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COVID-19-related cardiovascular disease risk due to weight gain: a nationwide cohort study

Cardiovascular disease (CVD) is a significant contributor to morbidity and mortality worldwide, with CVD and post-acute COVID-19 associated CVD increasing. It remains unknown whether COVID-19 patients with weight gain are at a high risk for CVD events. Therefore, the primary objective of this study...

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Published in:European journal of medical research 2024-01, Vol.29 (1), p.2-2, Article 2
Main Authors: Lee, Su Kyoung, Lim, Yohwan, Jeong, Seogsong, Han, Hyun Wook
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Han, Hyun Wook
description Cardiovascular disease (CVD) is a significant contributor to morbidity and mortality worldwide, with CVD and post-acute COVID-19 associated CVD increasing. It remains unknown whether COVID-19 patients with weight gain are at a high risk for CVD events. Therefore, the primary objective of this study is to investigate the association between weight control and the risk of CVD following COVID-19. The study included 2,024,728 adults who participated in two rounds of health screening between 2017 and 2020. The final cohort, which included 70,996 participants in the COVID-19 group and 212,869 participants in the control group. The adjusted hazard ratio of BMI change to CVD risk was calculated using Cox proportional hazards regression. We identified a total of 2869 cases of CVD (861 events for COVID-19 group and 2,008 events for the control group). Compared to individuals with a stable BMI, COVID-19 patients without obesity had an increased risk of CVD (adjusted hazard ratio [aHR] = 2.28; 95% confidence interval [CI], 1.15-4.53; p-value = 0.018). Additionally, non-COVID-19 patients with obesity also exhibited a higher risk of CVD (aHR = 1.58; 95% CI, 1.01-2.47; p-value = 0.046). In conclusion, people who gained weight during the pandemic, regardless of their weight category, had a significantly higher risk of CVD associated with COVID-19 compared to those who maintained their weight before the pandemic.
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It remains unknown whether COVID-19 patients with weight gain are at a high risk for CVD events. Therefore, the primary objective of this study is to investigate the association between weight control and the risk of CVD following COVID-19. The study included 2,024,728 adults who participated in two rounds of health screening between 2017 and 2020. The final cohort, which included 70,996 participants in the COVID-19 group and 212,869 participants in the control group. The adjusted hazard ratio of BMI change to CVD risk was calculated using Cox proportional hazards regression. We identified a total of 2869 cases of CVD (861 events for COVID-19 group and 2,008 events for the control group). Compared to individuals with a stable BMI, COVID-19 patients without obesity had an increased risk of CVD (adjusted hazard ratio [aHR] = 2.28; 95% confidence interval [CI], 1.15-4.53; p-value = 0.018). Additionally, non-COVID-19 patients with obesity also exhibited a higher risk of CVD (aHR = 1.58; 95% CI, 1.01-2.47; p-value = 0.046). 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Additionally, non-COVID-19 patients with obesity also exhibited a higher risk of CVD (aHR = 1.58; 95% CI, 1.01-2.47; p-value = 0.046). In conclusion, people who gained weight during the pandemic, regardless of their weight category, had a significantly higher risk of CVD associated with COVID-19 compared to those who maintained their weight before the pandemic.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>38167158</pmid><doi>10.1186/s40001-023-01569-7</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 2047-783X
ispartof European journal of medical research, 2024-01, Vol.29 (1), p.2-2, Article 2
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source Publicly Available Content Database; PubMed Central
subjects Adult
Age
Alcohol
Body Mass Index
Body-mass index, BMI
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - etiology
Cohort analysis
Cohort Studies
COVID-19
COVID-19 - complications
COVID-19 - epidemiology
Diabetes
Disease transmission
Eating disorders
Exercise
Health insurance
Heart
Humans
Hypertension
Infections
Medical screening
Metabolic disorders
Obesity
Obesity - complications
Obesity - epidemiology
Pregnancy
Risk Factors
Severe acute respiratory syndrome coronavirus 2
Sleep disorders
Variables
Weight control
Weight Gain
Weight loss maintenance
title COVID-19-related cardiovascular disease risk due to weight gain: a nationwide cohort study
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