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Obesity and mortality of hospitalized COVID-19 patients in Asian and Western countries: A systematic review and meta-analysis
Ricvan Dana Nindrea1, Mutia Lailani2, Masrul3, Elly Usman4, Yusticia Katar4, Heni Hendriyani5, Nissa Prima Sari6
1 Department of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand
2 Physiology, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
3 Nutrition, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
4 Pharmacology, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
5 Department of Nutrition, Health Polytechnic, Semarang, Indonesia
6 Midwifery, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Correspondence Address:
Ricvan Dana Nindrea
Department of Epidemiology, Faculty of Medicine, Prince of Songkla University, 15 Karnjaravanich Rd., Hat Yai, Songkhla Province 90110
Thailand
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijpvm.IJPVM_236_21
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Background: The authorities recently emphasized the importance of dietary control for COVID-19 patients in hospitals. However, there is limited detail about the obesity and death of COVID-19 patients who are hospitalized in the Asian and Western countries. The aim of this study was to find the role of obesity and mortality of the hospitalized COVID-19 patients. A systematic review of the studies on obesity and mortality of hospitalized COVID-19 patients in the Asian and western countries. Methods: Databases of ProQuest, PubMed, and EBSCO were used to find relevant articles published between January 2020 and March 2021. A total of 3,70,836 patients in 17 studies were included. Results: We found significant correlation between obesity and mortality in hospitalized COVID-19 patients (pooled odds ratio [POR] = 1.28, 95% CI: 1.23–1.33). In particular, this study demonstrated that the Asian countries had higher POR (1.44, 95% CI: 1.16–1.79) compared to the western countries (1.28, 95%CI: 1.23-1.33). The heterogeneity calculation showed heterogenous among studies included (I2 > 50%). Conclusions: The mortality of COVID-19-hospitalized patients is related to obesity, which requires a multi-stakeholder mitigation approach to avoid and control obesity and its impacts.
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