Most Severe COVID Cases Tied to Four Conditions - WebMD

At any age, COVID-19 hospitalizations attributable to all four conditions were higher in Black patients than in White patients and were generally higher for diabetes and obesity among Hispanic patients.

For example, for people 65 and older, diabetes was estimated to cause about 25% of COVID-19 hospitalizations among White patients, about 32% among Black patients, and about 34% among Hispanic patients.

When the four conditions were considered together, hospitalizations were highest for Black adults of all ages, followed by Hispanics. For example, among adults aged 18 to 49 years, the four conditions jointly were estimated to cause about 39% of COVID-19 hospitalizations among White people and 50% among Black people.

"National data show that Black and Hispanic Americans are suffering the worst outcomes from COVID-19. Our findings lend support to the need for prioritizing vaccine distribution, good nutrition, and other preventive measures," Mozaffarian said.

"Policies aimed at reducing the prevalence of these four … conditions among Black and Hispanic Americans must be part of any state or national policy discussion aimed at reducing health disparities from COVID-19," he said.

Mozaffarian pointed out that the study used an established modeling approach but that the results are estimates and do not prove cause and effect.

Still, Mozaffarian believes the results do reflect cause and effect.

"This is not just a respiratory virus. It causes widespread vascular inflammation, which is consistent with these cardiometabolic conditions. If these conditions weren't there, COVID would be less severe," he said.

COVID-19 is a fast pandemic on top of the slow pandemic of obesity and diabetes.

Mozaffarian stressed the need for the public to understand the importance of good nutrition. "This is the foundation to heath. Poor nutrition is the single biggest contributor to disease globally, and it is also contributing to COVID situation," he said. "COVID-19 is a fast pandemic on top of the slow pandemic of obesity and diabetes."

George L. Bakris, MD, professor of medicine and director of the American Heart Association Comprehensive Hypertension Center at the University of Chicago Medicine, said the data is consistent with observations that older people, especially those with diabetes, heart disease, and lung disease, are at higher risk for more severe \COVID-19.

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Most Severe COVID Cases Tied to Four Conditions - WebMD
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