《Nature,6月22日,Clinical epidemiological analyses of overweight/obesity and abnormal liver function contributing to prolonged hospitalization in patients infected with COVID-19》

  • 来源专题:COVID-19科研动态监测
  • 编译者: zhangmin
  • 发布时间:2020-06-23
  • Clinical epidemiological analyses of overweight/obesity and abnormal liver function contributing to prolonged hospitalization in patients infected with COVID-19

    Xiang Hu, Xiaoqiong Pan, Wei Zhou, Xuejiang Gu, Feixia Shen, Bo Yang & Zhen Hu

    International Journal of Obesity (2020)

    Abstract

    Background/objectives

    During the 2019 coronavirus disease (COVID-19) outbreak, obesity may contribute to COVID-19 transmission and deterioration. In addition, many patients with COVID-19 infection have suffered liver damage which might contribute to a worse prognosis. We conducted a clinical epidemiological analysis to investigate the association of overweight/obesity and abnormal liver function (ALF) with hospitalized duration in patients infected with COVID-19.

    Subjects/methods

    Fifty-eight patients with diagnosed COVID-19 (22 women & 36 men; average age: 49.2 ± 13.1 yr) were included, and their clinical data were collected at The Second Affiliated and Yuying Children’s Hospital of Wenzhou Medical University, Zhejiang. Overweight/obesity was determined as body mass index (BMI) ≥24 kg/m2, ALF was determined as alanine aminotransferase >40 U/L, and prolonged hospitalization was lasting more than the median value of the hospitalized days (19 days) in this population.

  • 原文来源:https://www.nature.com/articles/s41366-020-0634-3
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  • 《Nature,9月13日,Obesity is a potential risk factor contributing to clinical manifestations of COVID-19》

    • 来源专题:COVID-19科研动态监测
    • 编译者:zhangmin
    • 发布时间:2020-09-16
    • Obesity is a potential risk factor contributing to clinical manifestations of COVID-19 Zhenyu Kang, Shanshan Luo, Yang Gui, Haifeng Zhou, Zili Zhang, Chunxia Tian, Qiaoli Zhou, Quansheng Wang, Yu Hu, Heng Fan & Desheng Hu International Journal of Obesity (2020) Abstract Background Since December 2019, novel coronavirus (SARS-CoV-2)-induced pneumonia (COVID-19) occurred in Wuhan, and rapidly spread throughout China. COVID-19 patients demonstrated significantly different outcomes in clinic. We aimed to figure out whether obesity is a risk factor influencing the progression and prognosis of COVID-19. Methods 95 patients with COVID-19 were divided into obesity group and non-obesity group according to their body mass index (BMI). The demographic data, clinical characteristics, laboratory examination, and chest computed tomography (CT) were collected, analyzed and compared between two groups. Results Our data showed that COVID-19 patients with obesity had more underlying diseases and higher mortality rate compared to those without obesity. Furthermore, patients with obesity also demonstrated more severe pathological change in lung and higher blood lymphocytes, triglycerides, IL-6, CRP, cystatin C, alanine aminotransferase (ALT), erythrocyte sedimentation rate (ESR), which may greatly influence disease progression and poor prognosis of COVID-19.
  • 《6月22日_肥胖和肝功能损伤对COVID-19患者住院时长的影响》

    • 来源专题:COVID-19科研动态监测
    • 编译者:xuwenwhlib
    • 发布时间:2020-06-23
    • 信息名称:肥胖和肝功能损伤对COVID-19患者住院时长的影响 1.时间:2020年6月22日 2.机构或团队:温州医科大学 3.事件概要: 温州医科大学在Nature子刊International Journal of Obesity发表论文“Clinical epidemiological analyses of overweight/obesity and abnormal liver function contributing to prolonged hospitalization in patients infected with COVID-19”,该文章对感染COVID-19的患者进行了临床流行病学分析,以了解超重/肥胖与肝功能异常(ALF)与住院时长的关系。 文章纳入COVID-19确诊患者58例(女性22例,男性36例;纳入平均年龄49.2±13.1岁。体重指数(BMI)≥24kg/m2为超重/肥胖,ALF为丙氨酸转氨酶>40U/L,延长住院时间超过中位数19天。结果显示,超重/肥胖和ALF患者延长住院时间的比例高于非超重/肥胖患者(62.1% vs 26.1%,P=0.010)和非ALF患者(70.6% vs 41.5%,P=0.043)。住院时长按照无肥胖/无ALF、或肥胖或ALF、既肥胖又ALF顺序增加(16.4[14.5–18.3] vs 25.3[21.6–29.1] vs 28.3[24.6–32.0],P = 0.001)。出院时间与BMI和ALT呈负相关。 4.附件: 原文链接:https://www.nature.com/articles/s41366-020-0634-3