Obesity and Diabetes as Risk Factors for Severe Plasmodium falciparum Malaria: Results From a Swedish Nationwide Study

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Katja WyssAnna Färnert

Abstract

Noncommunicable diseases and obesity are increasing in prevalence globally, also in populations at risk of malaria. We sought to investigate if comorbidity, in terms of chronic diseases and obesity, is associated with severe Plasmodium falciparum malaria. We performed a retrospective observational study in adults (≥18 years of age) diagnosed with malaria in Sweden between January 1995 and May 2015. We identified cases through the surveillance database at the Public Health Agency of Sweden and reviewed clinical data from 18 hospitals. Multivariable logistic regression was used to assess associations between comorbidities and severe malaria. Among 937 adults (median age, 37 years; 66.5% were male), patients with severe malaria had higher prevalence of chronic diseases (28/92 [30.4%]) compared with nonsevere cases (151/845 [17.9%]) (P = .004). Charlson comorbidity score ≥1 was associated with severe malaria (adjusted odds ratio [aOR], 2.63 [95% confidence interval {CI}, 1.45-4.77), as was diabetes among individual diagnoses (aOR, 2.98 [95% CI, 1.25-7.09]). Median body mass index was higher among severe (29.3 kg/m2) than nonsevere cases (24.7 kg/m2) (P < .001). Obesity was strongly associated with severe malaria, both independently...Continue Reading

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Citations

Jan 25, 2020·Wellcome Open Research·Rodrigo M Carrillo-LarcoCesar Ugarte-Gil
Jan 10, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Giri S RajahramBridget E Barber
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Jul 2, 2021·Tropical Parasitology·Ritu KaroliAnil Kumar Upadhyay
Jul 4, 2021·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Andreas WångdahlAnna Färnert

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