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BACKGROUND/OBJECTIVES: A growing body of data suggests that obesity influences coronavirus disease 2019 (COVID-19) Our study\'s primary objective was to assess the association between body mass index (BMI) categories and critical forms of COVID-19 SUBJECTS/METHODS: Data on consecutive adult patients hospitalized with laboratory-confirmed COVID-19 at Amiens University Hospital (Amiens, France) were extracted retrospectively The association between BMI categories and the composite primary endpoint (admission to the intensive care unit or death) was probed in a logistic regression analysis RESULTS: In total, 433 patients were included, and BMI data were available for 329: 20 were underweight (6 1%), 95 have a normal weight (28 9%), 90 were overweight (27 4%), and 124 were obese (37 7%) The BMI category was associated with the primary endpoint in the fully adjusted model;the odds ratio (OR) [95% confidence interval (CI)] for overweight and obesity were respectively 1 58 [0 77-3 24] and 2 58 [1 28-5 31] The ORs [95% CI] for ICU admission were similar for overweight (3 16 [1 29-8 06]) and obesity (3 05 [1 25-7 82]) in the fully adjusted model The unadjusted ORs for death were similar in all BMI categories while obesity only was associated with higher risk after adjustment CONCLUSIONS: Our results suggest that overweight (and not only obesity) is associated with ICU admission, but overweight is not associated with death
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The association between body mass index class and coronavirus disease 2019 outcomes
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