Post-infection increases in Cardiometabolic Disease Staging (CMDS) scores are associated with increased odds of long COVID in a longitudinal retrospective cohort

Diabetes Res Clin PractPublished Retrospective cohort study

Main finding · Odds of Long COVIDResult — go to the resultOdds ratio 1.36 95% CI 1.08–1.71

Authors' conclusion

Patients who increased in cardiometabolic disease severity after COVID-19 infection had increased odds of developing Long COVID.

Study context

Population
Patients with COVID-19 infection and available clinical data and Long COVID outcomes; mean age 57 years (SD 15), 58% female, 67.1% White
Participants
6,364 patients
Exposure
CMDS score increase after COVID-19 infection vs no increase
Outcome
Long COVID (ICD-10 codes or self-reported symptom interference)
Methodological detailslongitudinal
  • Longitudinal

Main finding

Odds of Long COVID

Odds ratio

1.36

95% CI 1.08–1.71

CMDS increasedvs CMDS not increased
OR 1.36 (95% CI 1.08–1.71)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeLong COVIDNo Long COVIDP value
CMDS score before COVID infection0.210.19P = 0.013
CMDS score after COVID infection0.240.19P < 0.0001

Long COVID prevalence

Met criteria for Long COVID
6.9%

Original publication

Post-infection increases in Cardiometabolic Disease Staging (CMDS) scores are associated with increased odds of long COVID in a longitudinal retrospective cohort. Diabetes Res Clin Pract. Published 23 September 2026. doi:10.1016/j.diabres.2026.113578

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