A Single Center Prospective Observational Cohort Study on the Association of Asia Pacific Classification of Body Mass Index, Waist Circumference, Waist Hip Ratio with COVID-19 Outcomes and Severity in a Philippine Tertiary Hospital
Journal Title: Journal of Clinical Medical Research - Year 2025, Vol 6, Issue 1
Abstract
Objective: This study aimed to determine the association between Asia-Pacific classification of body mass index, waist circumference and waist hip ratio and clinical outcomes of COVID-19 moderate & severe patients at the height of the COVID-19 pandemic. Methods: This study involved adult patients diagnosed with COVID-19. 182 patients were analyzed and divided into 167 moderate and 15 severe COVID-19 patients. Primary outcomes (respiratory decompensation, septic shock and mortality) of patients were compared among Asia Pacific BMI groups. Results: Among patients with moderate and severe COVID-19, 7 out of 10 patients were obese. Respiratory decompensation and sepsis were more frequently seen in obese patients. Obesity and waist circumference were significantly associated with the odds of respiratory decompensation (95% CI p=0.010 and p=0.002), however this association was not sustained upon adjustment for confounders. On univariate analysis, waist and hip circumferences were significantly associated with the odds of ICU admission (95% CI, p=.013 and p=.034), however after controlling for confounders, only hip ratio retained significant association. Among patients with severe COVID-19, there was insufficient evidence to support significant variations in distributions of outcomes of interest across Asia-Pacific Body Mass Index (BMI) groups. Conclusion: Our study emphasized that although respiratory decompensation and sepsis were more frequently seen in obese patients. Progression of respiratory decompensation and mortality is not significantly associated with obesity as defined by the Asia Pacific BMI classification, warranting the need for larger prospective studies.
Authors and Affiliations
Khia Anne Patricia S Quiwa1,2*, Kathryn Gayle S Quiwa2, Hannah Angelica P Lacar2, Aries Bjorn C Garingalao2, Elizabeth Paz- Pacheco1,2
Keywords
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- EP ID EP759981
- DOI https://doi.org/10.46889/JCMR.2025.6103
- Views 30
- Downloads 0
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