International Journal For Multidisciplinary Research

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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

Author(s) Khia Anne Patricia S. Quiwa, Elizabeth Paz-Pacheco, Aries Bjorn C. Garingalao, Hannah Angelica P. Lacar, Kathryn Gayle S. Quiwa
Country Philippines
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.
Method/s: 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 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.
Keywords body mass index, obesity, COVID-19
Published In Volume 7, Issue 1, January-February 2025
Published On 2025-02-02
Cite This 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 - Khia Anne Patricia S. Quiwa, Elizabeth Paz-Pacheco, Aries Bjorn C. Garingalao, Hannah Angelica P. Lacar, Kathryn Gayle S. Quiwa - IJFMR Volume 7, Issue 1, January-February 2025. DOI 10.36948/ijfmr.2025.v07i01.36340
DOI https://doi.org/10.36948/ijfmr.2025.v07i01.36340
Short DOI https://doi.org/g83xws
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