Department of Clinical and Social Nutrition, School of Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil.
School of Physical Education and Sports, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
PLoS One. 2022 Mar 4;17(3):e0263723. doi: 10.1371/journal.pone.0263723. eCollection 2022.
The aim of this article is to assess the odds ratio of hospitalization and mortality due to COVID-19 in people with obesity using data from residents of Espírito Santo, Brazil. An observational, quantitative, cross-sectional study was carried out from the database available on the official channel of the State Health Secretariat of Espírito Santo. Crude odds ratio estimates (ORs) referring to the association between variables were calculated, as well as adjusted odds ratios (adjusted odds ratios-OR adj.) and their respective 95% confidence intervals (CI 95%). The results indicate that men, non-white, no education or with lower education level and age over 40 years old were more likely to be hospitalized and died of COVID-19. People with obesity are at risk of hospitalization and death due to COVID-19 54% and 113% higher than people who do not have obesity. People with obesity had a higher chance of hospitalization when they were over 40 years old, had breathing difficulty, and the comorbidities diabetes (2.18 higher) and kidney disease (4.10 higher). The odds ratio of death for people with obesity over 60 years old was 12.51 higher, and those who were hospitalized was 17.9 higher compared to those who were not hospitalized.
本文旨在利用巴西圣埃斯皮里图州居民的数据，评估肥胖人群因 COVID-19 住院和死亡的优势比。这是一项观察性、定量、横断面研究，数据来源于圣埃斯皮里图州卫生秘书处的官方渠道。计算了变量之间关联的粗优势比估计值（OR），以及调整后的优势比（调整后的优势比-OR adj.）及其各自的 95%置信区间（95%CI）。结果表明，男性、非白人、未受教育或受教育程度较低以及年龄超过 40 岁的人更有可能因 COVID-19 住院和死亡。肥胖人群因 COVID-19 住院和死亡的风险分别比非肥胖人群高 54%和 113%。肥胖人群在 40 岁以上、有呼吸困难以及合并糖尿病（高 2.18 倍）和肾病（高 4.10 倍）时，住院的几率更高。60 岁以上肥胖人群的死亡优势比高 12.51 倍，而住院的死亡优势比高 17.9 倍，而非住院人群的死亡优势比为 1。
