key: cord-0839872-hshpyivz authors: Liu, Menglu; Deng, Chao; Yuan, Ping; Ma, Jianyong; Yu, Peng; Chen, Jie; Zhao, Yujie; Liu, Xiao title: Is there an exposure–effect relationship between body mass index and invasive mechanical ventilation, severity, and death in patients with COVID‐19? Evidence from an updated meta‐analysis date: 2020-09-22 journal: Obes Rev DOI: 10.1111/obr.13149 sha: df4f0cbec036e371c6043fbcda61aeb82daa9606 doc_id: 839872 cord_uid: hshpyivz nan Is there an exposure-effect relationship between body mass index and invasive mechanical ventilation, severity, and death in patients with COVID-19? Evidence from an updated meta-analysis were included in the meta-analysis according to the guidelines. 12, 13 Therefore, it could be more appropriate to mention the known limitations of these methods because of inadequate numbers of included trials to properly assess a funnel plot, rather than claiming use of any test and further possibility of publication bias. This work was supported in part by the National Natural Science Foundation of China (No. 81760050, 81760048) and the Jiangxi F I G U R E 1 Exposureeffect impact of body mass index (BMI) on invasive mechanical ventilation (IMV), severity, and hospitalized death in patients with COVID19. Solid line in red represents fitted linear trend and corresponding upper/lower 95% confidence interval (CI); lines with long dashes in black represent fitted nonlinear trend and corresponding upper/lower 95% CI. (A) Exposureeffect association between BMI and IMV. P nonlinearity =.018, OR=1.43 (95% CI: 1.171.76) per 5kg/m 2 of BMI increment; (B) exposureeffect association between BMI and severe COVID19. P nonlinearity =0.031, OR=1.22 (95% CI: 1.131.31) per 5kg/m 2 of BMI increment; (C) exposureeffect association between BMI and hospitalized death. P nonlinearity =0.0067, OR=1.06 (95% CI: 1.031.09) per 5kg/m 2 of BMI increment Obesity in patients younger than 60 years is a risk factor for COVID-19 hospital admission High prevalence of obesity in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) requiring invasive mechanical ventilation COVID-19: impact of obesity and diabetes in disease severity COVID-19 in a designated infectious diseases hospital outside Hubei Province Clinical characteristics and morbidity associated with coronavirus disease 2019 in a series of patients in metropolitan Detroit The characteristics of 50 hospitalized COVID-19 patients with and without ARDS Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease Survival in adult inpatients with COVID-19 Obesity, walking pace and risk of severe COVID-19: Analysis of UK Biobank. medRxiv The robust error meta-regression method for dose-response meta-analysis Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials Cochrane handbook for systematic reviews of interventions version 5.2.0 [updated