Obesity Makes Infections Much More Dangerous, Study Finds

A new study found that people with obesity have a much higher chance of becoming seriously ill or dying from infections. This is a big health problem that could get worse if more people become obese.

A recent large-scale study indicates a significant association between obesity and a higher likelihood of hospitalization and death due to infectious diseases. The findings, published in The Lancet, suggest that individuals with obesity face a substantially increased risk compared to those with a healthy weight. This research draws upon data from hundreds of thousands of participants across the UK and Finland, highlighting a potentially widespread public health concern.

The study's scope is extensive, analyzing data from over 540,000 individuals. Researchers examined the correlation between body mass index (BMI) and outcomes from various infectious diseases over an average follow-up period of 13 to 14 years. The central finding suggests that people with obesity are approximately 70% more likely to be hospitalized or die from infectious diseases. This risk escalates with the severity of obesity, with individuals classified as having Class 3 obesity facing up to three times the risk of hospitalization or death compared to those at a healthy weight.

Key Findings and Data

The investigation pooled data from two major sources:

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  • The UK Biobank dataset, comprising approximately 470,000 adults.

  • Finnish cohorts, including around 67,000 adults.

The research focused on a broad spectrum of infectious diseases, examining associations with 925 types of bacterial, viral, parasitic, and fungal infections. The study also attempted to quantify the global impact, estimating that 9% of infection-related deaths globally in 2023 could be linked to obesity. This proportion varied by region, with estimates suggesting approximately one in six infectious disease deaths in the UK and one in four in the US were associated with obesity.

Specific Disease Associations

The study detailed the links between obesity and specific types of infections:

  • Bacterial Infections: Hazard ratios (HRs) ranged from 1.7 for invasive infections to 2.1 for mycoplasma infections.

  • Viral Infections: HRs varied from 1.3 for herpesvirus infections to 2.3 for acute viral infections.

  • Specific Common Infections: Obesity showed a strong tie to skin and soft-tissue infections (HR, 2.8) and a lesser association with acute pharyngitis or tonsillitis (HR, 1.5). Diseases like flu, COVID-19, pneumonia, gastroenteritis, urinary tract infections, and respiratory tract infections were among those where obesity significantly increased the risk of severe outcomes.

Severity of Obesity and Risk

The study distinguished between different levels of obesity:

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  • Individuals with a BMI of 40 kg/m² or higher (severe obesity) demonstrated a substantially elevated risk.

  • Compared to healthy weight individuals, those with Class 3 obesity were three times more likely to be hospitalized for infection, and up to 3.54 times more likely to die from infection based on the UK Biobank data.

Expert Commentary and Implications

Dr. Solja Nyberg, a lead author from the University of Helsinki, noted the potential for this problem to worsen due to rising global obesity rates. The researchers stressed the need for proactive policies aimed at promoting healthier lifestyles.

  • These policies could include enhancing access to affordable healthy food.

  • They may also involve creating more opportunities for physical activity.

The study authors issued a warning that the number of serious infections linked to obesity is likely to grow in the coming decades if current trends in obesity persist.

Broader Context and Future Considerations

The research addresses a gap in evidence regarding the link between obesity and infectious diseases beyond specific outbreaks like COVID-19. By analyzing a large, multi-cohort dataset, the study provides a robust foundation for understanding this association. The findings underscore the interconnectedness of metabolic health and infectious disease susceptibility.

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The implications of these findings suggest a critical need for public health strategies that not only address infectious disease prevention but also incorporate robust measures for obesity management and prevention. The preventable risk factor of obesity, as described by the study, points to potential avenues for intervention.

Sources Used:

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Frequently Asked Questions

Q: What did the study find about obesity and infections?
The study found that people with obesity are about 70% more likely to be hospitalized or die from infections compared to people with a healthy weight.
Q: Does being more obese make the risk higher?
Yes, people with severe obesity have an even greater risk. They can be up to three times more likely to be hospitalized or die from infections.
Q: What kinds of infections are included?
The study looked at many types of infections, including bacterial, viral, and fungal ones. Common ones like flu, COVID-19, and pneumonia showed a higher risk for people with obesity.
Q: What can be done to help?
Experts say we need more policies to help people live healthier. This includes making healthy food easier to get and creating more chances for people to be active.