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Reduced Immunogenicity of COVID-19 Vaccine in Obese Patients with Type 2 Diabetes: A Cross-Sectional Study

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Nakayama,  Masanori
Cell Polarity and Organogenesis, Max Planck Institute for Heart and Lung Research, Max Planck Society;

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Citation

Takahashi, H., Eguchi, J., Watanabe, M., Nakayama, M., & Wada, J. (2024). Reduced Immunogenicity of COVID-19 Vaccine in Obese Patients with Type 2 Diabetes: A Cross-Sectional Study. ACTA MEDICA OKAYAMA, 78(2), 185-191.


Cite as: https://hdl.handle.net/21.11116/0000-000F-5ED3-A
Abstract
The global pandemic of coronavirus infection 2019 (COVID-19) was an
unprecedented public health emerand obesity are critical risk factors
for increased severity of and hospitalization for COVID-19. This is
largely because patients with these underlying medical conditions can
show poor immune responses to the COVID-19 vaccinations. Diabetes is one
of the underlying conditions most highly associated with COVID-19
susceptibility and is considered a predictor of poor prognosis of
COVID-19. We therefore investigated factors that influence the
anti-SARS-CoV-2 spike IgG antibody titer after three doses of
vaccination in patients with type 2 diabetes. We found that obesity was
associated with low anti-SARS-CoV-2 spike IgG antibody titers following
threedose vaccination in type 2 diabetics. Obese patients with type 2
diabetes may have attenuated vaccine efficacy and require additional
vaccination; continuous infection control should be considered in such
patients.