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. 2021 Jul 8;9:676150. doi: 10.3389/fcell.2021.676150

TABLE 1.

Relation between DM and obesity and risk of COVID-19-related failures.

Main purpose Study type Date Population/Location Parameters Key findings References
Potential association between obesity and severe outcomes of COVID-19 Retrospective cohort April 2020 Patients hospitalized with COVID-19/United States Obesity, other chronic disease Severe obesity (BMI1 ≥ 35 kg/m2) associated with ICU2 admission and IVM3 Kalligeros et al., 2020
Obesity significantly associated with respiratory failure and death Retrospective cohort February to April 2020 COVID-19 patients admitted to hospital/Italy Obesity (BMI ≥ 30 kg/m2), demographic data, comorbidities, clinical and radiological examinations Older obese patients more likely at risk for respiratory failure and death of COVID-19 Rottoli et al., 2020
Relation between obesity and SARS-CoV-2 Retrospective cohort February to April 2020 patients admitted to intensive care for SARS-CoV-2/French Moderate obesity (30 to <35 kg/m2)/severe obesity (≥35 kg/m2), epidemiological data, past medical history, treatments and clinical data The proportion of patients who required IMV increased with male sex and BMI categories, greatest in patients with BMI > 35 kg/m2 Simonnet et al., 2020
Obesity as a risk factors of Severe illness in Patients with COVID-19 Retrospective January, and February 2020 patients with COVID-19/Jiangsu, China Obesity (BMI ≥ 28 kg/m2), clinical characteristics, complications, and outcomes of patients Obesity as an independent risk factor of respiratory failure and acute respiratory distress syndrome Wang J. et al., 2020
Higher BMI as a risk factor for progression to severe COVID-19 Cohort January and February 2020 Hospitalized patients with COVID-19/Shenzhen, China Obesity (BMI ≥ 28 kg/m2), epidemiological, clinical and laboratory characteristics Obese patients had increased odds of progressing to severe COVID-19. Cai et al., 2020
Relationship between overweight/obesity and COVID-19 Meta-Analysis January to June 2020 COVID-19 patients/global BMI, epidemiological and clinical characteristics, treatment outcomes Patients with obesity were more at risk for COVID-19 positive, hospitalization, ICU admission, mortality Popkin et al., 2020
Effect of obesity on outcomes in the COVID-19 hospitalizations Meta-analysis December 2019 to August 2020 COVID-19 hospitalized patients/global BMI, treatment outcomes COVID-19 patients with pre-existing obesity had higher risk of having worse outcomes. Malik et al., 2020
Clinical characteristics and outcomes of Type 2 diabetes patients infected with COVID-19 Retrospective January to March 2020 COVID-19 patients hospitalized with(out) diabetes ≥45 years/Hubei, China Clinical, radiographic and laboratory features, complications, treatments, and clinical outcomes Frequency/degree of abnormalities in CT4 chest scans markedly increased in COVID-19 patients with diabetes Chen Y. et al., 2020
Risk factors for in-hospital mortality of COVID-19 patients with diabetes Retrospective January to March 2020 COVID-19 patients with(out) diabetes/Wuhan, China Demographic data, underlying comorbidities, laboratory parameters on admission, CT scans Diabetic patients with age ≥70 years and with hypertension had a higher hazard ratio for in-hospital death Shi et al., 2020
Diabetes as a risk factor for the progression and prognosis of COVID-19 Retrospective February 2020 SARS-Cov-2 patients hospitalized with(out) diabetes/Wuhan, China Demographic data, medical history, laboratory findings, CT scans Diabetes as a risk factor for a rapid progression in organ damage/deterioration and inflammatory storm Guo et al., 2020
Independent effects of diabetes status, by type, on in-hospital death Retrospective March to May 2020 COVID-19 patients with(out) diabetes/England Demographic and clinical data Type 1 and type 2 diabetes associated with increased odds of in-hospital death with COVID-19 Barron et al., 2020
Glycemic characteristics and clinical outcomes of COVID-19 patients hospitalized Retrospective cohort March to April 2020 Patients hospitalized with laboratory-confirmed COVID-19/United States Demographic, clinical and laboratory characteristics Patients with uncontrolled hyperglycemia had higher median length of stay at hospital and particularly higher mortality rate. Bode et al., 2020
Impact of DM on COVID-19 patients Meta-analysis January to April 2020 Confirmed COVID-19 patients/global Treatment outcomes Higher mortality and ICU admission risk in COVID-19 patients with diabetes compared to non-diabetics Hussain et al., 2020
Association of diabetes with the clinical severity and in-hospital mortality from COVID-19 Meta-analysis January to May 2020 COVID-19 patients admitted to hospital/global Treatment outcomes Pre-existing diabetes as a two to three times greater risk of severe/critical illness and in-hospital mortality Mantovani et al., 2020

Date: Data collection time.

1Body mass index; 2Intensive care unit; 3Invasive mechanical ventilation; 4Computed tomography.