For adults, obesity may increase the risk of catching whooping cough, a new study from Australia suggests.
In the study, obese adults were 50 percent more likely to become infected with whooping cough over a 10-month period compared with those who were not obese or overweight.
Adults were also more likely to catch whooping cough if they had asthma, or were taking medications or supplements, the study found.
Doctors may need to consider targeting adults with these characteristics for whooping cough vaccinations, the researchers said.
Whooping cough, or pertussis, typically causes the most severe disease in young children, but in recent years, there has been increasing diagnosis of pertussis in adults in some countries, including Australia and the United States.
The bacterial infection also known as pertussis can be very serious for children under the age of 12 months. The biggest outbreak is currently in Washington State, where there were more than 3,000 cases through July 14. NBC's Robert Bazell reports.
CDC: Whooping cough epidemic worst in 50 years
In the new study, Bette Liu, of the University of New South Wales in Sydney, and colleagues analyzed information from more than 263,000 adults ages 45 and older, who were followed for an average of 10 months between 2006 and 2008.
During the study period, 205 adults were diagnosed with pertussis, and 12 people were hospitalized.
Adults were just as likely to catch pertussis at any age, but those ages 65 and over were more likely to be hospitalized.
Among those with body mass indexes (BMIs) over 30, the incidence of whooping cough was 133 cases per 100,000 people, compared with 82 cases per 100,000 people for those with a BMI under 25. (People with BMIs between 20 and 25 are considered normal weight; those with BMIs over 30 are considered obese.)
Those with asthma and those taking medications were 60 percent more likely to have pertussis compared with those without asthma, or those not taking medications.
Diagnosing pertussis in adults can be difficult because the disease's symptoms such as coughing and fever, occur commonly in other conditions. It is likely that more people were infected than diagnosed, the researchers said.
It is not clear whether people who are obese, have asthma or take medications are truly more predisposed to pertussis, or whether these people are simply more likely to go to the doctor to be diagnosed, the researchers noted.
Obesity is known to predispose adults to other respiratory infections, such as pneumonia and the flu, and so it is possible it also increases the risk of contracting pertussis, the researchers said.
The study was published online July 17 in the journal Clinical Infectious Diseases.
NBC's Dr. Nancy Snyderman urges parents to immunize their children, and says older kids and adults should get the pertussis booster shots. 'If we all get vaccinated, we can protect everyone,' she said.
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More propaganda for adults to get lifetime boosters. No matter how ineffective a vaccine is the answer is always to vaccinate more.
And yet we must listen to your propaganda every time this issue comes up.
Just another fan to whip the hate into high gear....(eye roll). It'll be interesting to see what obese people "cause" next; global warming has already been entered into the equation, higher gas prices, higher jet fuel, cost of medical care, cost of cars, cost of insurance, cost of food, clothing store inequity....geez, what else? Oh, now people can blame obese folks for killing their infants with pertussis.
Maybe people with asthma are more likely to go to the doctor, but obese people are not because they usually receive substandard care when they do. A thin person is treated for their symptoms, a fat person is usually told to go on a diet - because losing weight cures EVERYTHING, according to the medical profession these days. I guess now it cures pertussis also.
Absolutely!