PandemieGrippaleV1, Main, Curation, bibRecord, 000453

Underweight, overweight, and obesity as independent risk factors for hospitalization in adults and children from influenza and other respiratory viruses

Identifieur interne : 000453 ( Main/Curation ); précédent : 000452; suivant : 000454

Underweight, overweight, and obesity as independent risk factors for hospitalization in adults and children from influenza and other respiratory viruses

Auteurs : Joe-Ann S. Moser ; Arturo Galindo-Fraga ; Ana A. Ortiz-Hernández ; Wenjuan Gu ; Sally Hunsberger ; Juan-Francisco Galán-Herrera ; María Lourdes Guerrero ; Guillermo M. Ruiz-Palacios ; John H. Beigel

Source :

Influenza and Other Respiratory Viruses [ 1750-2640 ] ; 2018.

RBID : PMC:6304312

Descripteurs français

English descriptors

KwdEn :
- Adult, Aged, Body Mass Index, Child, Child, Preschool, Cohort Studies, Female, Hospitalization, Humans, Infant, Influenza, Human (complications), Male, Middle Aged, Nasopharynx (virology), Obesity (complications), Obesity, Morbid (complications), Outpatients, Overweight (complications), Respiratory Tract Infections (complications), Respiratory Tract Infections (virology), Risk Factors, Thinness (complications).
MESH :
- complications : Influenza, Human, Obesity, Obesity, Morbid, Overweight, Respiratory Tract Infections, Thinness.
- virology : Nasopharynx, Respiratory Tract Infections.
- Adult, Aged, Body Mass Index, Child, Child, Preschool, Cohort Studies, Female, Hospitalization, Humans, Infant, Male, Middle Aged, Outpatients, Risk Factors.

Abstract

Background

The relationship between obesity and risk of complications described during the 2009 influenza pandemic is poorly defined for seasonal influenza and other viral causes of influenza‐like illness (ILI).

Methods

An observational cohort of hospitalized and outpatient participants with ILI was conducted in six hospitals in Mexico. Nasopharyngeal swabs were tested for influenza and other common respiratory pathogens.

Results

A total of 4778 participants were enrolled in this study and had complete data. A total of 2053 (43.0%) had severe ILI. Seven hundred and seventy‐eight (16.3%) were positive for influenza, 2636 (55.2%) were positive for other viral respiratory pathogens, and 1364 (28.5%) had no respiratory virus isolated. Adults with influenza were more likely to be hospitalized if they were underweight (OR: 5.20), obese (OR: 3.18), or morbidly obese (OR: 18.40) compared to normal‐weight adults. Obese adults with H1N1 had a sixfold increase in odds of hospitalization over H3N2 and B (obese OR: 8.96 vs 1.35, morbidly obese OR: 35.13 vs 5.58, respectively) compared to normal‐weight adults. In adults with coronavirus, metapneumovirus, parainfluenza, and rhinovirus, participants that were underweight (OR: 4.07) and morbidly obese (OR: 2.78) were more likely to be hospitalized as compared to normal‐weight adults. All‐cause influenza‐like illness had a similar but less pronounced association between underweight or morbidly obesity and hospitalization.

Conclusions

There is an increased risk of being hospitalized in adult participants that are underweight or morbidly obese, regardless of their viral pathogen status. Having influenza, however, significantly increases the odds of hospitalization in those who are underweight or morbidly obese.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304312

DOI: 10.1111/irv.12618
PubMed: 30515985
PubMed Central: 6304312

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PMC:6304312

Le document en format XML

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<series><title level="j">Influenza and Other Respiratory Viruses</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Body Mass Index</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Infant</term>
<term>Influenza, Human (complications)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nasopharynx (virology)</term>
<term>Obesity (complications)</term>
<term>Obesity, Morbid (complications)</term>
<term>Outpatients</term>
<term>Overweight (complications)</term>
<term>Respiratory Tract Infections (complications)</term>
<term>Respiratory Tract Infections (virology)</term>
<term>Risk Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Grippe humaine ()</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Infections de l'appareil respiratoire ()</term>
<term>Infections de l'appareil respiratoire (virologie)</term>
<term>Maigreur ()</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Obésité ()</term>
<term>Obésité morbide ()</term>
<term>Partie nasale du pharynx (virologie)</term>
<term>Patients en consultation externe</term>
<term>Sujet âgé</term>
<term>Surpoids ()</term>
<term>Études de cohortes</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term>
<term>Obesity</term>
<term>Obesity, Morbid</term>
<term>Overweight</term>
<term>Respiratory Tract Infections</term>
<term>Thinness</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections de l'appareil respiratoire</term>
<term>Partie nasale du pharynx</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Nasopharynx</term>
<term>Respiratory Tract Infections</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Body Mass Index</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Outpatients</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Grippe humaine</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Infections de l'appareil respiratoire</term>
<term>Maigreur</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Obésité</term>
<term>Obésité morbide</term>
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<front><div type="abstract" xml:lang="en"><sec id="irv12618-sec-0001"><title>Background</title>
<p>The relationship between obesity and risk of complications described during the 2009 influenza pandemic is poorly defined for seasonal influenza and other viral causes of influenza‐like illness (<styled-content style="fixed-case" toggle="no">ILI</styled-content>
).</p>
</sec>
<sec id="irv12618-sec-0002"><title>Methods</title>
<p>An observational cohort of hospitalized and outpatient participants with <styled-content style="fixed-case" toggle="no">ILI</styled-content>
 was conducted in six hospitals in Mexico. Nasopharyngeal swabs were tested for influenza and other common respiratory pathogens.</p>
</sec>
<sec id="irv12618-sec-0003"><title>Results</title>
<p>A total of 4778 participants were enrolled in this study and had complete data. A total of 2053 (43.0%) had severe <styled-content style="fixed-case" toggle="no">ILI</styled-content>
. Seven hundred and seventy‐eight (16.3%) were positive for influenza, 2636 (55.2%) were positive for other viral respiratory pathogens, and 1364 (28.5%) had no respiratory virus isolated. Adults with influenza were more likely to be hospitalized if they were underweight (OR: 5.20), obese (OR: 3.18), or morbidly obese (OR: 18.40) compared to normal‐weight adults. Obese adults with H1N1 had a sixfold increase in odds of hospitalization over H3N2 and B (obese OR: 8.96 vs 1.35, morbidly obese OR: 35.13 vs 5.58, respectively) compared to normal‐weight adults. In adults with coronavirus, metapneumovirus, parainfluenza, and rhinovirus, participants that were underweight (OR: 4.07) and morbidly obese (OR: 2.78) were more likely to be hospitalized as compared to normal‐weight adults. All‐cause influenza‐like illness had a similar but less pronounced association between underweight or morbidly obesity and hospitalization.</p>
</sec>
<sec id="irv12618-sec-0004"><title>Conclusions</title>
<p>There is an increased risk of being hospitalized in adult participants that are underweight or morbidly obese, regardless of their viral pathogen status. Having influenza, however, significantly increases the odds of hospitalization in those who are underweight or morbidly obese.</p>
</sec>
</div>
</front>
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Underweight, overweight, and obesity as independent risk factors for hospitalization in adults and children from influenza and other respiratory viruses

Underweight, overweight, and obesity as independent risk factors for hospitalization in adults and children from influenza and other respiratory viruses

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki