{"doi":"10.2337/dc20-1714","title":"Metabolic Syndrome and COVID-19 Mortality Among Adult Black Patients in New Orleans","abstract":"OBJECTIVE: Coronavirus disease 2019 (COVID-19) mortality is high in patients with hypertension, obesity, and diabetes. We examined the association between hypertension, obesity, and diabetes, individually and clustered as metabolic syndrome (MetS), and COVID-19 outcomes in patients hospitalized in New Orleans during the peak of the outbreak. RESEARCH DESIGN AND METHODS: Data were collected from 287 consecutive patients with COVID-19 hospitalized at two hospitals in New Orleans, LA from 30 March to 5 April 2020. MetS was identified per World Health Organization criteria. RESULTS: Among 287 patients (mean age 61.5 years; female, 56.8%; non-Hispanic black, 85.4%), MetS was present in 188 (66%). MetS was significantly associated with mortality (adjusted odds ratio [aOR] 3.42 [95% CI 1.52-7.69]), intensive care unit (ICU) (aOR 4.59 [CI 2.53-8.32]), invasive mechanical ventilation (IMV) (aOR 4.71 [CI 2.50-8.87]), and acute respiratory distress syndrome (ARDS) (aOR 4.70 [CI 2.25-9.82]) compared with non-MetS. Multivariable analyses of hypertension, obesity, and diabetes individually showed no association with mortality. Obesity was associated with ICU (aOR 2.18 [CI, 1.25-3.81]), ARDS (aOR 2.44 [CI 1.28-4.65]), and IMV (aOR 2.36 [CI 1.33-4.21]). Diabetes was associated with ICU (aOR 2.22 [CI 1.24-3.98]) and IMV (aOR 2.12 [CI 1.16-3.89]). Hypertension was not significantly associated with any outcome. Inflammatory biomarkers associated with MetS, CRP, and lactate dehydrogenase (LDH) were associated with mortality (CRP [aOR 3.66] [CI 1.22-10.97] and LDH [aOR 3.49] [CI 1.78-6.83]). CONCLUSIONS: In predominantly black patients hospitalized for COVID-19, the clustering of hypertension, obesity, and diabetes as MetS increased the odds of mortality compared with these comorbidities individually.","journal":"Diabetes Care","year":2020,"id":54198,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":107,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.685,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":279970,"name":"Yuanhao Zu","orcid":null,"position":1,"is_corresponding":false},{"id":277936,"name":"Ala Alkhatib","orcid":"0000-0002-4320-8114","position":2,"is_corresponding":false},{"id":277937,"name":"Thaidan Pham","orcid":"0000-0003-1153-0632","position":3,"is_corresponding":false},{"id":279971,"name":"Frances Gill","orcid":null,"position":4,"is_corresponding":false},{"id":249839,"name":"Albert Jang","orcid":"0000-0002-0461-6174","position":5,"is_corresponding":false},{"id":279972,"name":"Stella Radosta","orcid":null,"position":6,"is_corresponding":false},{"id":277938,"name":"Gerard Chaaya","orcid":"0000-0001-7798-9409","position":7,"is_corresponding":false},{"id":277939,"name":"Leann Myers","orcid":"0000-0003-0333-7517","position":8,"is_corresponding":false},{"id":277940,"name":"Jerry S. Zifodya","orcid":"0000-0003-2742-5976","position":9,"is_corresponding":false},{"id":277941,"name":"Christine M. Bojanowski","orcid":"0000-0003-0451-6816","position":10,"is_corresponding":false},{"id":277942,"name":"Nassir F. Marrouche","orcid":"0000-0003-0454-0541","position":11,"is_corresponding":false},{"id":104951,"name":"Franck Mauvais‐Jarvis","orcid":"0000-0002-0874-0754","position":12,"is_corresponding":false},{"id":277943,"name":"Joshua L. Denson","orcid":"0000-0002-8654-7765","position":13,"is_corresponding":false},{"id":277935,"name":"John Xie","orcid":"0000-0001-7016-6696","position":0,"is_corresponding":true}],"reference_count":33,"raw_metadata":null,"created_at":"2026-07-18T21:03:43.037640Z","pmid":"32843337","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}