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The Effect of BMI on Community-Acquired Pneumonia Incidence and Mortality in Veterans

by Katelyn Chandler Corey

Institution: UCLA
Year: 2017
Keywords: Epidemiology; Health sciences; Public health; Body Mass Index; Community-acquired Pneumonia; Mortality; Obesity Paradox; Veterans
Posted: 02/01/2018
Record ID: 2177784
Full text PDF: http://www.escholarship.org/uc/item/84c0n19n


Abstract

This study aimed to assess the effect body mass index (BMI) has on community-acquired pneumonia (CAP) incidence and mortality in the Veteran Healthcare System. A historical cohort of 3,606,564 subjects was identified between fiscal year 2010-2012, and was followed until the end of fiscal year 2015 for the outcomes of CAP and 30-day all-cause mortality post-CAP infection. A total of 210,408 cases of CAP were identified during follow-up. Men who were overweight or obese had a protective effect on CAP incidence, while women were at a slight increased risk. A sub-cohort, made up of those diagnosed with CAP, was analyzed for the association of BMI and 30-day all-cause mortality. For overweight and obese men and women there was a decrease in mortality in the 30-days post-CAP infection, supporting previous findings of the obesity paradox. However, new evidence has come to light that may reverse the obesity paradox in future studies.

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