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                  <mods:namePart>Delgado-Rodríguez, Miguel</mods:namePart>
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                  <mods:namePart>Fitó, Montserrat</mods:namePart>
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                  <mods:namePart>Salas-Salvado, Jordi</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2024-10-09T06:33:35Z</mods:dateAccessioned>
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                  <mods:dateAvailable encoding="iso8601">2024-10-09T06:33:35Z</mods:dateAvailable>
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                  <mods:dateIssued encoding="iso8601">2023-10-13</mods:dateIssued>
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               <mods:identifier type="citation">Shyam S, García-Gavilán JF, Paz-Graniel I, Gaforio JJ, Martínez-González MÁ, Corella D, et al. Association of adiposity and its changes over time with COVID-19 risk in older adults with overweight/obesity and metabolic syndrome: a longitudinal evaluation in the PREDIMED-Plus cohort. BMC Med. 2023 Oct 13;21(1):390.</mods:identifier>
               <mods:identifier type="doi">10.1186/s12916-023-03079-z</mods:identifier>
               <mods:identifier type="e-issn">1741-7015</mods:identifier>
               <mods:identifier type="journal">BMC medicine</mods:identifier>
               <mods:identifier type="other">https://hdl.handle.net/20.500.13003/20007</mods:identifier>
               <mods:identifier type="pubmedID">37833678</mods:identifier>
               <mods:identifier type="pui">L2026077722</mods:identifier>
               <mods:identifier type="scopus">2-s2.0-85174245400</mods:identifier>
               <mods:identifier type="uri">https://hdl.handle.net/20.500.12105/23594</mods:identifier>
               <mods:identifier type="wos">1088480600001</mods:identifier>
               <mods:abstract>Background: Cross-sectionally, older age and obesity are associated with increased coronavirus disease-2019 (COVID-19) risk. We assessed the longitudinal associations of baseline and changes in adiposity parameters with COVID-19 incidence in older adults at high cardiovascular risk. Methods: This analysis included 6874 men and women (aged 55-75 years) with overweight/obesity and metabolic syndrome in the PREDIMED-Plus lifestyle intervention trial for cardiovascular risk reduction. Body weight, body-mass-index (BMI), waist circumference, waist-to-height ratio (WHtR), and a body shape index (ABSI) were measured at baseline and annual follow-up visits. COVID-19 was ascertained by an independent Event Committee until 31 December 2021. Cox regression models were fitted to evaluate the risk of COVID-19 incidence based on baseline adiposity parameters measured 5-6 years before the pandemic and their changes at the visit prior to censoring. Results: At the time of censoring, 653 incident COVID-19 cases occurred. Higher baseline body weight, BMI, waist circumference, and WHtR were associated with increased COVID-19 risk. During the follow-up, every unit increase in body weight (HRadj (95%CI): 1.01 (1.00, 1.03)) and BMI (HRadj: 1.04 (1.003, 1.08)) was associated with increased COVID-19 risk. Conclusions: In older adults with overweight/obesity, clinically significant weight loss may protect against COVID-19. Trial registration: This study is registered at the International Standard Randomized Controlled Trial (ISRCT; http://www.isrctn.com/ISRCTN89898870).</mods:abstract>
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                  <mods:title>Association of adiposity and its changes over time with COVID-19 risk in older adults with overweight/obesity and metabolic syndrome: a longitudinal evaluation in the PREDIMED-Plus cohort</mods:title>
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               <mods:genre>research article</mods:genre>
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