id sid tid token lemma pos cord-261113-v84rzhin 1 1 key key NN cord-261113-v84rzhin 1 2 : : : cord-261113-v84rzhin 1 3 cord-261113-v84rzhin cord-261113-v84rzhin NNP cord-261113-v84rzhin 1 4 authors author NNS cord-261113-v84rzhin 1 5 : : : cord-261113-v84rzhin 1 6 Ferdinand Ferdinand NNP cord-261113-v84rzhin 1 7 , , , cord-261113-v84rzhin 1 8 Keith Keith NNP cord-261113-v84rzhin 1 9 C. C. NNP cord-261113-v84rzhin 1 10 title title NN cord-261113-v84rzhin 1 11 : : : cord-261113-v84rzhin 2 1 Understanding understand VBG cord-261113-v84rzhin 2 2 African african JJ cord-261113-v84rzhin 2 3 American american JJ cord-261113-v84rzhin 2 4 COVID‐19 covid‐19 NN cord-261113-v84rzhin 2 5 Severity Severity NNP cord-261113-v84rzhin 2 6 and and CC cord-261113-v84rzhin 2 7 Mortality mortality NN cord-261113-v84rzhin 2 8 : : : cord-261113-v84rzhin 2 9 Is be VBZ cord-261113-v84rzhin 2 10 Obesity obesity NN cord-261113-v84rzhin 2 11 the the DT cord-261113-v84rzhin 2 12 Key key JJ cord-261113-v84rzhin 2 13 ? ? . cord-261113-v84rzhin 3 1 date date NN cord-261113-v84rzhin 3 2 : : : cord-261113-v84rzhin 3 3 2020 2020 CD cord-261113-v84rzhin 3 4 - - HYPH cord-261113-v84rzhin 3 5 08 08 CD cord-261113-v84rzhin 3 6 - - HYPH cord-261113-v84rzhin 3 7 04 04 CD cord-261113-v84rzhin 3 8 journal journal NN cord-261113-v84rzhin 3 9 : : : cord-261113-v84rzhin 3 10 Obesity obesity NN cord-261113-v84rzhin 3 11 ( ( -LRB- cord-261113-v84rzhin 3 12 Silver Silver NNP cord-261113-v84rzhin 3 13 Spring Spring NNP cord-261113-v84rzhin 3 14 ) ) -RRB- cord-261113-v84rzhin 3 15 DOI DOI NNP cord-261113-v84rzhin 3 16 : : : cord-261113-v84rzhin 3 17 10.1002 10.1002 CD cord-261113-v84rzhin 3 18 / / SYM cord-261113-v84rzhin 3 19 oby.22938 oby.22938 NN cord-261113-v84rzhin 3 20 sha sha NNP cord-261113-v84rzhin 3 21 : : : cord-261113-v84rzhin 4 1 63ed62976ba58e50ea67687ae89b7228ee338ee3 63ed62976ba58e50ea67687ae89b7228ee338ee3 CD cord-261113-v84rzhin 4 2 doc_id doc_id CD cord-261113-v84rzhin 4 3 : : : cord-261113-v84rzhin 4 4 261113 261113 CD cord-261113-v84rzhin 4 5 cord_uid cord_uid NNS cord-261113-v84rzhin 4 6 : : : cord-261113-v84rzhin 5 1 v84rzhin v84rzhin NNP cord-261113-v84rzhin 5 2 nan nan NNP cord-261113-v84rzhin 6 1 Recently recently RB cord-261113-v84rzhin 6 2 , , , cord-261113-v84rzhin 6 3 two two CD cord-261113-v84rzhin 6 4 Obesity Obesity NNP cord-261113-v84rzhin 6 5 journal journal NN cord-261113-v84rzhin 6 6 reports report NNS cord-261113-v84rzhin 6 7 were be VBD cord-261113-v84rzhin 6 8 published publish VBN cord-261113-v84rzhin 6 9 indicating indicate VBG cord-261113-v84rzhin 6 10 the the DT cord-261113-v84rzhin 6 11 role role NN cord-261113-v84rzhin 6 12 of of IN cord-261113-v84rzhin 6 13 obesity obesity NN cord-261113-v84rzhin 6 14 , , , cord-261113-v84rzhin 6 15 especially especially RB cord-261113-v84rzhin 6 16 in in IN cord-261113-v84rzhin 6 17 AA AA NNP cord-261113-v84rzhin 6 18 ( ( -LRB- cord-261113-v84rzhin 6 19 3 3 CD cord-261113-v84rzhin 6 20 , , , cord-261113-v84rzhin 6 21 4 4 CD cord-261113-v84rzhin 6 22 ) ) -RRB- cord-261113-v84rzhin 6 23 . . . cord-261113-v84rzhin 7 1 However however RB cord-261113-v84rzhin 7 2 , , , cord-261113-v84rzhin 7 3 the the DT cord-261113-v84rzhin 7 4 disproportionate disproportionate JJ cord-261113-v84rzhin 7 5 COVID-19 covid-19 JJ cord-261113-v84rzhin 7 6 mortality mortality NN cord-261113-v84rzhin 7 7 in in IN cord-261113-v84rzhin 7 8 AA AA NNP cord-261113-v84rzhin 7 9 and and CC cord-261113-v84rzhin 7 10 other other JJ cord-261113-v84rzhin 7 11 disadvantaged disadvantaged JJ cord-261113-v84rzhin 7 12 groups group NNS cord-261113-v84rzhin 7 13 reflects reflect VBZ cord-261113-v84rzhin 7 14 long long RB cord-261113-v84rzhin 7 15 - - HYPH cord-261113-v84rzhin 7 16 standing stand VBG cord-261113-v84rzhin 7 17 systemic systemic JJ cord-261113-v84rzhin 7 18 health health NN cord-261113-v84rzhin 7 19 inequalities inequality NNS cord-261113-v84rzhin 7 20 and and CC cord-261113-v84rzhin 7 21 diminished diminish VBD cord-261113-v84rzhin 7 22 life life NN cord-261113-v84rzhin 7 23 expectancy expectancy NN cord-261113-v84rzhin 7 24 . . . cord-261113-v84rzhin 8 1 Well well UH cord-261113-v84rzhin 8 2 before before IN cord-261113-v84rzhin 8 3 the the DT cord-261113-v84rzhin 8 4 existence existence NN cord-261113-v84rzhin 8 5 of of IN cord-261113-v84rzhin 8 6 COVID-19 COVID-19 NNP cord-261113-v84rzhin 8 7 , , , cord-261113-v84rzhin 8 8 adverse adverse JJ cord-261113-v84rzhin 8 9 factors factor NNS cord-261113-v84rzhin 8 10 , , , cord-261113-v84rzhin 8 11 including include VBG cord-261113-v84rzhin 8 12 poorer poor JJR cord-261113-v84rzhin 8 13 underlying underlying JJ cord-261113-v84rzhin 8 14 health health NN cord-261113-v84rzhin 8 15 , , , cord-261113-v84rzhin 8 16 barriers barrier NNS cord-261113-v84rzhin 8 17 to to IN cord-261113-v84rzhin 8 18 preventive preventive JJ cord-261113-v84rzhin 8 19 health health NN cord-261113-v84rzhin 8 20 care care NN cord-261113-v84rzhin 8 21 , , , cord-261113-v84rzhin 8 22 absent absent JJ cord-261113-v84rzhin 8 23 or or CC cord-261113-v84rzhin 8 24 substandard substandard JJ cord-261113-v84rzhin 8 25 health health NN cord-261113-v84rzhin 8 26 insurance insurance NN cord-261113-v84rzhin 8 27 , , , cord-261113-v84rzhin 8 28 and and CC cord-261113-v84rzhin 8 29 at at IN cord-261113-v84rzhin 8 30 - - HYPH cord-261113-v84rzhin 8 31 risk risk NN cord-261113-v84rzhin 8 32 occupational occupational JJ cord-261113-v84rzhin 8 33 exposures exposure NNS cord-261113-v84rzhin 8 34 , , , cord-261113-v84rzhin 8 35 disproportionately disproportionately RB cord-261113-v84rzhin 8 36 affected affect VBD cord-261113-v84rzhin 8 37 racial racial JJ cord-261113-v84rzhin 8 38 / / SYM cord-261113-v84rzhin 8 39 ethnic ethnic JJ cord-261113-v84rzhin 8 40 minorities minority NNS cord-261113-v84rzhin 8 41 ( ( -LRB- cord-261113-v84rzhin 8 42 5,6 5,6 CD cord-261113-v84rzhin 8 43 ) ) -RRB- cord-261113-v84rzhin 8 44 . . . cord-261113-v84rzhin 9 1 Pulmonary pulmonary JJ cord-261113-v84rzhin 9 2 complications complication NNS cord-261113-v84rzhin 9 3 do do VBP cord-261113-v84rzhin 9 4 not not RB cord-261113-v84rzhin 9 5 fully fully RB cord-261113-v84rzhin 9 6 capture capture VB cord-261113-v84rzhin 9 7 the the DT cord-261113-v84rzhin 9 8 breadth breadth NN cord-261113-v84rzhin 9 9 of of IN cord-261113-v84rzhin 9 10 COVID-19 covid-19 JJ cord-261113-v84rzhin 9 11 morbidity morbidity NN cord-261113-v84rzhin 9 12 and and CC cord-261113-v84rzhin 9 13 mortality mortality NN cord-261113-v84rzhin 9 14 . . . cord-261113-v84rzhin 10 1 Severe severe JJ cord-261113-v84rzhin 10 2 acute acute JJ cord-261113-v84rzhin 10 3 respiratory respiratory JJ cord-261113-v84rzhin 10 4 syndrome syndrome NN cord-261113-v84rzhin 10 5 coronavirus coronavirus NN cord-261113-v84rzhin 10 6 2 2 CD cord-261113-v84rzhin 10 7 infection infection NN cord-261113-v84rzhin 10 8 is be VBZ cord-261113-v84rzhin 10 9 also also RB cord-261113-v84rzhin 10 10 associated associate VBN cord-261113-v84rzhin 10 11 with with IN cord-261113-v84rzhin 10 12 cardiovascular cardiovascular JJ cord-261113-v84rzhin 10 13 disease disease NN cord-261113-v84rzhin 10 14 complications complication NNS cord-261113-v84rzhin 10 15 and and CC cord-261113-v84rzhin 10 16 associated associate VBD cord-261113-v84rzhin 10 17 risk risk NN cord-261113-v84rzhin 10 18 factors factor NNS cord-261113-v84rzhin 10 19 . . . cord-261113-v84rzhin 11 1 In in IN cord-261113-v84rzhin 11 2 recognition recognition NN cord-261113-v84rzhin 11 3 of of IN cord-261113-v84rzhin 11 4 the the DT cord-261113-v84rzhin 11 5 distressingly distressingly RB cord-261113-v84rzhin 11 6 high high JJ cord-261113-v84rzhin 11 7 COVID-19 covid-19 JJ cord-261113-v84rzhin 11 8 outcomes outcome NNS cord-261113-v84rzhin 11 9 in in IN cord-261113-v84rzhin 11 10 AA AA NNP cord-261113-v84rzhin 11 11 , , , cord-261113-v84rzhin 11 12 two two CD cord-261113-v84rzhin 11 13 important important JJ cord-261113-v84rzhin 11 14 single single JJ cord-261113-v84rzhin 11 15 - - HYPH cord-261113-v84rzhin 11 16 site site NN cord-261113-v84rzhin 11 17 studies study NNS cord-261113-v84rzhin 11 18 have have VBP cord-261113-v84rzhin 11 19 been be VBN cord-261113-v84rzhin 11 20 published publish VBN cord-261113-v84rzhin 11 21 from from IN cord-261113-v84rzhin 11 22 New New NNP cord-261113-v84rzhin 11 23 Orleans Orleans NNP cord-261113-v84rzhin 11 24 , , , cord-261113-v84rzhin 11 25 Louisiana Louisiana NNP cord-261113-v84rzhin 11 26 , , , cord-261113-v84rzhin 11 27 and and CC cord-261113-v84rzhin 11 28 Chicago Chicago NNP cord-261113-v84rzhin 11 29 , , , cord-261113-v84rzhin 11 30 Illinois Illinois NNP cord-261113-v84rzhin 11 31 , , , cord-261113-v84rzhin 11 32 both both DT cord-261113-v84rzhin 11 33 early early JJ cord-261113-v84rzhin 11 34 US US NNP cord-261113-v84rzhin 11 35 COVID-19 COVID-19 NNP cord-261113-v84rzhin 11 36 pandemic pandemic JJ cord-261113-v84rzhin 11 37 hot hot JJ cord-261113-v84rzhin 11 38 spots spot NNS cord-261113-v84rzhin 11 39 . . . cord-261113-v84rzhin 12 1 Adiposity Adiposity NNP cord-261113-v84rzhin 12 2 is be VBZ cord-261113-v84rzhin 12 3 clearly clearly RB cord-261113-v84rzhin 12 4 associated associate VBN cord-261113-v84rzhin 12 5 with with IN cord-261113-v84rzhin 12 6 multiple multiple JJ cord-261113-v84rzhin 12 7 conditions condition NNS cord-261113-v84rzhin 12 8 and and CC cord-261113-v84rzhin 12 9 variables variable NNS cord-261113-v84rzhin 12 10 and and CC cord-261113-v84rzhin 12 11 is be VBZ cord-261113-v84rzhin 12 12 not not RB cord-261113-v84rzhin 12 13 definitively definitively RB cord-261113-v84rzhin 12 14 an an DT cord-261113-v84rzhin 12 15 independent independent JJ cord-261113-v84rzhin 12 16 COVID-19 covid-19 JJ cord-261113-v84rzhin 12 17 severity severity NN cord-261113-v84rzhin 12 18 risk risk NN cord-261113-v84rzhin 12 19 factor factor NN cord-261113-v84rzhin 12 20 . . . cord-261113-v84rzhin 13 1 However however RB cord-261113-v84rzhin 13 2 , , , cord-261113-v84rzhin 13 3 the the DT cord-261113-v84rzhin 13 4 increased increase VBN cord-261113-v84rzhin 13 5 obesity obesity NN cord-261113-v84rzhin 13 6 - - HYPH cord-261113-v84rzhin 13 7 COVID-19 COVID-19 NNP cord-261113-v84rzhin 13 8 association association NN cord-261113-v84rzhin 13 9 was be VBD cord-261113-v84rzhin 13 10 recognized recognize VBN cord-261113-v84rzhin 13 11 previously previously RB cord-261113-v84rzhin 13 12 in in IN cord-261113-v84rzhin 13 13 Seattle Seattle NNP cord-261113-v84rzhin 13 14 , , , cord-261113-v84rzhin 13 15 Washington Washington NNP cord-261113-v84rzhin 13 16 , , , cord-261113-v84rzhin 13 17 including include VBG cord-261113-v84rzhin 13 18 severity severity NN cord-261113-v84rzhin 13 19 and and CC cord-261113-v84rzhin 13 20 specific specific JJ cord-261113-v84rzhin 13 21 critical critical JJ cord-261113-v84rzhin 13 22 findings finding NNS cord-261113-v84rzhin 13 23 ( ( -LRB- cord-261113-v84rzhin 13 24 7 7 CD cord-261113-v84rzhin 13 25 ) ) -RRB- cord-261113-v84rzhin 13 26 . . . cord-261113-v84rzhin 14 1 One one CD cord-261113-v84rzhin 14 2 present present JJ cord-261113-v84rzhin 14 3 study study NN cord-261113-v84rzhin 14 4 by by IN cord-261113-v84rzhin 14 5 Alkhatib Alkhatib NNP cord-261113-v84rzhin 14 6 and and CC cord-261113-v84rzhin 14 7 colleagues colleague NNS cord-261113-v84rzhin 14 8 ( ( -LRB- cord-261113-v84rzhin 14 9 3 3 CD cord-261113-v84rzhin 14 10 ) ) -RRB- cord-261113-v84rzhin 14 11 , , , cord-261113-v84rzhin 14 12 a a DT cord-261113-v84rzhin 14 13 retrospective retrospective JJ cord-261113-v84rzhin 14 14 sample sample NN cord-261113-v84rzhin 14 15 of of IN cord-261113-v84rzhin 14 16 158 158 CD cord-261113-v84rzhin 14 17 consecutive consecutive JJ cord-261113-v84rzhin 14 18 patients patient NNS cord-261113-v84rzhin 14 19 from from IN cord-261113-v84rzhin 14 20 a a DT cord-261113-v84rzhin 14 21 tertiary tertiary JJ cord-261113-v84rzhin 14 22 center center NN cord-261113-v84rzhin 14 23 in in IN cord-261113-v84rzhin 14 24 New New NNP cord-261113-v84rzhin 14 25 Orleans Orleans NNP cord-261113-v84rzhin 14 26 , , , cord-261113-v84rzhin 14 27 measured measure VBD cord-261113-v84rzhin 14 28 BMI BMI NNP cord-261113-v84rzhin 14 29 as as IN cord-261113-v84rzhin 14 30 a a DT cord-261113-v84rzhin 14 31 continuous continuous JJ cord-261113-v84rzhin 14 32 variable variable NN cord-261113-v84rzhin 14 33 and and CC cord-261113-v84rzhin 14 34 intensive intensive JJ cord-261113-v84rzhin 14 35 care care NN cord-261113-v84rzhin 14 36 unit unit NN cord-261113-v84rzhin 14 37 admissions admission NNS cord-261113-v84rzhin 14 38 as as IN cord-261113-v84rzhin 14 39 an an DT cord-261113-v84rzhin 14 40 end end NN cord-261113-v84rzhin 14 41 point point NN cord-261113-v84rzhin 14 42 . . . cord-261113-v84rzhin 15 1 Although although IN cord-261113-v84rzhin 15 2 , , , cord-261113-v84rzhin 15 3 overall overall RB cord-261113-v84rzhin 15 4 , , , cord-261113-v84rzhin 15 5 patients patient NNS cord-261113-v84rzhin 15 6 with with IN cord-261113-v84rzhin 15 7 severe severe JJ cord-261113-v84rzhin 15 8 disease disease NN cord-261113-v84rzhin 15 9 were be VBD cord-261113-v84rzhin 15 10 older old JJR cord-261113-v84rzhin 15 11 ( ( -LRB- cord-261113-v84rzhin 15 12 62 62 CD cord-261113-v84rzhin 15 13 vs. vs. NN cord-261113-v84rzhin 15 14 55 55 CD cord-261113-v84rzhin 15 15 years year NNS cord-261113-v84rzhin 15 16 , , , cord-261113-v84rzhin 15 17 P p NN cord-261113-v84rzhin 15 18 = = SYM cord-261113-v84rzhin 15 19 0.003 0.003 CD cord-261113-v84rzhin 15 20 ) ) -RRB- cord-261113-v84rzhin 15 21 , , , cord-261113-v84rzhin 15 22 the the DT cord-261113-v84rzhin 15 23 mean mean JJ cord-261113-v84rzhin 15 24 age age NN cord-261113-v84rzhin 15 25 was be VBD cord-261113-v84rzhin 15 26 relatively relatively RB cord-261113-v84rzhin 15 27 young young JJ cord-261113-v84rzhin 15 28 at at IN cord-261113-v84rzhin 15 29 57 57 CD cord-261113-v84rzhin 15 30 years year NNS cord-261113-v84rzhin 15 31 , , , cord-261113-v84rzhin 15 32 with with IN cord-261113-v84rzhin 15 33 61 61 CD cord-261113-v84rzhin 15 34 % % NN cord-261113-v84rzhin 15 35 women woman NNS cord-261113-v84rzhin 15 36 . . . cord-261113-v84rzhin 16 1 These these DT cord-261113-v84rzhin 16 2 findings finding NNS cord-261113-v84rzhin 16 3 are be VBP cord-261113-v84rzhin 16 4 somewhat somewhat RB cord-261113-v84rzhin 16 5 at at IN cord-261113-v84rzhin 16 6 odds odd NNS cord-261113-v84rzhin 16 7 with with IN cord-261113-v84rzhin 16 8 the the DT cord-261113-v84rzhin 16 9 concept concept NN cord-261113-v84rzhin 16 10 that that IN cord-261113-v84rzhin 16 11 COVID-19 covid-19 DT cord-261113-v84rzhin 16 12 severity severity NN cord-261113-v84rzhin 16 13 is be VBZ cord-261113-v84rzhin 16 14 predominantly predominantly RB cord-261113-v84rzhin 16 15 seen see VBN cord-261113-v84rzhin 16 16 in in IN cord-261113-v84rzhin 16 17 persons person NNS cord-261113-v84rzhin 16 18 over over IN cord-261113-v84rzhin 16 19 65 65 CD cord-261113-v84rzhin 16 20 and and CC cord-261113-v84rzhin 16 21 closely closely RB cord-261113-v84rzhin 16 22 linked link VBN cord-261113-v84rzhin 16 23 to to IN cord-261113-v84rzhin 16 24 male male JJ cord-261113-v84rzhin 16 25 sex sex NN cord-261113-v84rzhin 16 26 . . . cord-261113-v84rzhin 17 1 Adjusting adjust VBG cord-261113-v84rzhin 17 2 for for IN cord-261113-v84rzhin 17 3 other other JJ cord-261113-v84rzhin 17 4 comorbidities comorbiditie NNS cord-261113-v84rzhin 17 5 and and CC cord-261113-v84rzhin 17 6 stratifying stratify VBG cord-261113-v84rzhin 17 7 , , , cord-261113-v84rzhin 17 8 BMI BMI NNP cord-261113-v84rzhin 17 9 greater great JJR cord-261113-v84rzhin 17 10 than than IN cord-261113-v84rzhin 17 11 40 40 CD cord-261113-v84rzhin 17 12 kg kg NNS cord-261113-v84rzhin 18 1 /m /m NNP cord-261113-v84rzhin 18 2 2 2 CD cord-261113-v84rzhin 18 3 was be VBD cord-261113-v84rzhin 18 4 associated associate VBN cord-261113-v84rzhin 18 5 with with IN cord-261113-v84rzhin 18 6 severe severe JJ cord-261113-v84rzhin 18 7 disease disease NN cord-261113-v84rzhin 18 8 with with IN cord-261113-v84rzhin 18 9 an an DT cord-261113-v84rzhin 18 10 odds odd NNS cord-261113-v84rzhin 18 11 ratio ratio NN cord-261113-v84rzhin 18 12 of of IN cord-261113-v84rzhin 18 13 20.83 20.83 CD cord-261113-v84rzhin 18 14 . . . cord-261113-v84rzhin 19 1 In in IN cord-261113-v84rzhin 19 2 this this DT cord-261113-v84rzhin 19 3 entirely entirely RB cord-261113-v84rzhin 19 4 AA AA NNP cord-261113-v84rzhin 19 5 sample sample NN cord-261113-v84rzhin 19 6 , , , cord-261113-v84rzhin 19 7 diabetes diabete VBZ cord-261113-v84rzhin 19 8 mellitus mellitus NN cord-261113-v84rzhin 19 9 and and CC cord-261113-v84rzhin 19 10 chronic chronic JJ cord-261113-v84rzhin 19 11 kidney kidney NN cord-261113-v84rzhin 19 12 disease disease NN cord-261113-v84rzhin 19 13 were be VBD cord-261113-v84rzhin 19 14 also also RB cord-261113-v84rzhin 19 15 significantly significantly RB cord-261113-v84rzhin 19 16 higher high JJR cord-261113-v84rzhin 19 17 in in IN cord-261113-v84rzhin 19 18 patients patient NNS cord-261113-v84rzhin 19 19 with with IN cord-261113-v84rzhin 19 20 severe severe JJ cord-261113-v84rzhin 19 21 disease disease NN cord-261113-v84rzhin 19 22 ( ( -LRB- cord-261113-v84rzhin 19 23 P p NN cord-261113-v84rzhin 19 24 = = SYM cord-261113-v84rzhin 19 25 0.022 0.022 CD cord-261113-v84rzhin 19 26 and and CC cord-261113-v84rzhin 19 27 0.019 0.019 CD cord-261113-v84rzhin 19 28 , , , cord-261113-v84rzhin 19 29 respectively respectively RB cord-261113-v84rzhin 19 30 ) ) -RRB- cord-261113-v84rzhin 19 31 . . . cord-261113-v84rzhin 20 1 It -PRON- PRP cord-261113-v84rzhin 20 2 is be VBZ cord-261113-v84rzhin 20 3 heartening heartening JJ cord-261113-v84rzhin 20 4 that that IN cord-261113-v84rzhin 20 5 the the DT cord-261113-v84rzhin 20 6 authors author NNS cord-261113-v84rzhin 20 7 call call VBP cord-261113-v84rzhin 20 8 for for IN cord-261113-v84rzhin 20 9 more more JJR cord-261113-v84rzhin 20 10 inclusive inclusive JJ cord-261113-v84rzhin 20 11 research research NN cord-261113-v84rzhin 20 12 aimed aim VBN cord-261113-v84rzhin 20 13 at at IN cord-261113-v84rzhin 20 14 optimizing optimize VBG cord-261113-v84rzhin 20 15 clinical clinical JJ cord-261113-v84rzhin 20 16 care care NN cord-261113-v84rzhin 20 17 relevant relevant JJ cord-261113-v84rzhin 20 18 to to IN cord-261113-v84rzhin 20 19 the the DT cord-261113-v84rzhin 20 20 AA AA NNP cord-261113-v84rzhin 20 21 population population NN cord-261113-v84rzhin 20 22 and and CC cord-261113-v84rzhin 20 23 a a DT cord-261113-v84rzhin 20 24 more more RBR cord-261113-v84rzhin 20 25 equitable equitable JJ cord-261113-v84rzhin 20 26 response response NN cord-261113-v84rzhin 20 27 to to IN cord-261113-v84rzhin 20 28 COVID-19 COVID-19 NNP cord-261113-v84rzhin 20 29 ( ( -LRB- cord-261113-v84rzhin 20 30 3 3 CD cord-261113-v84rzhin 20 31 ) ) -RRB- cord-261113-v84rzhin 20 32 . . . cord-261113-v84rzhin 21 1 Although although IN cord-261113-v84rzhin 21 2 exact exact JJ cord-261113-v84rzhin 21 3 mechanisms mechanism NNS cord-261113-v84rzhin 21 4 for for IN cord-261113-v84rzhin 21 5 death death NN cord-261113-v84rzhin 21 6 in in IN cord-261113-v84rzhin 21 7 this this DT cord-261113-v84rzhin 21 8 sample sample NN cord-261113-v84rzhin 21 9 are be VBP cord-261113-v84rzhin 21 10 largely largely RB cord-261113-v84rzhin 21 11 unknown unknown JJ cord-261113-v84rzhin 21 12 , , , cord-261113-v84rzhin 21 13 clinicians clinician NNS cord-261113-v84rzhin 21 14 can can MD cord-261113-v84rzhin 21 15 add add VB cord-261113-v84rzhin 21 16 obesity obesity NN cord-261113-v84rzhin 21 17 as as IN cord-261113-v84rzhin 21 18 a a DT cord-261113-v84rzhin 21 19 potential potential JJ cord-261113-v84rzhin 21 20 signal signal NN cord-261113-v84rzhin 21 21 for for IN cord-261113-v84rzhin 21 22 increased increase VBN cord-261113-v84rzhin 21 23 respiratory respiratory JJ cord-261113-v84rzhin 21 24 distress distress NN cord-261113-v84rzhin 21 25 and and CC cord-261113-v84rzhin 21 26 mortality mortality NN cord-261113-v84rzhin 21 27 ( ( -LRB- cord-261113-v84rzhin 21 28 4 4 CD cord-261113-v84rzhin 21 29 ) ) -RRB- cord-261113-v84rzhin 21 30 . . . cord-261113-v84rzhin 22 1 In in IN cord-261113-v84rzhin 22 2 patients patient NNS cord-261113-v84rzhin 22 3 with with IN cord-261113-v84rzhin 22 4 obesity obesity NN cord-261113-v84rzhin 22 5 and and CC cord-261113-v84rzhin 22 6 severe severe JJ cord-261113-v84rzhin 22 7 obesity obesity NN cord-261113-v84rzhin 22 8 , , , cord-261113-v84rzhin 22 9 associated associated JJ cord-261113-v84rzhin 22 10 factors factor NNS cord-261113-v84rzhin 22 11 of of IN cord-261113-v84rzhin 22 12 decreased decrease VBN cord-261113-v84rzhin 22 13 expiratory expiratory NNP cord-261113-v84rzhin 22 14 reserve reserve NNP cord-261113-v84rzhin 22 15 volume volume NN cord-261113-v84rzhin 22 16 , , , cord-261113-v84rzhin 22 17 functional functional JJ cord-261113-v84rzhin 22 18 capacity capacity NN cord-261113-v84rzhin 22 19 , , , cord-261113-v84rzhin 22 20 respiratory respiratory JJ cord-261113-v84rzhin 22 21 system system NN cord-261113-v84rzhin 22 22 compliance compliance NN cord-261113-v84rzhin 22 23 , , , cord-261113-v84rzhin 22 24 compromised compromise VBN cord-261113-v84rzhin 22 25 function function NN cord-261113-v84rzhin 22 26 in in IN cord-261113-v84rzhin 22 27 supine supine JJ cord-261113-v84rzhin 22 28 patients patient NNS cord-261113-v84rzhin 22 29 by by IN cord-261113-v84rzhin 22 30 decreased decrease VBN cord-261113-v84rzhin 22 31 diaphragmatic diaphragmatic JJ cord-261113-v84rzhin 22 32 excursion excursion NN cord-261113-v84rzhin 22 33 , , , cord-261113-v84rzhin 22 34 and and CC cord-261113-v84rzhin 22 35 increased increase VBD cord-261113-v84rzhin 22 36 inflammatory inflammatory JJ cord-261113-v84rzhin 22 37 cytokines cytokine NNS cord-261113-v84rzhin 22 38 may may MD cord-261113-v84rzhin 22 39 contribute contribute VB cord-261113-v84rzhin 22 40 to to IN cord-261113-v84rzhin 22 41 the the DT cord-261113-v84rzhin 22 42 increased increase VBN cord-261113-v84rzhin 22 43 morbidity morbidity NN cord-261113-v84rzhin 22 44 associated associate VBN cord-261113-v84rzhin 22 45 with with IN cord-261113-v84rzhin 22 46 obesity obesity NN cord-261113-v84rzhin 22 47 in in IN cord-261113-v84rzhin 22 48 COVID-19 COVID-19 NNP cord-261113-v84rzhin 22 49 infections infection NNS cord-261113-v84rzhin 22 50 ( ( -LRB- cord-261113-v84rzhin 22 51 4 4 CD cord-261113-v84rzhin 22 52 ) ) -RRB- cord-261113-v84rzhin 22 53 . . . cord-261113-v84rzhin 23 1 Accordingly accordingly RB cord-261113-v84rzhin 23 2 , , , cord-261113-v84rzhin 23 3 in in IN cord-261113-v84rzhin 23 4 a a DT cord-261113-v84rzhin 23 5 recent recent JJ cord-261113-v84rzhin 23 6 large large JJ cord-261113-v84rzhin 23 7 case case NN cord-261113-v84rzhin 23 8 series series NN cord-261113-v84rzhin 23 9 of of IN cord-261113-v84rzhin 23 10 5,700 5,700 CD cord-261113-v84rzhin 23 11 patients patient NNS cord-261113-v84rzhin 23 12 hospitalized hospitalize VBN cord-261113-v84rzhin 23 13 with with IN cord-261113-v84rzhin 23 14 COVID-19 COVID-19 NNP cord-261113-v84rzhin 23 15 in in IN cord-261113-v84rzhin 23 16 the the DT cord-261113-v84rzhin 23 17 New New NNP cord-261113-v84rzhin 23 18 York York NNP cord-261113-v84rzhin 23 19 City City NNP cord-261113-v84rzhin 23 20 area area NN cord-261113-v84rzhin 23 21 , , , cord-261113-v84rzhin 23 22 including include VBG cord-261113-v84rzhin 23 23 1,230 1,230 CD cord-261113-v84rzhin 23 24 ( ( -LRB- cord-261113-v84rzhin 23 25 22.6 22.6 CD cord-261113-v84rzhin 23 26 % % NN cord-261113-v84rzhin 23 27 ) ) -RRB- cord-261113-v84rzhin 24 1 AA AA NNP cord-261113-v84rzhin 24 2 , , , cord-261113-v84rzhin 24 3 obesity obesity NN cord-261113-v84rzhin 24 4 was be VBD cord-261113-v84rzhin 24 5 reported report VBN cord-261113-v84rzhin 24 6 to to TO cord-261113-v84rzhin 24 7 increase increase VB cord-261113-v84rzhin 24 8 the the DT cord-261113-v84rzhin 24 9 odds odd NNS cord-261113-v84rzhin 24 10 ratio ratio NN cord-261113-v84rzhin 24 11 for for IN cord-261113-v84rzhin 24 12 death death NN cord-261113-v84rzhin 24 13 by by IN cord-261113-v84rzhin 24 14 3.05 3.05 CD cord-261113-v84rzhin 24 15 ( ( -LRB- cord-261113-v84rzhin 24 16 95 95 CD cord-261113-v84rzhin 24 17 % % NN cord-261113-v84rzhin 24 18 CI ci NN cord-261113-v84rzhin 24 19 : : : cord-261113-v84rzhin 24 20 1.57 1.57 CD cord-261113-v84rzhin 24 21 - - SYM cord-261113-v84rzhin 24 22 5.92 5.92 CD cord-261113-v84rzhin 24 23 ) ) -RRB- cord-261113-v84rzhin 24 24 ( ( -LRB- cord-261113-v84rzhin 25 1 8) 8) NNP cord-261113-v84rzhin 25 2 . . . cord-261113-v84rzhin 26 1 Moreover moreover RB cord-261113-v84rzhin 26 2 , , , cord-261113-v84rzhin 26 3 among among IN cord-261113-v84rzhin 26 4 3,615 3,615 CD cord-261113-v84rzhin 26 5 individuals individual NNS cord-261113-v84rzhin 26 6 in in IN cord-261113-v84rzhin 26 7 a a DT cord-261113-v84rzhin 26 8 large large JJ cord-261113-v84rzhin 26 9 New New NNP cord-261113-v84rzhin 26 10 York York NNP cord-261113-v84rzhin 26 11 City City NNP cord-261113-v84rzhin 26 12 academic academic JJ cord-261113-v84rzhin 26 13 hospital hospital NN cord-261113-v84rzhin 26 14 , , , cord-261113-v84rzhin 26 15 without without IN cord-261113-v84rzhin 26 16 defined define VBN cord-261113-v84rzhin 26 17 percentages percentage NNS cord-261113-v84rzhin 26 18 based base VBN cord-261113-v84rzhin 26 19 on on IN cord-261113-v84rzhin 26 20 race race NN cord-261113-v84rzhin 26 21 / / SYM cord-261113-v84rzhin 26 22 ethnicity ethnicity NN cord-261113-v84rzhin 26 23 , , , cord-261113-v84rzhin 26 24 obesity obesity NN cord-261113-v84rzhin 26 25 and and CC cord-261113-v84rzhin 26 26 COVID-19 covid-19 NN cord-261113-v84rzhin 26 27 appeared appear VBD cord-261113-v84rzhin 26 28 to to TO cord-261113-v84rzhin 26 29 affect affect VB cord-261113-v84rzhin 26 30 severity severity NN cord-261113-v84rzhin 26 31 at at IN cord-261113-v84rzhin 26 32 younger young JJR cord-261113-v84rzhin 26 33 ages age NNS cord-261113-v84rzhin 26 34 . . . cord-261113-v84rzhin 27 1 For for IN cord-261113-v84rzhin 27 2 those those DT cord-261113-v84rzhin 27 3 aged aged JJ cord-261113-v84rzhin 27 4 less less JJR cord-261113-v84rzhin 27 5 than than IN cord-261113-v84rzhin 27 6 60 60 CD cord-261113-v84rzhin 27 7 years year NNS cord-261113-v84rzhin 27 8 , , , cord-261113-v84rzhin 27 9 those those DT cord-261113-v84rzhin 27 10 with with IN cord-261113-v84rzhin 27 11 BMI BMI NNP cord-261113-v84rzhin 27 12 between between IN cord-261113-v84rzhin 27 13 30 30 CD cord-261113-v84rzhin 27 14 and and CC cord-261113-v84rzhin 27 15 34 34 CD cord-261113-v84rzhin 27 16 kg kg NNS cord-261113-v84rzhin 27 17 / / SYM cord-261113-v84rzhin 27 18 m m NN cord-261113-v84rzhin 27 19 2 2 CD cord-261113-v84rzhin 27 20 and and CC cord-261113-v84rzhin 27 21 those those DT cord-261113-v84rzhin 27 22 with with IN cord-261113-v84rzhin 27 23 BMI BMI NNP cord-261113-v84rzhin 27 24 > > NNP cord-261113-v84rzhin 27 25 35 35 CD cord-261113-v84rzhin 27 26 kg kg NN cord-261113-v84rzhin 27 27 / / SYM cord-261113-v84rzhin 27 28 m m NN cord-261113-v84rzhin 27 29 2 2 CD cord-261113-v84rzhin 27 30 , , , cord-261113-v84rzhin 27 31 compared compare VBN cord-261113-v84rzhin 27 32 with with IN cord-261113-v84rzhin 27 33 those those DT cord-261113-v84rzhin 27 34 of of IN cord-261113-v84rzhin 27 35 normal normal JJ cord-261113-v84rzhin 27 36 weight weight NN cord-261113-v84rzhin 27 37 , , , cord-261113-v84rzhin 27 38 were be VBD cord-261113-v84rzhin 27 39 1.8 1.8 CD cord-261113-v84rzhin 27 40 times time NNS cord-261113-v84rzhin 27 41 and and CC cord-261113-v84rzhin 27 42 3.6 3.6 CD cord-261113-v84rzhin 27 43 times time NNS cord-261113-v84rzhin 27 44 more more RBR cord-261113-v84rzhin 27 45 likely likely JJ cord-261113-v84rzhin 27 46 , , , cord-261113-v84rzhin 27 47 respectively respectively RB cord-261113-v84rzhin 27 48 , , , cord-261113-v84rzhin 27 49 to to TO cord-261113-v84rzhin 27 50 be be VB cord-261113-v84rzhin 27 51 admitted admit VBN cord-261113-v84rzhin 27 52 to to IN cord-261113-v84rzhin 27 53 critical critical JJ cord-261113-v84rzhin 27 54 care care NN cord-261113-v84rzhin 27 55 ( ( -LRB- cord-261113-v84rzhin 27 56 9 9 CD cord-261113-v84rzhin 27 57 ) ) -RRB- cord-261113-v84rzhin 27 58 . . . cord-261113-v84rzhin 28 1 Similarly similarly RB cord-261113-v84rzhin 28 2 , , , cord-261113-v84rzhin 28 3 in in IN cord-261113-v84rzhin 28 4 265 265 CD cord-261113-v84rzhin 28 5 patients patient NNS cord-261113-v84rzhin 28 6 ( ( -LRB- cord-261113-v84rzhin 28 7 58 58 CD cord-261113-v84rzhin 28 8 % % NN cord-261113-v84rzhin 28 9 male male NN cord-261113-v84rzhin 28 10 ) ) -RRB- cord-261113-v84rzhin 28 11 from from IN cord-261113-v84rzhin 28 12 several several JJ cord-261113-v84rzhin 28 13 US US NNP cord-261113-v84rzhin 28 14 university university NN cord-261113-v84rzhin 28 15 hospitals hospital NNS cord-261113-v84rzhin 28 16 , , , cord-261113-v84rzhin 28 17 obesity obesity NN cord-261113-v84rzhin 28 18 was be VBD cord-261113-v84rzhin 28 19 a a DT cord-261113-v84rzhin 28 20 salient salient JJ cord-261113-v84rzhin 28 21 risk risk NN cord-261113-v84rzhin 28 22 factor factor NN cord-261113-v84rzhin 28 23 for for IN cord-261113-v84rzhin 28 24 severe severe JJ cord-261113-v84rzhin 28 25 COVID-19 covid-19 JJ cord-261113-v84rzhin 28 26 disease disease NN cord-261113-v84rzhin 28 27 . . . cord-261113-v84rzhin 29 1 The the DT cord-261113-v84rzhin 29 2 authors author NNS cord-261113-v84rzhin 29 3 proposed propose VBD cord-261113-v84rzhin 29 4 increased increase VBN cord-261113-v84rzhin 29 5 public public JJ cord-261113-v84rzhin 29 6 messaging messaging NN cord-261113-v84rzhin 29 7 to to IN cord-261113-v84rzhin 29 8 younger young JJR cord-261113-v84rzhin 29 9 adults adult NNS cord-261113-v84rzhin 29 10 , , , cord-261113-v84rzhin 29 11 proactive proactive JJ cord-261113-v84rzhin 29 12 virus virus NN cord-261113-v84rzhin 29 13 testing testing NN cord-261113-v84rzhin 29 14 in in IN cord-261113-v84rzhin 29 15 individuals individual NNS cord-261113-v84rzhin 29 16 with with IN cord-261113-v84rzhin 29 17 obesity obesity NN cord-261113-v84rzhin 29 18 , , , cord-261113-v84rzhin 29 19 and and CC cord-261113-v84rzhin 29 20 maintaining maintain VBG cord-261113-v84rzhin 29 21 greater great JJR cord-261113-v84rzhin 29 22 vigilance vigilance NN cord-261113-v84rzhin 29 23 for for IN cord-261113-v84rzhin 29 24 this this DT cord-261113-v84rzhin 29 25 at at IN cord-261113-v84rzhin 29 26 - - HYPH cord-261113-v84rzhin 29 27 risk risk NN cord-261113-v84rzhin 29 28 population population NN cord-261113-v84rzhin 29 29 to to TO cord-261113-v84rzhin 29 30 help help VB cord-261113-v84rzhin 29 31 ameliorate ameliorate VB cord-261113-v84rzhin 29 32 widespread widespread JJ cord-261113-v84rzhin 29 33 , , , cord-261113-v84rzhin 29 34 severe severe JJ cord-261113-v84rzhin 29 35 COVID-19 COVID-19 NNP cord-261113-v84rzhin 29 36 disease disease NN cord-261113-v84rzhin 29 37 ( ( -LRB- cord-261113-v84rzhin 29 38 10 10 CD cord-261113-v84rzhin 29 39 ) ) -RRB- cord-261113-v84rzhin 29 40 . . . cord-261113-v84rzhin 30 1 It -PRON- PRP cord-261113-v84rzhin 30 2 is be VBZ cord-261113-v84rzhin 30 3 difficult difficult JJ cord-261113-v84rzhin 30 4 to to TO cord-261113-v84rzhin 30 5 disaggregate disaggregate VB cord-261113-v84rzhin 30 6 obesity obesity NN cord-261113-v84rzhin 30 7 - - HYPH cord-261113-v84rzhin 30 8 associated associate VBN cord-261113-v84rzhin 30 9 COVID-19 COVID-19 NNP cord-261113-v84rzhin 30 10 mortality mortality NN cord-261113-v84rzhin 30 11 from from IN cord-261113-v84rzhin 30 12 hypertension hypertension NN cord-261113-v84rzhin 30 13 and and CC cord-261113-v84rzhin 30 14 diabetes diabetes NN cord-261113-v84rzhin 30 15 to to TO cord-261113-v84rzhin 30 16 prove prove VB cord-261113-v84rzhin 30 17 a a DT cord-261113-v84rzhin 30 18 cause cause NN cord-261113-v84rzhin 30 19 - - HYPH cord-261113-v84rzhin 30 20 effect effect NN cord-261113-v84rzhin 30 21 relationship relationship NN cord-261113-v84rzhin 30 22 . . . cord-261113-v84rzhin 31 1 However however RB cord-261113-v84rzhin 31 2 , , , cord-261113-v84rzhin 31 3 heightened heighten VBD cord-261113-v84rzhin 31 4 obesity obesity NN cord-261113-v84rzhin 31 5 - - HYPH cord-261113-v84rzhin 31 6 related relate VBN cord-261113-v84rzhin 31 7 metabolic metabolic JJ cord-261113-v84rzhin 31 8 and and CC cord-261113-v84rzhin 31 9 inflammatory inflammatory JJ cord-261113-v84rzhin 31 10 pathways pathway NNS cord-261113-v84rzhin 31 11 may may MD cord-261113-v84rzhin 31 12 adversely adversely RB cord-261113-v84rzhin 31 13 alter alter VB cord-261113-v84rzhin 31 14 the the DT cord-261113-v84rzhin 31 15 course course NN cord-261113-v84rzhin 31 16 of of IN cord-261113-v84rzhin 31 17 COVID-19 covid-19 NN cord-261113-v84rzhin 31 18 and and CC cord-261113-v84rzhin 31 19 individuals individual NNS cord-261113-v84rzhin 31 20 with with IN cord-261113-v84rzhin 31 21 obesity obesity NN cord-261113-v84rzhin 31 22 . . . cord-261113-v84rzhin 32 1 This this DT cord-261113-v84rzhin 32 2 may may MD cord-261113-v84rzhin 32 3 amplify amplify VB cord-261113-v84rzhin 32 4 or or CC cord-261113-v84rzhin 32 5 dysregulate dysregulate VB cord-261113-v84rzhin 32 6 immune immune JJ cord-261113-v84rzhin 32 7 responses response NNS cord-261113-v84rzhin 32 8 , , , cord-261113-v84rzhin 32 9 with with IN cord-261113-v84rzhin 32 10 excess excess JJ cord-261113-v84rzhin 32 11 adipose adipose JJ cord-261113-v84rzhin 32 12 tissue tissue NN cord-261113-v84rzhin 32 13 leading lead VBG cord-261113-v84rzhin 32 14 to to IN cord-261113-v84rzhin 32 15 virus virus NN cord-261113-v84rzhin 32 16 - - HYPH cord-261113-v84rzhin 32 17 activated activate VBN cord-261113-v84rzhin 32 18 cytokine cytokine NN cord-261113-v84rzhin 32 19 storm storm NN cord-261113-v84rzhin 32 20 syndrome syndrome NN cord-261113-v84rzhin 32 21 ( ( -LRB- cord-261113-v84rzhin 32 22 11 11 CD cord-261113-v84rzhin 32 23 ) ) -RRB- cord-261113-v84rzhin 32 24 . . . cord-261113-v84rzhin 33 1 Patients patient NNS cord-261113-v84rzhin 33 2 with with IN cord-261113-v84rzhin 33 3 COVID-19 covid-19 NN cord-261113-v84rzhin 33 4 and and CC cord-261113-v84rzhin 33 5 diabetes diabete NNS cord-261113-v84rzhin 33 6 appear appear VBP cord-261113-v84rzhin 33 7 significantly significantly RB cord-261113-v84rzhin 33 8 more more RBR cord-261113-v84rzhin 33 9 likely likely JJ cord-261113-v84rzhin 33 10 to to TO cord-261113-v84rzhin 33 11 die die VB cord-261113-v84rzhin 33 12 compared compare VBN cord-261113-v84rzhin 33 13 with with IN cord-261113-v84rzhin 33 14 those those DT cord-261113-v84rzhin 33 15 without without IN cord-261113-v84rzhin 33 16 diabetes diabetes NN cord-261113-v84rzhin 33 17 ( ( -LRB- cord-261113-v84rzhin 33 18 7.8 7.8 CD cord-261113-v84rzhin 33 19 % % NN cord-261113-v84rzhin 33 20 vs. vs. IN cord-261113-v84rzhin 33 21 2.7 2.7 CD cord-261113-v84rzhin 33 22 % % NN cord-261113-v84rzhin 33 23 ; ; : cord-261113-v84rzhin 33 24 P p NN cord-261113-v84rzhin 33 25 < < XX cord-261113-v84rzhin 33 26 0.001 0.001 CD cord-261113-v84rzhin 33 27 ) ) -RRB- cord-261113-v84rzhin 33 28 , , , cord-261113-v84rzhin 33 29 with with IN cord-261113-v84rzhin 33 30 a a DT cord-261113-v84rzhin 33 31 crude crude JJ cord-261113-v84rzhin 33 32 hazard hazard NN cord-261113-v84rzhin 33 33 ratio ratio NN cord-261113-v84rzhin 33 34 of of IN cord-261113-v84rzhin 33 35 2.90 2.90 CD cord-261113-v84rzhin 34 1 ( ( -LRB- cord-261113-v84rzhin 34 2 P p NN cord-261113-v84rzhin 34 3 < < XX cord-261113-v84rzhin 34 4 0.001 0.001 CD cord-261113-v84rzhin 34 5 ) ) -RRB- cord-261113-v84rzhin 34 6 . . . cord-261113-v84rzhin 35 1 Hence hence RB cord-261113-v84rzhin 35 2 , , , cord-261113-v84rzhin 35 3 obesity obesity NN cord-261113-v84rzhin 35 4 and and CC cord-261113-v84rzhin 35 5 associated associate VBD cord-261113-v84rzhin 35 6 uncontrolled uncontrolled JJ cord-261113-v84rzhin 35 7 diabetes diabete NNS cord-261113-v84rzhin 35 8 may may MD cord-261113-v84rzhin 35 9 be be VB cord-261113-v84rzhin 35 10 a a DT cord-261113-v84rzhin 35 11 risk risk NN cord-261113-v84rzhin 35 12 factor factor NN cord-261113-v84rzhin 35 13 for for IN cord-261113-v84rzhin 35 14 rapid rapid JJ cord-261113-v84rzhin 35 15 progression progression NN cord-261113-v84rzhin 35 16 and and CC cord-261113-v84rzhin 35 17 poorer poor JJR cord-261113-v84rzhin 35 18 prognosis prognosis NN cord-261113-v84rzhin 35 19 of of IN cord-261113-v84rzhin 35 20 COVID-19 COVID-19 NNP cord-261113-v84rzhin 35 21 ( ( -LRB- cord-261113-v84rzhin 35 22 12 12 CD cord-261113-v84rzhin 35 23 ) ) -RRB- cord-261113-v84rzhin 35 24 . . . cord-261113-v84rzhin 36 1 Obesity obesity NN cord-261113-v84rzhin 36 2 | | SYM cord-261113-v84rzhin 36 3 VOLUME volume NN cord-261113-v84rzhin 36 4 00 00 CD cord-261113-v84rzhin 36 5 | | CD cord-261113-v84rzhin 36 6 NUMBER number NN cord-261113-v84rzhin 36 7 00 00 CD cord-261113-v84rzhin 36 8 | | NNP cord-261113-v84rzhin 36 9 MONTH month NN cord-261113-v84rzhin 36 10 2020 2020 CD cord-261113-v84rzhin 36 11 www.obesityjournal.org www.obesityjournal.org . cord-261113-v84rzhin 37 1 Moreover moreover RB cord-261113-v84rzhin 37 2 , , , cord-261113-v84rzhin 37 3 hypertension hypertension NN cord-261113-v84rzhin 37 4 may may MD cord-261113-v84rzhin 37 5 additionally additionally RB cord-261113-v84rzhin 37 6 lead lead VB cord-261113-v84rzhin 37 7 to to IN cord-261113-v84rzhin 37 8 increased increase VBN cord-261113-v84rzhin 37 9 severity severity NN cord-261113-v84rzhin 37 10 . . . cord-261113-v84rzhin 38 1 ( ( -LRB- cord-261113-v84rzhin 38 2 14 14 CD cord-261113-v84rzhin 38 3 , , , cord-261113-v84rzhin 38 4 15 15 CD cord-261113-v84rzhin 38 5 ) ) -RRB- cord-261113-v84rzhin 38 6 . . . cord-261113-v84rzhin 39 1 Therefore therefore RB cord-261113-v84rzhin 39 2 , , , cord-261113-v84rzhin 39 3 the the DT cord-261113-v84rzhin 39 4 COVID-19 COVID-19 NNP cord-261113-v84rzhin 39 5 pandemic pandemic NN cord-261113-v84rzhin 39 6 offers offer VBZ cord-261113-v84rzhin 39 7 an an DT cord-261113-v84rzhin 39 8 opportunity opportunity NN cord-261113-v84rzhin 39 9 to to TO cord-261113-v84rzhin 39 10 more more RBR cord-261113-v84rzhin 39 11 effectively effectively RB cord-261113-v84rzhin 39 12 address address VB cord-261113-v84rzhin 39 13 the the DT cord-261113-v84rzhin 39 14 obesity obesity NN cord-261113-v84rzhin 39 15 " " `` cord-261113-v84rzhin 39 16 epidemic epidemic NN cord-261113-v84rzhin 39 17 , , , cord-261113-v84rzhin 39 18 " " '' cord-261113-v84rzhin 39 19 including include VBG cord-261113-v84rzhin 39 20 youth youth NN cord-261113-v84rzhin 39 21 primordial primordial JJ cord-261113-v84rzhin 39 22 prevention prevention NN cord-261113-v84rzhin 39 23 , , , cord-261113-v84rzhin 39 24 especially especially RB cord-261113-v84rzhin 39 25 in in IN cord-261113-v84rzhin 39 26 US US NNP cord-261113-v84rzhin 39 27 minorities minority NNS cord-261113-v84rzhin 39 28 , , , cord-261113-v84rzhin 39 29 before before IN cord-261113-v84rzhin 39 30 obesity obesity NN cord-261113-v84rzhin 39 31 becomes become VBZ cord-261113-v84rzhin 39 32 evident evident JJ cord-261113-v84rzhin 39 33 . . . cord-261113-v84rzhin 40 1 Instead instead RB cord-261113-v84rzhin 40 2 of of IN cord-261113-v84rzhin 40 3 stigmatization stigmatization NN cord-261113-v84rzhin 40 4 of of IN cord-261113-v84rzhin 40 5 black black JJ cord-261113-v84rzhin 40 6 adults adult NNS cord-261113-v84rzhin 40 7 with with IN cord-261113-v84rzhin 40 8 obesity obesity NN cord-261113-v84rzhin 40 9 , , , cord-261113-v84rzhin 40 10 this this DT cord-261113-v84rzhin 40 11 pandemic pandemic NN cord-261113-v84rzhin 40 12 , , , cord-261113-v84rzhin 40 13 a a DT cord-261113-v84rzhin 40 14 hopefully hopefully RB cord-261113-v84rzhin 40 15 once once RB cord-261113-v84rzhin 40 16 - - HYPH cord-261113-v84rzhin 40 17 in in IN cord-261113-v84rzhin 40 18 - - HYPH cord-261113-v84rzhin 40 19 a a DT cord-261113-v84rzhin 40 20 - - HYPH cord-261113-v84rzhin 40 21 century century NN cord-261113-v84rzhin 40 22 health health NN cord-261113-v84rzhin 40 23 crisis crisis NN cord-261113-v84rzhin 40 24 , , , cord-261113-v84rzhin 40 25 is be VBZ cord-261113-v84rzhin 40 26 a a DT cord-261113-v84rzhin 40 27 clarion clarion NN cord-261113-v84rzhin 40 28 call call NN cord-261113-v84rzhin 40 29 to to TO cord-261113-v84rzhin 40 30 decrease decrease VB cord-261113-v84rzhin 40 31 and and CC cord-261113-v84rzhin 40 32 eventually eventually RB cord-261113-v84rzhin 40 33 eliminate eliminate VB cord-261113-v84rzhin 40 34 long long RB cord-261113-v84rzhin 40 35 - - HYPH cord-261113-v84rzhin 40 36 standing stand VBG cord-261113-v84rzhin 40 37 health health NN cord-261113-v84rzhin 40 38 disparities disparity NNS cord-261113-v84rzhin 40 39 and and CC cord-261113-v84rzhin 40 40 underlying underlie VBG cord-261113-v84rzhin 40 41 adverse adverse JJ cord-261113-v84rzhin 40 42 societal societal JJ cord-261113-v84rzhin 40 43 structural structural JJ cord-261113-v84rzhin 40 44 factors factor NNS cord-261113-v84rzhin 40 45 ( ( -LRB- cord-261113-v84rzhin 40 46 16 16 CD cord-261113-v84rzhin 40 47 , , , cord-261113-v84rzhin 40 48 17 17 CD cord-261113-v84rzhin 40 49 ) ) -RRB- cord-261113-v84rzhin 40 50 .O .O . cord-261113-v84rzhin 41 1 World World NNP cord-261113-v84rzhin 41 2 Health Health NNP cord-261113-v84rzhin 41 3 Organization Organization NNP cord-261113-v84rzhin 41 4 . . . cord-261113-v84rzhin 42 1 Global Global NNP cord-261113-v84rzhin 42 2 Health Health NNP cord-261113-v84rzhin 42 3 Observatory Observatory NNP cord-261113-v84rzhin 42 4 ( ( -LRB- cord-261113-v84rzhin 42 5 GHO GHO NNP cord-261113-v84rzhin 42 6 ) ) -RRB- cord-261113-v84rzhin 42 7 data datum NNS cord-261113-v84rzhin 42 8 : : : cord-261113-v84rzhin 42 9 overweight overweight JJ cord-261113-v84rzhin 42 10 and and CC cord-261113-v84rzhin 42 11 obesity obesity NN cord-261113-v84rzhin 42 12 Prevalence prevalence NN cord-261113-v84rzhin 42 13 of of IN cord-261113-v84rzhin 42 14 obesity obesity NN cord-261113-v84rzhin 42 15 and and CC cord-261113-v84rzhin 42 16 severe severe JJ cord-261113-v84rzhin 42 17 obesity obesity NN cord-261113-v84rzhin 42 18 among among IN cord-261113-v84rzhin 42 19 adults adult NNS cord-261113-v84rzhin 42 20 : : : cord-261113-v84rzhin 43 1 United United NNP cord-261113-v84rzhin 43 2 States States NNP cord-261113-v84rzhin 43 3 Body Body NNP cord-261113-v84rzhin 43 4 mass mass NN cord-261113-v84rzhin 43 5 index index NN cord-261113-v84rzhin 43 6 is be VBZ cord-261113-v84rzhin 43 7 associated associate VBN cord-261113-v84rzhin 43 8 with with IN cord-261113-v84rzhin 43 9 COVID-19 covid-19 DT cord-261113-v84rzhin 43 10 intensive intensive JJ cord-261113-v84rzhin 43 11 care care NN cord-261113-v84rzhin 43 12 unit unit NN cord-261113-v84rzhin 43 13 admission admission NN cord-261113-v84rzhin 43 14 in in IN cord-261113-v84rzhin 43 15 African african JJ cord-261113-v84rzhin 43 16 Americans Americans NNPS cord-261113-v84rzhin 43 17 Obesity Obesity NNP cord-261113-v84rzhin 43 18 and and CC cord-261113-v84rzhin 43 19 its -PRON- PRP$ cord-261113-v84rzhin 43 20 implications implication NNS cord-261113-v84rzhin 43 21 for for IN cord-261113-v84rzhin 43 22 COVID-19 COVID-19 NNP cord-261113-v84rzhin 43 23 mortality mortality NN cord-261113-v84rzhin 43 24 Health Health NNP cord-261113-v84rzhin 43 25 equity equity NN cord-261113-v84rzhin 43 26 considerations consideration NNS cord-261113-v84rzhin 43 27 and and CC cord-261113-v84rzhin 43 28 racial racial JJ cord-261113-v84rzhin 43 29 and and CC cord-261113-v84rzhin 43 30 ethnic ethnic JJ cord-261113-v84rzhin 43 31 minority minority NN cord-261113-v84rzhin 43 32 groups group NNS cord-261113-v84rzhin 43 33 COVIDVIEW COVIDVIEW NNP cord-261113-v84rzhin 43 34 , , , cord-261113-v84rzhin 43 35 a a DT cord-261113-v84rzhin 43 36 weekly weekly JJ cord-261113-v84rzhin 43 37 surveillance surveillance NN cord-261113-v84rzhin 43 38 summary summary NN cord-261113-v84rzhin 43 39 of of IN cord-261113-v84rzhin 43 40 U.S. U.S. NNP cord-261113-v84rzhin 43 41 COVID-19 COVID-19 NNP cord-261113-v84rzhin 43 42 activity activity NN cord-261113-v84rzhin 43 43 Covid-19 covid-19 NN cord-261113-v84rzhin 43 44 in in IN cord-261113-v84rzhin 43 45 critically critically RB cord-261113-v84rzhin 43 46 ill ill JJ cord-261113-v84rzhin 43 47 patients patient NNS cord-261113-v84rzhin 43 48 in in IN cord-261113-v84rzhin 43 49 the the DT cord-261113-v84rzhin 43 50 Seattle Seattle NNP cord-261113-v84rzhin 43 51 region region NN cord-261113-v84rzhin 43 52 -case -case NN cord-261113-v84rzhin 43 53 series series NNP cord-261113-v84rzhin 44 1 Presenting present VBG cord-261113-v84rzhin 44 2 characteristics characteristic NNS cord-261113-v84rzhin 44 3 , , , cord-261113-v84rzhin 44 4 comorbidities comorbiditie NNS cord-261113-v84rzhin 44 5 , , , cord-261113-v84rzhin 44 6 and and CC cord-261113-v84rzhin 44 7 outcomes outcome NNS cord-261113-v84rzhin 44 8 among among IN cord-261113-v84rzhin 44 9 5700 5700 CD cord-261113-v84rzhin 44 10 patients patient NNS cord-261113-v84rzhin 44 11 hospitalized hospitalize VBN cord-261113-v84rzhin 44 12 with with IN cord-261113-v84rzhin 44 13 COVID-19 COVID-19 NNP cord-261113-v84rzhin 44 14 in in IN cord-261113-v84rzhin 44 15 the the DT cord-261113-v84rzhin 44 16 New New NNP cord-261113-v84rzhin 44 17 York York NNP cord-261113-v84rzhin 44 18 City City NNP cord-261113-v84rzhin 44 19 area area NN cord-261113-v84rzhin 44 20 Obesity obesity NN cord-261113-v84rzhin 44 21 in in IN cord-261113-v84rzhin 44 22 patients patient NNS cord-261113-v84rzhin 44 23 younger young JJR cord-261113-v84rzhin 44 24 than than IN cord-261113-v84rzhin 44 25 60 60 CD cord-261113-v84rzhin 44 26 years year NNS cord-261113-v84rzhin 44 27 is be VBZ cord-261113-v84rzhin 44 28 a a DT cord-261113-v84rzhin 44 29 risk risk NN cord-261113-v84rzhin 44 30 factor factor NN cord-261113-v84rzhin 44 31 for for IN cord-261113-v84rzhin 44 32 Covid-19 Covid-19 NNP cord-261113-v84rzhin 44 33 hospital hospital NN cord-261113-v84rzhin 44 34 admission admission NN cord-261113-v84rzhin 45 1 Obesity obesity NN cord-261113-v84rzhin 45 2 could could MD cord-261113-v84rzhin 45 3 shift shift VB cord-261113-v84rzhin 45 4 severe severe JJ cord-261113-v84rzhin 45 5 COVID-19 covid-19 JJ cord-261113-v84rzhin 45 6 disease disease NN cord-261113-v84rzhin 45 7 to to IN cord-261113-v84rzhin 45 8 younger young JJR cord-261113-v84rzhin 45 9 ages age NNS cord-261113-v84rzhin 45 10 Obesity Obesity NNP cord-261113-v84rzhin 45 11 a a DT cord-261113-v84rzhin 45 12 risk risk NN cord-261113-v84rzhin 45 13 factor factor NN cord-261113-v84rzhin 45 14 for for IN cord-261113-v84rzhin 45 15 severe severe JJ cord-261113-v84rzhin 45 16 COVID-19 covid-19 CD cord-261113-v84rzhin 45 17 infection infection NN cord-261113-v84rzhin 45 18 : : : cord-261113-v84rzhin 45 19 multiple multiple JJ cord-261113-v84rzhin 45 20 potential potential JJ cord-261113-v84rzhin 45 21 mechanisms mechanisms NNPS cord-261113-v84rzhin 45 22 Association Association NNP cord-261113-v84rzhin 45 23 of of IN cord-261113-v84rzhin 45 24 blood blood NN cord-261113-v84rzhin 45 25 glucose glucose NN cord-261113-v84rzhin 45 26 control control NN cord-261113-v84rzhin 45 27 and and CC cord-261113-v84rzhin 45 28 outcomes outcome NNS cord-261113-v84rzhin 45 29 in in IN cord-261113-v84rzhin 45 30 patients patient NNS cord-261113-v84rzhin 45 31 with with IN cord-261113-v84rzhin 45 32 COVID-19 covid-19 JJ cord-261113-v84rzhin 45 33 and and CC cord-261113-v84rzhin 45 34 pre pre JJ cord-261113-v84rzhin 45 35 - - JJ cord-261113-v84rzhin 45 36 existing existing JJ cord-261113-v84rzhin 45 37 type type NN cord-261113-v84rzhin 45 38 2 2 CD cord-261113-v84rzhin 45 39 diabetes diabetes NN cord-261113-v84rzhin 46 1 Hypertension hypertension NN cord-261113-v84rzhin 46 2 is be VBZ cord-261113-v84rzhin 46 3 associated associate VBN cord-261113-v84rzhin 46 4 with with IN cord-261113-v84rzhin 46 5 increased increase VBN cord-261113-v84rzhin 46 6 mortality mortality NN cord-261113-v84rzhin 46 7 and and CC cord-261113-v84rzhin 46 8 severity severity NN cord-261113-v84rzhin 46 9 of of IN cord-261113-v84rzhin 46 10 disease disease NN cord-261113-v84rzhin 46 11 in in IN cord-261113-v84rzhin 46 12 COVID-19 COVID-19 NNP cord-261113-v84rzhin 46 13 pneumonia pneumonia NN cord-261113-v84rzhin 46 14 : : : cord-261113-v84rzhin 46 15 a a DT cord-261113-v84rzhin 46 16 systematic systematic JJ cord-261113-v84rzhin 46 17 review review NN cord-261113-v84rzhin 46 18 , , , cord-261113-v84rzhin 46 19 meta meta NNP cord-261113-v84rzhin 46 20 - - HYPH cord-261113-v84rzhin 46 21 analysis analysis NNP cord-261113-v84rzhin 46 22 and and CC cord-261113-v84rzhin 46 23 meta meta JJ cord-261113-v84rzhin 46 24 - - HYPH cord-261113-v84rzhin 46 25 regression regression JJ cord-261113-v84rzhin 46 26 People People NNS cord-261113-v84rzhin 46 27 at at IN cord-261113-v84rzhin 46 28 increased increase VBN cord-261113-v84rzhin 46 29 risk risk NN cord-261113-v84rzhin 46 30 and and CC cord-261113-v84rzhin 46 31 other other JJ cord-261113-v84rzhin 46 32 people people NNS cord-261113-v84rzhin 46 33 who who WP cord-261113-v84rzhin 46 34 need need VBP cord-261113-v84rzhin 46 35 to to TO cord-261113-v84rzhin 46 36 take take VB cord-261113-v84rzhin 46 37 extra extra JJ cord-261113-v84rzhin 46 38 precautions precaution NNS cord-261113-v84rzhin 46 39 Guidance guidance NN cord-261113-v84rzhin 46 40 : : : cord-261113-v84rzhin 46 41 staying stay VBG cord-261113-v84rzhin 46 42 alert alert JJ cord-261113-v84rzhin 46 43 and and CC cord-261113-v84rzhin 46 44 safe safe JJ cord-261113-v84rzhin 46 45 ( ( -LRB- cord-261113-v84rzhin 46 46 social social JJ cord-261113-v84rzhin 46 47 distancing distancing NN cord-261113-v84rzhin 46 48 ) ) -RRB- cord-261113-v84rzhin 46 49 . . . cord-261113-v84rzhin 47 1 Gov Gov NNP cord-261113-v84rzhin 47 2 . . NNP cord-261113-v84rzhin 47 3 UK UK NNP cord-261113-v84rzhin 47 4 website website NN cord-261113-v84rzhin 47 5 African african JJ cord-261113-v84rzhin 47 6 - - HYPH cord-261113-v84rzhin 47 7 American american JJ cord-261113-v84rzhin 47 8 COVID-19 COVID-19 NNP cord-261113-v84rzhin 47 9 mortality mortality NN cord-261113-v84rzhin 47 10 : : : cord-261113-v84rzhin 47 11 a a DT cord-261113-v84rzhin 47 12 sentinel sentinel JJ cord-261113-v84rzhin 47 13 event event NN cord-261113-v84rzhin 47 14 Primordial primordial JJ cord-261113-v84rzhin 47 15 prevention prevention NN cord-261113-v84rzhin 47 16 of of IN cord-261113-v84rzhin 47 17 cardiovascular cardiovascular JJ cord-261113-v84rzhin 47 18 disease disease NN cord-261113-v84rzhin 47 19 in in IN cord-261113-v84rzhin 47 20 childhood childhood NN cord-261113-v84rzhin 47 21 : : : cord-261113-v84rzhin 47 22 the the DT cord-261113-v84rzhin 47 23 time time NN cord-261113-v84rzhin 47 24 is be VBZ cord-261113-v84rzhin 47 25 now now RB