Obesity

Body mass index changes and their association with SARS-CoV-2 infection: a real-world analysis

Int J Obes (Lond)Published Retrospective cohort study

Authors' conclusion

In a diverse real-world cohort of adults, mean BMI of those with and without SARS-CoV2 infection varied in their trajectories. The mechanisms and implications of weight retention following SARS-CoV-2 infection remain unclear.

Study context

Population
Individuals aged 18–99 years, OneFlorida+ Clinical Research Network; 62% women, mean age 51.9 years (SD 18.9)
Participants
249,743 individuals
Exposure
SARS-CoV-2 Exposed vs contemporary Unexposed vs Historical control cohorts
Outcome
BMI (kg/m²) at start of follow-up and change per 100 days of follow-up
Methodological detailsreal-world data, target trial approaches, age/sex-matched historical control cohort
  • Real-world data
  • Target trial approaches
  • Age/sex-matched historical control cohort

Main finding

As reported in the abstract

BMI at start of follow-up

Unexposed

29.3

mean · 95% CI 29.1–29.4 · kg/m²

Each group vs unexposedDifference in mean BMI, kg/m2 (95% CI)
Exposed
0.07(0.01–0.12)
Historical
−0.20(−0.25 to −0.15)

Observational data: associations, not effects.

Further findings

kg/m²

OutcomeExposedUnexposedHistorical
BMI change over 100 days0 (95% CI −0.03–0.03)−0.04 (95% CI −0.05–-0.02)0.03 (95% CI 0.01–0.04)

Subgroups (sex, race & ethnicity, age, hospitalization)

Differences between Unexposed and Exposed consistent for most subgroups, except at start of follow-up among Males and those ≥65 years, who had lower body mass index (BMI) among Exposed

Original publication

Body mass index changes and their association with SARS-CoV-2 infection: a real-world analysis. Int J Obes (Lond). Published 14 September 2024. doi:10.1038/s41366-024-01628-x

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