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Swine Flu Kills at Similar Rate for Obese and Skinny Patients

Shiloh

Editor, Senior Moderator
Source: http://www.bloomberg.com/apps/news?pid=20601103&sid=aBbVm.._rtP8

Swine Flu Kills at Similar Rate for Obese and Skinny Patients

By Tom Randall

July 29 (Bloomberg) -- Being fat doesn?t increase the risk of death from swine flu, according to a U.S. analysis that contradicts initial reports.

About 34 percent of the U.S. population is obese, while 38 percent of patients who died with swine flu had the condition, according to a report presented today at a vaccine conference at the U.S. Centers for Disease Control and Prevention in Atlanta. Extremely obese people make up 6 percent of the population and 7 percent of swine flu deaths.

For the seasonal flu virus that strikes every year, obesity isn?t considered a separate risk factor, and global health authorities were studying a possible link with swine flu complications from anecdotal reports by hospitals. After analyzing the available data, scientists at the CDC today said there was no unique threat for the overweight.

?Obesity should not be considered a new risk factor,? said Anthony Fiore, a CDC researcher. Obese patients may have other conditions that can complicate the flu, and doctors should still consider that when making treatment recommendations, he said.

A person is obese if their body mass index is greater than 30 or about 186 pounds for a person who is 5 feet, 6 inches tall.

About 70 percent of patients hospitalized with swine flu, also known as H1N1, have an underlying medical condition that adds to their risk for complications, Fiore said.

The analysis was prompted in part by a CDC report July 11 that 9 of 10 patients with the pandemic flu strain admitted to an intensive care unit at a hospital in Ann Arbor, Michigan, from late May to early June were obese, and seven were ?extremely obese,? with a body mass index of at least 40. Three of the 10 died and seven had no other known health problems.

To contact the reporters on this story: Tom Randall in New York at trandall6@bloomberg.net
Last Updated: July 29, 2009 15:56 EDT
 
Re: Swine Flu Kills at Similar Rate for Obese and Skinny Patients

All I have to say is :applause:
 
Re: Swine Flu Kills at Similar Rate for Obese and Skinny Patients

Source: http://www.bloomberg.com/apps/news?pid=20601103&sid=aBbVm.._rtP8

Swine Flu Kills at Similar Rate for Obese and Skinny Patients

By Tom Randall

July 29 (Bloomberg) -- Being fat doesn?t increase the risk of death from swine flu, according to a U.S. analysis that contradicts initial reports.

About 34 percent of the U.S. population is obese, while 38 percent of patients who died with swine flu had the condition, according to a report presented today at a vaccine conference at the U.S. Centers for Disease Control and Prevention in Atlanta. Extremely obese people make up 6 percent of the population and 7 percent of swine flu deaths.

For the seasonal flu virus that strikes every year, obesity isn?t considered a separate risk factor, and global health authorities were studying a possible link with swine flu complications from anecdotal reports by hospitals. After analyzing the available data, scientists at the CDC today said there was no unique threat for the overweight.

?Obesity should not be considered a new risk factor,? said Anthony Fiore, a CDC researcher. Obese patients may have other conditions that can complicate the flu, and doctors should still consider that when making treatment recommendations, he said.

A person is obese if their body mass index is greater than 30 or about 186 pounds for a person who is 5 feet, 6 inches tall.

About 70 percent of patients hospitalized with swine flu, also known as H1N1, have an underlying medical condition that adds to their risk for complications, Fiore said.

The analysis was prompted in part by a CDC report July 11 that 9 of 10 patients with the pandemic flu strain admitted to an intensive care unit at a hospital in Ann Arbor, Michigan, from late May to early June were obese, and seven were ?extremely obese,? with a body mass index of at least 40. Three of the 10 died and seven had no other known health problems.

To contact the reporters on this story: Tom Randall in New York at trandall6@bloomberg.net
Last Updated: July 29, 2009 15:56 EDT

Not a doctor but that's what I thought...

Such a high percentage of us Americans are obese, thought the percentages of severe cases/and worse seemed to be coordinate with obesity rates in the general popultion.
 
Re: Swine Flu Kills at Similar Rate for Obese and Skinny Patients

Morbidly obese people are harder to care for when they are severely ill. PERIOD

Sure they almost always have other health problems too. The outrageous report in MMWR on the patient's from MI who were all obese was an outlier and why the report was outrageous. It suggests that only the morbidly obese are at risk for complications from the novel strain.

Shame on the MMWR for publishing this case series. As stated previously, this report would never have been accepted by a peer reviewed medical journal given the lack of clinical data provided. The fact that all these patients were fat were simply a coincidence and not at all representative of those on the whole who have died due to the novel strain. This is also why is was an outrageous report. It was misleading.

GW
 
Re: Swine Flu Kills at Similar Rate for Obese and Skinny Patients

That same 5'6" person who is obese at 186 pounds, becomes morbidly obese at 248 pounds. That's an additional 62 pounds.

So it's well to clarify at exactly what BMI the weight-related problems appear.

.
 
Re: Swine Flu Kills at Similar Rate for Obese and Skinny Patients

I don't find CDC's latest comments convincing because I doubt BMI was recorded for a large enough sample of cases. You talk to intensivists in Australia and New Zealand, and they all say obesity is a prominent feature of the flu patients they're treating. KBD (who's going to the gym and has more pounds to lose!)
 
Re: Swine Flu Kills at Similar Rate for Obese and Skinny Patients

Ok - I was disgusted by the original report, but now the cynic in me can't help but wonder about the timing of this follow-up. Perhaps they didn't want to have to deal with the thorny issue of putting obese people ahead of non-obese people in the priority list for the vaccine. Putting fat people ahead of skinny people...only because they're fat - not because of some other co-morbid condition. That would've been controversial, no doubt. But now they don't have to worry about it.
 
Re: Swine Flu Kills at Similar Rate for Obese and Skinny Patients

Ok - .....now the cynic in me can't help but wonder about the timing of this follow-up. Perhaps they didn't want to have to deal with the thorny issue of putting obese people ahead of non-obese people in the priority list for the vaccine. .... That would've been controversial, no doubt. But now they don't have to worry about it.

I thought exactly the same thing. Official "definitions" may determine life or death.

.
 
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