Impact of Nutritional Status on Antibody Titer After Booster mRNA COVID-19 Vaccine Among Elderly Adults in Japan

© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..

BACKGROUND: Published studies on mRNA coronavirus disease 2019 (COVID-19) vaccine effects focus on younger individuals, comprising the majority of the workforce. Studies in elderly adults are sparse.

METHODS: In total, 107 subjects were recruited (median age 78; interquartile range [IQR], 58.5-90.5; range, 35-105 years). Factors associated with antibody titer after the third mRNA COVID-19 vaccination were compared between 49 elderly (age ≥80; median, 94; IQR, 86-97; range, 80-105 years) and 58 younger (age ≤79; median, 61; IQR, 46-71; range, 35-79 years) adults.

RESULTS: Among body mass index (BMI) categories, the group of underweight elderly adults had a lower antibody titer compared to those with normal weight (P < .01 after 1, 3, and 5 months). Elderly adults were less likely to maintain effective antibody titer (≥4160 AU/mL) compared to younger adults: 76% versus 98%, P < .001 after 1 month, and 45% versus 78%, P < .001 after 3 months. Elderly adults who maintained effective antibody titer for 5 months had a higher BMI (22.9 kg/m2 vs 20.1 kg/m2, P = .02), and were less likely to have underweight BMI (0% vs 31%, P = .02) compared to the subjects who failed to maintain effective antibody titer.

CONCLUSIONS: These results highlight the impact of nutritional status and the deleterious effect of underweight BMI on antibody titer and its maintenance among elderly adults following booster mRNA COVID-19 vaccination.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:229

Enthalten in:

The Journal of infectious diseases - 229(2024), 4 vom: 12. Apr., Seite 1035-1040

Sprache:

Englisch

Beteiligte Personen:

Mori, Masahiko [VerfasserIn]
Doi, Takashi [VerfasserIn]
Murata, Miho [VerfasserIn]
Moriyama, Yuichi [VerfasserIn]
Akino, Kozo [VerfasserIn]
Moriyama, Tadayoshi [VerfasserIn]
Maekawa, Takafumi [VerfasserIn]
Doi, Nobumasa [VerfasserIn]

Links:

Volltext

Themen:

Aging
Antibodies, Viral
Antibody
Body mass index
Booster mRNA vaccine
COVID-19
COVID-19 Vaccines
Journal Article
RNA, Messenger

Anmerkungen:

Date Completed 15.04.2024

Date Revised 15.04.2024

published: Print

Citation Status MEDLINE

doi:

10.1093/infdis/jiad495

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364544961