4.6 Article

Epidemiological and Immunological Features of Obesity and SARS-CoV-2

Journal

VIRUSES-BASEL
Volume 13, Issue 11, Pages -

Publisher

MDPI
DOI: 10.3390/v13112235

Keywords

SARS-CoV-2; COVID-19; bodymass index; obesity; epidemiology; clinical features; immunity

Categories

Funding

  1. NIH [3R37AI080289-11S1, R01AI146785, U19AI42790-01, U19AI135995-02, 1U01CA260476-01, CIVIC75N93019 C00052]
  2. Gates Foundation Global Health Vaccine Accelerator Platform funding [OPP1146996, INV-001650]
  3. Musk Foundation
  4. NASA Translational Research Institute for Space Health [NNX16AO69A]
  5. National Institute for Allergy and Infectious Disease [U19 AI135995]
  6. US Food and Drug Administration [HHSF223201810172C]
  7. Massachusetts Consortium on Pathogen Readiness (MassCPR)
  8. Bill and Melinda Gates Foundation [INV-001650] Funding Source: Bill and Melinda Gates Foundation

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The results from a large prospective SARS-CoV-2 cohort study suggest that obesity strongly influences symptom phenotype among younger age groups but not older age groups; there is no evidence to suggest that obese individuals are at higher risk of SARS-CoV-2 infection; and a remarkably consistent immune activity across BMI categories indicates similar immune protection across these groups.
Obesity is a key correlate of severe SARS-CoV-2 outcomes while the role of obesity on risk of SARS-CoV-2 infection, symptom phenotype, and immune response remain poorly defined. We examined data from a prospective SARS-CoV-2 cohort study to address these questions. Serostatus, body mass index, demographics, comorbidities, and prior COVID-19 compatible symptoms were assessed at baseline and serostatus and symptoms monthly thereafter. SARS-CoV-2 immunoassays included an IgG ELISA targeting the spike RBD, multiarray Luminex targeting 20 viral antigens, pseudovirus neutralization, and T cell ELISPOT assays. Our results from a large prospective SARSCoV-2 cohort study indicate symptom phenotype is strongly influenced by obesity among younger but not older age groups; we did not identify evidence to suggest obese individuals are at higher risk of SARS-CoV-2 infection; and remarkably homogenous immune activity across BMI categories suggests immune protection across these groups may be similar.

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