Covid-19 patients who are obese face more serious disease than those without obesity, a new study finds. Nearly all intensive care patients who were studied ended up on a ventilator if they had severe obesity, the researchers founds.
Obesity is listed as a risk factor for severe disease by the US Centers for Disease Control and Prevention and other health agencies. Dr. François Pattou, head of the Department of General and Endocrine Surgery at Lille University Hospital in France, along with colleagues set out to quantify the risk.
Back in April, Pattou’s team began to look at Covid-19 patients across Europe. They studied 124 patients admitted to intensive care units and compared them with 306 patients in the intensive care unit for reasons other than coronavirus.
They found about half of the patients with Covid-19 in ICU had obesity, defined as a body mass index or BMI over 30. A quarter of the patients had a BMI of 35 or above, Pattou found. But only around 10% of the patients had a BMI that was under 25, considered a healthy weight.
When researchers compared this to the non-Covid patients in ICU, fewer were obese. “A quarter had obesity or severe obesity; a further quarter were overweight, and around half fell into the healthy weight range,” the European and International Congress on Obesity, where the findings will be presented, said in a statement.
Doctors know obesity puts patients at higher risk of severe illness from infectious respiratory diseases such as flu. Pattou’s study found that the higher a patient’s BMI, the worse the symptoms.
"Several months into the Covid-19 pandemic, the increased risk posed by this virus to people living with obesity could not be clearer,” Pattou said in a statement.
“Our data show that the chances of increasing to more severe disease increases with BMI, to the point where almost all intensive care Covid-19 patients with severe obesity will end up on a ventilator."