Houston Chronicle

Report: Deaths tied to nations with high obesity rate

- By Erin Cunningham and Jennifer Hassan

The vast majority of global coronaviru­s deaths occurred in nations with high levels of obesity, according to a new report linking overweight population­s with more severe coronaviru­s-related illness and mortality.

The report, by the World Obesity Federation, found that 88 percent of deaths due to COVID-19 in the first year of the pandemic were in countries where more than half of the population is classified as overweight, which it defines as having a body mass index above 25. Obesity, generally defined as BMI above 30, is associated with particular­ly severe outcomes.

Among the nations with overweight population­s above the 50 percent threshold were also those with some of the largest proportion­s of coronaviru­s deaths — including countries such as Britain, Italy and the United States. Some 2.7 million people have died around the world of COVID-19, more than 517,000 of which were in the United States.

In some cases, the correlatio­ns between coronaviru­s severity and weight are also tied to racial and ethnic inequality. In the United States, “Hispanic and non-Hispanic Black adults have a higher prevalence of obesity and are more likely to suffer worse outcomes from COVID-19,” according to the Centers for Disease Control and Prevention.

The report found that in countries where less than half of the adult population is classified as overweight, the likelihood of death from COVID-19 was about one-tenth of the levels in countries with higher shares of overweight adults. A higher BMI was also associated with increased risk of hospitaliz­ation, admission to intensive or critical care and the need for mechanical­ly assisted ventilatio­n.

In Britain, overweight coronaviru­s patients were 67 percent likelier to require intensive care, and obese patients three times likelier.The World Obesity Federation findings were near-uniform across the globe, the report said, and found that increased body weight was the second greatest predictor after old age of hospitaliz­ation and higher risk of death of COVID-19.

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