Morbid Obesity as a Risk Factor for Hospitalization and Death Due to 2009 Pandemic Influenza A(H1N1) Disease
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{"title"=>"Morbid obesity as a risk factor for hospitalization and death due to 2009 pandemic influenza A(H1N1) disease", "type"=>"journal", "authors"=>[{"first_name"=>"Oliver W.", "last_name"=>"Morgan", "scopus_author_id"=>"8265576400"}, {"first_name"=>"Anna", "last_name"=>"Bramley", "scopus_author_id"=>"35241905700"}, {"first_name"=>"Ashley", "last_name"=>"Fowlkes", "scopus_author_id"=>"24178429100"}, {"first_name"=>"David S.", "last_name"=>"Freedman", "scopus_author_id"=>"56364647100"}, {"first_name"=>"Thomas H.", "last_name"=>"Taylor", "scopus_author_id"=>"56454738500"}, {"first_name"=>"Paul", "last_name"=>"Gargiullo", "scopus_author_id"=>"6603670696"}, {"first_name"=>"Brook", "last_name"=>"Belay", "scopus_author_id"=>"16038879200"}, {"first_name"=>"Seema", "last_name"=>"Jain", "scopus_author_id"=>"35242149700"}, {"first_name"=>"Chad", "last_name"=>"Cox", "scopus_author_id"=>"37001720600"}, {"first_name"=>"Laurie", "last_name"=>"Kamimoto", "scopus_author_id"=>"11739580000"}, {"first_name"=>"Anthony", "last_name"=>"Fiore", "scopus_author_id"=>"7102448006"}, {"first_name"=>"Lyn", "last_name"=>"Finelli", "scopus_author_id"=>"7007050800"}, {"first_name"=>"Sonja J.", "last_name"=>"Olsen", "scopus_author_id"=>"7202568721"}, {"first_name"=>"Alicia M.", "last_name"=>"Fry", "scopus_author_id"=>"13407240200"}], "year"=>2010, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-77951863381", "sgr"=>"77951863381", "pui"=>"368277900", "isbn"=>"1932-6203", "pmid"=>"20300571", "doi"=>"10.1371/journal.pone.0009694"}, "id"=>"011daca6-fe27-3324-8633-58a7f5ca8999", "abstract"=>"BACKGROUND: Severe illness due to 2009 pandemic A(H1N1) infection has been reported among persons who are obese or morbidly obese. We assessed whether obesity is a risk factor for hospitalization and death due to 2009 pandemic influenza A(H1N1), independent of chronic medical conditions considered by the Advisory Committee on Immunization Practices (ACIP) to increase the risk of influenza-related complications.$\\$n$\\$nMETHODOLOGY/PRINCIPAL FINDINGS: We used a case-cohort design to compare cases of hospitalizations and deaths from 2009 pandemic A(H1N1) influenza occurring between April-July, 2009, with a cohort of the U.S. population estimated from the 2003-2006 National Health and Nutrition Examination Survey (NHANES); pregnant women and children {<}2 years old were excluded. For hospitalizations, we defined categories of relative weight by body mass index (BMI, kg/m(2)); for deaths, obesity or morbid obesity was recorded on medical charts, and death certificates. Odds ratio (OR) of being in each BMI category was determined; normal weight was the reference category. Overall, 361 hospitalizations and 233 deaths included information to determine BMI category and presence of ACIP-recognized medical conditions. Among {>}or=20 year olds, hospitalization was associated with being morbidly obese (BMI{>}or=40) for individuals with ACIP-recognized chronic conditions (OR = 4.9, 95{%} CI 2.4-9.9) and without ACIP-recognized chronic conditions (OR = 4.7, 95{%}CI 1.3-17.2). Among 2-19 year olds, hospitalization was associated with being underweight (BMI{<}or=5(th) percentile) among those with (OR = 12.5, 95{%}CI 3.4-45.5) and without (OR = 5.5, 95{%}CI 1.3-22.5) ACIP-recognized chronic conditions. Death was not associated with BMI category among individuals 2-19 years old. Among individuals aged {>}or=20 years without ACIP-recognized chronic medical conditions death was associated with obesity (OR = 3.1, 95{%}CI: 1.5-6.6) and morbid obesity (OR = 7.6, 95{%}CI 2.1-27.9).$\\$n$\\$nCONCLUSIONS/SIGNIFICANCE: Our findings support observations that morbid obesity may be associated with hospitalization and possibly death due to 2009 pandemic H1N1 infection. These complications could be prevented by early antiviral therapy and vaccination.", "link"=>"http://www.mendeley.com/research/morbid-obesity-risk-factor-hospitalization-death-due-2009-pandemic-influenza-ah1n1-disease-1", "reader_count"=>66, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>5, "Student > Doctoral Student"=>3, "Researcher"=>10, "Student > Ph. D. Student"=>14, "Student > Postgraduate"=>3, "Other"=>3, "Student > Master"=>14, "Student > Bachelor"=>6, "Lecturer > Senior Lecturer"=>1, "Professor"=>5}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>5, "Student > Doctoral Student"=>3, "Researcher"=>10, "Student > Ph. D. Student"=>14, "Student > Postgraduate"=>3, "Other"=>3, "Student > Master"=>14, "Student > Bachelor"=>6, "Lecturer > Senior Lecturer"=>1, "Professor"=>5}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Agricultural and Biological Sciences"=>15, "Veterinary Science and Veterinary Medicine"=>2, "Economics, Econometrics and Finance"=>1, "Environmental Science"=>1, "Nursing and Health Professions"=>4, "Biochemistry, Genetics and Molecular Biology"=>2, "Mathematics"=>1, "Medicine and Dentistry"=>29, "Sports and Recreations"=>1, "Psychology"=>1, "Social Sciences"=>2, "Immunology and Microbiology"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>29}, "Social Sciences"=>{"Social Sciences"=>2}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Psychology"=>{"Psychology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>5}, "Environmental Science"=>{"Environmental Science"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>15}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>2}}, "reader_count_by_country"=>{"Canada"=>1, "United States"=>3, "Malaysia"=>1, "Spain"=>1}, "group_count"=>7}

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  • {"files"=>["https://ndownloader.figshare.com/files/858062"], "description"=>"<p>Note: OR, Odds Ratio, CI, confidence interval.</p><p>BMI (kg/m<sup>2</sup>) categories for 2–19 year olds based on age- and sex-specific CDC 2000 growth charts: underweight<5<sup>th</sup> percentile, normal weight 5–84<sup>th</sup> percentile, overweight 59–94<sup>th</sup> percentile, obese ≥95<sup>th</sup> percentile.</p><p>BMI (kg/m<sup>2</sup>) categories for ≥20 year olds: underweight<18.5, normal weight 18.5–24.9, overweight 25.0–29.9, obese 30.0–39.9, morbidly obese ≥40.</p><p>* For this analysis ACIP-recognized chronic medical conditions include cardiovascular disease, pulmonary disease, liver condition, cancer, and diabetes.</p><p>** National Health and Nutrition Examination Survey (NHANES) 2003–2006, respondents who report having been admitted to hospital for any reason in the 12 months prior to interview.</p><p>† There were no observations in this strata from the NHANES survey.</p>", "links"=>[], "tags"=>["bmi", "patients", "hospitalized", "2009", "pandemic", "influenza", "compared", "nhanes", "12-month", "acip-recognized"], "article_id"=>528477, "categories"=>["Computational Biology", "Medicine", "Biotechnology"], "users"=>["Oliver W. Morgan", "Anna Bramley", "Ashley Fowlkes", "David S. Freedman", "Thomas H. Taylor", "Paul Gargiullo", "Brook Belay", "Seema Jain", "Chad Cox", "Laurie Kamimoto", "Anthony Fiore", "Lyn Finelli", "Sonja J. Olsen", "Alicia M. Fry"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0009694.t003", "stats"=>{"downloads"=>3, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Odds_Ratio_of_BMI_category_for_patients_hospitalized_with_2009_pandemic_influenza_A_H1N1_compared_to_the_U_S_NHANES_2003_8211_2006_population_hospitalized_for_any_reason_over_a_12_month_period_by_category_of_body_mass_index_BMI_and_presence_of_ACIP_recog/528477", "title"=>"Odds Ratio of BMI category for patients hospitalized with 2009 pandemic influenza A(H1N1) compared to the U.S. NHANES 2003–2006 population hospitalized for any reason over a 12-month period, by category of body mass index (BMI) and presence of ACIP-recognized chronic medical conditions.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-03-15 02:21:17"}
  • {"files"=>["https://ndownloader.figshare.com/files/426765"], "description"=>"<div><h3>Background</h3><p>Severe illness due to 2009 pandemic A(H1N1) infection has been reported among persons who are obese or morbidly obese. We assessed whether obesity is a risk factor for hospitalization and death due to 2009 pandemic influenza A(H1N1), independent of chronic medical conditions considered by the Advisory Committee on Immunization Practices (ACIP) to increase the risk of influenza-related complications.</p><h3>Methodology/Principal Findings</h3><p>We used a case-cohort design to compare cases of hospitalizations and deaths from 2009 pandemic A(H1N1) influenza occurring between April–July, 2009, with a cohort of the U.S. population estimated from the 2003–2006 National Health and Nutrition Examination Survey (NHANES); pregnant women and children <2 years old were excluded. For hospitalizations, we defined categories of relative weight by body mass index (BMI, kg/m<sup>2</sup>); for deaths, obesity or morbid obesity was recorded on medical charts, and death certificates. Odds ratio (OR) of being in each BMI category was determined; normal weight was the reference category. Overall, 361 hospitalizations and 233 deaths included information to determine BMI category and presence of ACIP-recognized medical conditions. Among ≥20 year olds, hospitalization was associated with being morbidly obese (BMI≥40) for individuals with ACIP-recognized chronic conditions (OR = 4.9, 95% CI 2.4–9.9) and without ACIP-recognized chronic conditions (OR = 4.7, 95%CI 1.3–17.2). Among 2–19 year olds, hospitalization was associated with being underweight (BMI≤5<sup>th</sup> percentile) among those with (OR = 12.5, 95%CI 3.4–45.5) and without (OR = 5.5, 95%CI 1.3–22.5) ACIP-recognized chronic conditions. Death was not associated with BMI category among individuals 2–19 years old. Among individuals aged ≥20 years without ACIP-recognized chronic medical conditions death was associated with obesity (OR = 3.1, 95%CI: 1.5–6.6) and morbid obesity (OR = 7.6, 95%CI 2.1–27.9).</p><h3>Conclusions/Significance</h3><p>Our findings support observations that morbid obesity may be associated with hospitalization and possibly death due to 2009 pandemic H1N1 infection. These complications could be prevented by early antiviral therapy and vaccination.</p></div>", "links"=>[], "tags"=>["morbid", "obesity", "hospitalization", "2009", "pandemic", "influenza"], "article_id"=>144230, "categories"=>["Biological Sciences", "Medicine", "Biotechnology"], "users"=>["Oliver W. Morgan", "Anna Bramley", "Ashley Fowlkes", "David S. Freedman", "Thomas H. Taylor", "Paul Gargiullo", "Brook Belay", "Seema Jain", "Chad Cox", "Laurie Kamimoto", "Anthony Fiore", "Lyn Finelli", "Sonja J. Olsen", "Alicia M. Fry"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0009694", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Morbid_Obesity_as_a_Risk_Factor_for_Hospitalization_and_Death_Due_to_2009_Pandemic_Influenza_A_H1N1_Disease/144230", "title"=>"Morbid Obesity as a Risk Factor for Hospitalization and Death Due to 2009 Pandemic Influenza A(H1N1) Disease", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-03-15 01:10:30"}
  • {"files"=>["https://ndownloader.figshare.com/files/857996"], "description"=>"<p>Note: OR, Odds Ratio, CI, confidence interval.</p><p>BMI (kg/m<sup>2</sup>) categories for 2–19 year olds based on age- and sex-specific CDC 2000 growth charts: underweight<5<sup>th</sup> percentile, normal weight 5–84<sup>th</sup> percentile, overweight 59–94<sup>th</sup> percentile, obese ≥95<sup>th</sup> percentile.</p><p>BMI (kg/m<sup>2</sup>) categories for ≥20 year olds: underweight<18.5, normal weight 18.5–24.9, overweight 25.0–29.9, obese 30.0–39.9, morbidly obese ≥40.</p><p>* For this analysis ACIP-recognized chronic medical conditions include cardiovascular disease, pulmonary disease, liver condition, cancer, and diabetes.</p><p>† Underweight, Normal, and overweight categories not separately defined for deaths.</p>", "links"=>[], "tags"=>["bmi", "patients", "hospitalized", "deaths", "2009", "pandemic", "influenza", "compared", "acip-recognized"], "article_id"=>528427, "categories"=>["Computational Biology", "Medicine", "Biotechnology"], "users"=>["Oliver W. Morgan", "Anna Bramley", "Ashley Fowlkes", "David S. Freedman", "Thomas H. Taylor", "Paul Gargiullo", "Brook Belay", "Seema Jain", "Chad Cox", "Laurie Kamimoto", "Anthony Fiore", "Lyn Finelli", "Sonja J. Olsen", "Alicia M. Fry"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0009694.t002", "stats"=>{"downloads"=>3, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Odds_Ratio_of_BMI_category_for_patients_hospitalized_or_deaths_with_2009_pandemic_influenza_A_H1N1_compared_to_the_U_S_population_by_category_of_body_mass_index_BMI_and_presence_of_ACIP_recognized_chronic_medical_conditions_/528427", "title"=>"Odds Ratio of BMI category for patients hospitalized or deaths with 2009 pandemic influenza A(H1N1) compared to the U.S. population, by category of body mass index (BMI) and presence of ACIP-recognized chronic medical conditions<sup>*</sup>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-03-15 02:20:27"}
  • {"files"=>["https://ndownloader.figshare.com/files/858110"], "description"=>"<p>Note: Pregnant women and children <2 not included.</p><p>BMI (kg/m<sup>2</sup>) categories for 2–19 year olds based on age- and sex-specific CDC 2000 growth charts: underweight<5<sup>th</sup> percentile, normal weight 5–84<sup>th</sup> percentile, overweight 59–94<sup>th</sup> percentile, obese ≥95<sup>th</sup> percentile.</p><p>BMI (kg/m<sup>2</sup>) categories for ≥20 year olds: underweight<18.5, normal weight 18.5–24.9, overweight 25.0–29.9, obese 30.0–39.9, morbidly obese ≥40.</p><p>* National Health and Nutrition Examination Survey (NHANES) 2003–2006.</p><p>** For this analysis ACIP-recognized chronic medical conditions include cardiovascular disease, pulmonary disease, liver condition, cancer, and diabetes.</p><p>† Underweight, Normal, and overweight categories not separately defined for deaths.</p><p>‡ Row percent.</p>", "links"=>[], "tags"=>["percent", "persons", "acip-recognized"], "article_id"=>528554, "categories"=>["Computational Biology", "Medicine", "Biotechnology"], "users"=>["Oliver W. Morgan", "Anna Bramley", "Ashley Fowlkes", "David S. Freedman", "Thomas H. Taylor", "Paul Gargiullo", "Brook Belay", "Seema Jain", "Chad Cox", "Laurie Kamimoto", "Anthony Fiore", "Lyn Finelli", "Sonja J. Olsen", "Alicia M. Fry"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0009694.t001", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Number_and_percent_of_persons_with_ACIP_recognized_chronic_underlying_medical_conditions_by_category_of_body_mass_index_BMI_/528554", "title"=>"Number and percent of persons with ACIP-recognized chronic underlying medical conditions, by category of body mass index (BMI).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2010-03-15 02:22:34"}

PMC Usage Stats | Further Information

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