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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Obesity and risk of respiratory tract infections: results of an infection-diary based cohort study

Authors: Livia Maccioni, Susanne Weber, Magdeldin Elgizouli, Anne-Sophie Stoehlker, Ilona Geist, Hans-Hartmut Peter, Werner Vach, Alexandra Nieters

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Respiratory tract infections (RTIs) are a major morbidity factor contributing largely to health care costs and individual quality of life. The aim of the study was to test whether obesity (BMI ≥ 30 kg/m2) is one of the risk factors underlying frequent RTIs in the German adult population.

Methods

We recruited 1455 individuals between 18 to 70 years from a cross-sectional survey on airway infections in Germany and invited them to self-report in diaries incident RTIs experienced during three consecutive winter/spring seasons. RTIs reported in these 18 months and summary measures adding-up individual RTIs were the outcomes of interest.

Results

Compared to individuals with normal weight, obese individuals reported a consistently higher frequency of upper and lower RTIs and predominantly fell in the upper 10% group of a diary sumscore adding-up 10 different RTI symptoms over time. Obesity was associated both with lower RTIs (adjustedOR = 2.02, 95%CI = 1.36–3.00) and upper RTIs (adjustedOR = 1.55, 95%CI = 1.22–1.96). Adjusting for demographic and lifestyle variables did only marginally affect ORs. Stratified analyses suggested a stronger association for women and effect modifications by sports activity and dietary habits.

Conclusions

We confirm the association of obesity with infection burden and present evidence for putative interaction with sports activity and dietary patterns.
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Metadata
Title
Obesity and risk of respiratory tract infections: results of an infection-diary based cohort study
Authors
Livia Maccioni
Susanne Weber
Magdeldin Elgizouli
Anne-Sophie Stoehlker
Ilona Geist
Hans-Hartmut Peter
Werner Vach
Alexandra Nieters
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5172-8

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