期刊
METABOLIC SYNDROME AND RELATED DISORDERS
卷 20, 期 4, 页码 191-198出版社
MARY ANN LIEBERT, INC
DOI: 10.1089/met.2021.0102
关键词
coronavirus; diabetes; hypertension; metabolic syndrome; obesity; risk factor
资金
- Cleveland Clinic [K08HS024128]
- Agency for Healthcare Research and Quality
- NHLBI
- Novo Nordisk, Inc
- Merck,Inc.
- Boehringer Ingelheim Pharmaceuticals, Inc
Metabolic syndrome is associated with higher hospitalization and mortality rates among patients with COVID-19, even after adjusting for other factors. Targeting modifiable risk factors such as obesity, hyperglycemia, dyslipidemia, and hypertension could help reduce mortality from COVID-19.
Background: Hypertension, diabetes, and obesity are common comorbidities that portend worse outcomes due to coronavirus disease 2019 (COVID-19). Metabolic syndrome is the common denominator of these conditions. This study aims to characterize the association of metabolic syndrome and its surrogate biomarkers with severity of COVID-19 illness.Methods: This retrospective study included adult patients who tested for COVID-19 at an academic tertiary care institution between March 8, 2020, and May 17, 2020. Metabolic syndrome was defined by the modified World Health Organization criteria. Outcomes of hospitalization, intensive care unit (ICU) admission, and death were analyzed.Results: There were 23,282 patients who tested for COVID-19 and 3679 (15.8%) had a positive result. Of these, metabolic syndrome was present in 834 (39%) of 2139 patients with available data. Patients with metabolic syndrome tended to be older, male, African American, heavier, and with more comorbidities. Metabolic syndrome was associated with higher rates of hospital admission and death (P < 0.001). On multivariable analysis, patients with metabolic syndrome had an increased risk of 77% for hospitalization, 56% for ICU admission, and 81% for death (P < 0.001). High AST:ALT and TG:HDL-C ratios were associated with hospitalization and ICU admission, but not mortality.Conclusions: Patients with metabolic syndrome had significantly worse hospitalization and mortality rates due to COVID-19, even after adjusting for covariates. Targeting obesity, hyperglycemia, dyslipidemia, and hypertension could address modifiable risk factors to reduce mortality due to COVID-19.
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