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September 10, 2026BMC ImmunologyOpen Access

Association between body mass index and influenza antibody titer and immune cell count after influenza vaccination: an exploratory study

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Authors

SBSelina BöllTSTimo SchmitzMEMaren Eggers

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Overview

Prospective cohort study reveals altered cellular and strain-specific antibody responses after influenza vaccination in individuals with obesity, suggesting BMI influences post-vaccine immunity.

Key Points

  • To investigate whether body mass index affects influenza-specific antibody titers and circulating immune cell counts across nine months following influenza vaccination.
  • Analyzed an observational subgroup of N=25 participants aged 25–65 years (18 normal-weight, 7 with obesity) from the prospective MEGA cohort in Augsburg, Germany.
  • Evaluated influenza antibody titers and immune cell phenotypes across four visits over nine months post-vaccination using boxplots, Wilcoxon signed-rank tests, and Mann-Whitney U tests.
  • Post-vaccination antibody titers increased and remained above baseline in both groups, but normal-weight participants demonstrated significant titer increases across all four analyzed viral strains at all follow-up visits, whereas participants with obesity showed significant increases for only two strains (B/Colorado/06/2017 and B/Phuket/3073/2013).
  • Participants with obesity exhibited a non-significant downward trend in regulatory T-cell proportions over time, while B-cell proportions showed significant differences between normal-weight and obese groups at visits 1 and 3 without consistent longitudinal trends.

Cite This Study

Böll et al. (2026) studied this question.

synapsesocial.com/papers/6aa27b8858559d80afc74d42https://doi.org/10.1186/s12865-026-00903-y
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