However, after adjusting for nutritional status and nutritional markers, a higher mortality risk is observed in obese patients (OR 1.58; 95% CI 1.21–2.07 for malnutrition and OR 2.67; 95% CI 2.06–3.44 for serum albumin < 3.4 g/dL). The gene discussed is ALB; the disease is nutritional deficiency disease.