University of North Carolina, looked at data from
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They found that people with obesity and Covid-19 were twice as likely to end up in hospital and 74% more likely to be admitted to intensive care. They were also more at risk of dying from the disease caused by coronavirus.
They also warn a vaccine against coronavirus could be less effective in obese people.
This is based on the fact that flu vaccines don't work as well in those with a body mass index (BMI) of over 30.
"Vaccine researchers should look at how it affects obese individuals," Prof Popkin says of a coronavirus vaccine to protect against Covid-19.
He is concerned that a vaccine, when it is ready to be used, may be less effective in a population with a high percentage of people with obesity.
With obesity rising around the world and 20% of people overweight or obese in nearly all countries - in the UK and US it's close to 66% - understanding how treatments and vaccines work in this group is "critical", the research says.