PLoS Medicine (Mar 2021)

Cardiometabolic risk factors for COVID-19 susceptibility and severity: A Mendelian randomization analysis.

  • Aaron Leong,
  • Joanne B Cole,
  • Laura N Brenner,
  • James B Meigs,
  • Jose C Florez,
  • Josep M Mercader

DOI
https://doi.org/10.1371/journal.pmed.1003553
Journal volume & issue
Vol. 18, no. 3
p. e1003553

Abstract

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BackgroundEpidemiological studies report associations of diverse cardiometabolic conditions including obesity with COVID-19 illness, but causality has not been established. We sought to evaluate the associations of 17 cardiometabolic traits with COVID-19 susceptibility and severity using 2-sample Mendelian randomization (MR) analyses.Methods and findingsWe selected genetic variants associated with each exposure, including body mass index (BMI), at p ConclusionsIn this study, we found genetic evidence to support higher BMI as a causal risk factor for COVID-19 susceptibility and severity. These results raise the possibility that obesity could amplify COVID-19 disease burden independently or through its cardiometabolic consequences and suggest that targeting obesity may be a strategy to reduce the risk of severe COVID-19 outcomes.