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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Are black and Hispanic persons disproportionately affected by COVID-19 because of higher obesity rates?
Maher El Chaar1, Keith King2, Alvaro Galvez Lima2
1St Luke's University Hospital and Health Network, Bethlehem, Pennsylvania; Temple Lewis Katz School of Medicine, Philadelphia, Pennsylvania.
Insights
Black and Hispanic populations in New York City experienced higher COVID-19 mortality rates. Higher obesity rates in these ethnic groups may be a contributing factor to the increased mortality during the pandemic.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- The COVID-19 pandemic disproportionately impacted New York City (NYC), with initial reports indicating higher mortality in Black and Hispanic communities.
- Understanding the factors contributing to these disparities is crucial for public health interventions.
Purpose of the Study:
- To investigate the relationship between COVID-19 mortality rates and obesity rates across different ethnic groups and boroughs in NYC.
- To determine if obesity prevalence warrants further evaluation as a potential factor in ethnic disparities in COVID-19 outcomes.
Main Methods:
- Utilized official NYC COVID-19 data on cases and age-adjusted mortality rates by ethnic group.
- Cross-referenced COVID-19 data with historical community health data on obesity rates across different ethnic groups and boroughs.
Main Results:
- The Bronx and Brooklyn had the highest COVID-19 mortality rates (6% and 5.4%) and the highest obesity rates (32% and 27%, respectively).
- Hispanic and Black populations exhibited the highest obesity rates and consequently the highest age-adjusted COVID-19 mortality rates per 100,000 (22.8% and 19.8%).
Conclusions:
- Hispanic and Black populations in NYC faced disproportionately higher COVID-19 mortality.
- Elevated obesity rates within these ethnic groups may have significantly contributed to the observed higher mortality incidence.
Background:
On March 13, 2020, the World Health Organization declared COVID-19 a pandemic. Shortly after that, it was reported that mortality rates in New York City (NYC), the epicenter of the pandemic in the United States, were found to be significantly higher in black and Hispanic populations.
Objectives:
The aim of this article is to evaluate the mortality rates in NYC among the different ethnic groups and the different boroughs as they relate to the obesity rates to see whether this issue merits further evaluation.
Setting:
NYC.
Methods:
COVID-19 data were obtained from the official New York authorities in relation to total number of cases in the different boroughs of NYC. Age-adjusted COVID-19-related mortality rates of the different ethnic groups were also obtained. These data were cross-compared with historic community health data on obesity rates previously published and also obesity rates among the different ethnic groups in NYC.
Results:
The 2 NYC boroughs that have the highest mortality rates are the Bronx (6%) and Brooklyn (5.4%). Both the Bronx and Brooklyn were also found to have the highest obesity rates at 32% and 27%, respectively. The 2 ethnic groups with the highest obesity rates (Hispanic and black) were also found to have the highest age-adjusted mortality rates per 100,000 compared with the other ethnic groups (22.8% and 19.8%, respectively).
Conclusions:
The Hispanic and black populations in NYC seem to be disproportionately affected by the COVID-19 pandemic because of the higher incidence of mortality rates. Obesity may have played a role in the high incidence of mortality in those ethnic groups.
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