Background: Grade 2 and 3 obesity, alongside with other relevant risk factors, are substantially and independently associated with adverse outcomes of coronavirus disease 2019 (COVID-19) However, for Switzerland, due to the lack of synthesis studies, it is currently unknown how many people are affected by obesity at all This knowledge may help to better estimate the relevance and size of this group at elevated risk, which could be incorporated into strategies to protect risk groups during the still unfolding COVID-19 pandemic This study aimed to provide a first overall estimation of how many people in Switzerland are currently affected by grade 2 or 3 obesity Methods: Five representative national population-based studies were accessed which were conducted between 2012 and 2017 and which include data on height and weight of adult men and women in Switzerland Results: In Switzerland in 2012-2017, among the 11 20% adults who were obese (body mass index (BMI) &gt;=30 0kg/m2), 1 76% (95% CI 1 50-2 02) suffered from grade 2 obesity (BMI 35 0-39 9 kg/m2), and 0 58% (95% CI 0 50-0 66) from grade severe 3 obesity (BMI &gt;=40 0 kg/m2) Converted into estimated absolute population numbers, this corresponds to a total of approximately n=154,515 people who suffer from grade 2 or 3 obesity (n=116,216 and n=38,298, respectively) Conclusions: This risk group includes many younger people in Switzerland The number of people with obesity-related risk becomes 3 8 to 13 6 times higher if grade 1 obesity and overweight people are also included in this risk group, for which there are arguments arising in the latest literature In general, this large group at risk for severe COVID-19 should be given more attention and support If it is confirmed that obesity plays a major role in severe COVID-19 courses, then every kilo of body weight that is not gained or that is lost in lockdown counts
Clash of the pandemics - At least 150'000 adults in Switzerland suffer from obesity grades 2 or 3 and are thus at elevated risk for severe COVID-19