Month>01</Month><Day>04</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1579-2129</ISSN><JournalIssue CitedMedium="Internet"><Volume>52</Volume><Issue>6</Issue><PubDate><Year>2016</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Archivos de bronconeumologia</Title><ISOAbbreviation>Arch. Bronconeumol.</ISOAbbreviation></Journal><ArticleTitle>High Body Mass Index as a Risk Factor for Hospitalization Due to Influenza: A Case-Control Study.</ArticleTitle><Pagination><MedlinePgn>299-307</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.arbres.2015.11.006</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0300-2896(15)00465-2</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Obesity has emerged as a significant independent predictor of severity in pandemic influenzaA (H1N1)pdm09. The aim of this study was to investigate the association between body mass index (BMI) and the risk of hospitalization due to influenza.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Hospitalized patients (n=755) with laboratory-confirmed influenza were individually matched by age, admission/visit date, and province with an outpatient (n=783) with laboratory-confirmed influenza and an outpatient control (n=950). We compared the BMI using conditional logistic regression adjusted for potential confounding factors (aOR). The population attributable fraction (PAF) was calculated.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A higher BMI was associated with an increased risk of hospitalization compared to both outpatient cases (aOR=1.11; 95%CI: 1.07-1.16) and outpatient controls (aOR=1.04; 95%CI: 1.01-1.07). Compared with normal weight, obesity type I, obesity type II and obesity type III was associated with a greater likelihood of hospitalization compared with outpatient cases (aOR=1.85, 95%CI: 1.05-3.26; aOR=5.24, 95%CI: 1.94-14.15 and aOR=44.38, 95%CI: 4.47-440.5). Compared with normal weight, obesity type II and obesity type III was associated with a greater likelihood of hospitalization compared with outpatient controls (aOR=4.37, 95%CI: 1.79-10.69 and aOR=4.95, 95%CI: 1.45-16.87). In persons without influenza vaccination, all categories of BMI≥30kg/m(2) were associated with a greater likelihood of hospitalization compared with normal weight in both outpatient cases and outpatient controls. The PAF of hospitalization by influenza due to BMI ranged from 21.9% to 8.5%; in the case of unvaccinated against influenza between 20.5% to 16.9%.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A high BMI is associated with an increased risk of hospitalization due to influenza. High percentage of hospital admissions are attributable to their BMI, especially in non vaccinated.</AbstractText><CopyrightInformation>Copyright © 2015 SEPAR. Published by Elsevier Espana. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Martín</LastName><ForeName>Vicente</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León, España; CIBER Epidemiología y Salud Pública, Madrid, España. Electronic address: vicente.martin@unileon.es.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Castilla</LastName><ForeName>Jesús</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Instituto de Salud Pública de Navarra, Pamplona, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Godoy</LastName><ForeName>Pere</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Departament de Salut, Generalitat de Catalunya, Barcelona, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delgado-Rodríguez</LastName><ForeName>Miguel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; División de Medicina Preventiva y Salud Pública, Universidad de Jaén, Jaén, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soldevila</LastName><ForeName>Nuria</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública, Madrid, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fernández-Villa</LastName><ForeName>Tania</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Molina</LastName><ForeName>Antonio J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Grupo de Investigación interacciones gen-ambiente y salud, Universidad de León, León, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Astray</LastName><ForeName>Jenaro</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Subdirección de Vigilancia, Comunidad de Madrid, Madrid, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Castro</LastName><ForeName>Ady</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>CIBER Enfermedades Respiratorias, Madrid, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>González-Candelas</LastName><ForeName>Fernando</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Unidad Mixta Genómica y Salud CSISP (FISABIO), Universitat de València, Valencia, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mayoral</LastName><ForeName>José María</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Servicio de Vigilancia de Andalucía, Sevilla, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Quintana</LastName><ForeName>José María</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Fundación Vasca de Innovación e Investigación Sanitarias, Sondika, Vizcaya, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Domínguez</LastName><ForeName>Ángela</ForeName><Initials>Á</Initials><AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública, Madrid, España; Departament de Salut Pública, Universitat de Barcelona, Barcelona, España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>Grupo de Trabajo del Proyecto CIBERESP de Casos y Controles sobre la Gripe Pandémica, España</CollectiveName></Author></AuthorList><Language>eng</Language><Language>spa</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><VernacularTitle>Índice de masa corporal elevado como factor de riesgo de hospitalización por gripe: estudio de casos y controles.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2016</Year><Month>01</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Arch Bronconeumol</MedlineTA><NlmUniqueID>0354720</NlmUniqueID><ISSNLinking>0300-2896</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000437" MajorTopicYN="N">Alcoholism</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015992" MajorTopicYN="Y">Body Mass Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004522" MajorTopicYN="N">Educational Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="Y">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="N">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></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="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011014" MajorTopicYN="N">Pneumonia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012907" MajorTopicYN="N">Smoking</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Body mass index</Keyword><Keyword MajorTopicYN="N">Case control study</Keyword><Keyword MajorTopicYN="N">Estudio de casos y controles</Keyword><Keyword MajorTopicYN="N">Fracción atribuible poblacional</Keyword><Keyword MajorTopicYN="N">Gripe</Keyword><Keyword MajorTopicYN="N">Hospitalization risk</Keyword><Keyword MajorTopicYN="N">Influenza</Keyword><Keyword MajorTopicYN="N">Obesidad</Keyword><Keyword MajorTopicYN="N">Obesity</Keyword><Keyword MajorTopicYN="N">Population attributable fraction</Keyword><Keyword MajorTopicYN="N">Riesgo de hospitalización</Keyword><Keyword MajorTopicYN="N">Índice de masa corporal</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>06</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>10</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>11</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>1</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>1</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26809749</ArticleId><ArticleId IdType="pii">S0300-2896(15)00465-2</ArticleId><ArticleId IdType="doi">10.1016/j.arbres.2015.11.006</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Catalogne</li><li>Communauté de Madrid</li></region><settlement><li>Barcelone</li><li>Madrid</li></settlement><orgName><li>Université de Barcelone</li></orgName></list><tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Martin, Vicente" sort="Martin, Vicente" uniqKey="Martin V" first="Vicente" last="Martín">Vicente Martín</name></region><name sortKey="Astray, Jenaro" sort="Astray, Jenaro" uniqKey="Astray J" first="Jenaro" last="Astray">Jenaro Astray</name><name sortKey="Castilla, Jesus" sort="Castilla, Jesus" uniqKey="Castilla J" first="Jesús" last="Castilla">Jesús Castilla</name><name sortKey="Castro, Ady" sort="Castro, Ady" uniqKey="Castro A" first="Ady" last="Castro">Ady Castro</name><name sortKey="Delgado Rodriguez, Miguel" sort="Delgado Rodriguez, Miguel" uniqKey="Delgado Rodriguez M" first="Miguel" last="Delgado-Rodríguez">Miguel Delgado-Rodríguez</name><name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Ángela" last="Domínguez">Ángela Domínguez</name><name sortKey="Fernandez Villa, Tania" sort="Fernandez Villa, Tania" uniqKey="Fernandez Villa T" first="Tania" last="Fernández-Villa">Tania Fernández-Villa</name><name sortKey="Godoy, Pere" sort="Godoy, Pere" uniqKey="Godoy P" first="Pere" last="Godoy">Pere Godoy</name><name sortKey="Gonzalez Candelas, Fernando" sort="Gonzalez Candelas, Fernando" uniqKey="Gonzalez Candelas F" first="Fernando" last="González-Candelas">Fernando González-Candelas</name><name sortKey="Mayoral, Jose Maria" sort="Mayoral, Jose Maria" uniqKey="Mayoral J" first="José María" last="Mayoral">José María Mayoral</name><name sortKey="Molina, Antonio J" sort="Molina, Antonio J" uniqKey="Molina A" first="Antonio J" last="Molina">Antonio J. Molina</name><name sortKey="Quintana, Jose Maria" sort="Quintana, Jose Maria" uniqKey="Quintana J" first="José María" last="Quintana">José María Quintana</name><name sortKey="Soldevila, Nuria" sort="Soldevila, Nuria" uniqKey="Soldevila N" first="Nuria" last="Soldevila">Nuria Soldevila</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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