Outcomes and Clinical Characteristics of People with Obesity and Covid-19: Integrative Review

Neto, F. J. D. C.; Loiola, B. M.; Rodrigues, V. E. S.; Sousa, L. R. M.; Negreiros, A. L.

Objective: To identify people's outcomes and clinical characteristics of those with obesity and covid-19 in the national and international scientific literature. Method: Integrative Review, in which it aimed to answer the guiding question: What are the clinical characteristics presented by people with obesity with a confirmed diagnosis of COVID-19, and its impact on health?" indexed in the database Medical LiteratureandRetrivial System on Line, and Virtual Health Library in November 2020. Results: Out of the 13 articles analyzed in total, all were published in international journals;in the year 2020, concerning clinical outcomes, a high mortality rate was evidenced in patients admitted with covid- 19 who had obesity in comparison with those without obesity, more extended hospital stay, need for oxygen therapy, increased severity of Covid-19 disease, a risk factor for morbidity rates in younger people, being able to predispose to risk of more severe conditions and influence the progression and prognosis of the disease. Regarding the clinical characteristics, they showed that ferritin tended to remain higher in the group of obese people, being more likely to have fever, cough, and shortness of breath. Conclusion: Obesity in people with covid-19 potentiates clinical characteristics such as cough, fatigue, fever, and tiredness. Clinical outcomes include the potential risk of complications, high mortality rates, greater propensity to be intubated, longer oxygen therapy time. Thus, more attention should be paid to these patients by the health teams. © Copyright Servicio de Publicaciones - Universidad de Murcia