Associations between lifestyle factors and COVID-19 infection rates: a cross-sectional analysis in the USA

Introduction The COVID-19 pandemic has underscored the vital connection between lifestyle factors and health outcomes, highlighting the need to understand how lifestyle choices influence both chronic and infectious diseases. Despite known links between lifestyle factors and chronic diseases, the rel...

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Main Authors: Abdullah Alismail, Razaz Shaheen, W Lawrence Beeson, Michael Paalani, Hildemar Dos Santos, Rhonda K Spencer-Hwang
Format: Article
Language:English
Published: BMJ Publishing Group 2024-04-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/2/1/e000906.full
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author Abdullah Alismail
Razaz Shaheen
W Lawrence Beeson
Michael Paalani
Hildemar Dos Santos
Rhonda K Spencer-Hwang
author_facet Abdullah Alismail
Razaz Shaheen
W Lawrence Beeson
Michael Paalani
Hildemar Dos Santos
Rhonda K Spencer-Hwang
author_sort Abdullah Alismail
collection DOAJ
description Introduction The COVID-19 pandemic has underscored the vital connection between lifestyle factors and health outcomes, highlighting the need to understand how lifestyle choices influence both chronic and infectious diseases. Despite known links between lifestyle factors and chronic diseases, the relationship between these factors and infectious diseases like COVID-19 warrants further investigation.Methods This cross-sectional study used an anonymous survey collected from a diverse sample of US residents aged 18 or older. Excluding individuals under 18 or residing outside the USA, the survey captured data on diet, body mass index, smoking status, alcohol consumption, physical activity, sleep duration, COVID-19 infection status, socio-demographics and other potential confounders. Statistical analysis was performed using χ2 tests and logistic regression to explore the associations between lifestyle factors and COVID-19 infection, with a particular focus on gender differences.Results Among 1032 participants, the prevalence of COVID-19 was higher in women (42.8%) compared with men (32.0%). Significant associations were found between inadequate sleep (less than 4 hours per day) and increased risk of COVID-19 in both genders (OR=2.89, 95% CI: 1.13 to 7.35, p=0.02 for men; OR=5.69, 95% CI: 3.14 to 10.29, p<0.00 for women). Additionally, a significant association was observed between a lifestyle index, incorporating multiple lifestyle factors and COVID-19 infection in women (OR=1.79, 95% CI: 1.05 to 3.025, p=0.03).Conclusions The findings indicate a potential link between lifestyle factors and susceptibility to COVID-19, with inadequate sleep identified as a significant risk factor. These results suggest that promoting a healthy lifestyle could be an effective strategy for controlling the pandemic and mitigating the impact of infectious diseases. Further research is recommended to explore the role of restful sleep in preventing COVID-19 for men and women (including multiple lifestyle factors among women).
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spelling doaj-art-13dc8a40cf14425f9338d75a4259b1ea2025-01-28T23:35:09ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2024-000906Associations between lifestyle factors and COVID-19 infection rates: a cross-sectional analysis in the USAAbdullah Alismail0Razaz Shaheen1W Lawrence Beeson2Michael Paalani3Hildemar Dos Santos4Rhonda K Spencer-Hwang5Department of Cardiopulmonary Sciences, Loma Linda University Health, Loma Linda, California, USAPreventive care, Loma Linda University Health, Loma Linda, California, USAEpidemiology and Biostatistics, Loma Linda University Health, Loma Linda, California, USAPreventive care, Loma Linda University Health, Loma Linda, California, USAPreventive care, Loma Linda University Health, Loma Linda, California, USAEpidemiology, Loma Linda University Health, Loma Linda, California, USAIntroduction The COVID-19 pandemic has underscored the vital connection between lifestyle factors and health outcomes, highlighting the need to understand how lifestyle choices influence both chronic and infectious diseases. Despite known links between lifestyle factors and chronic diseases, the relationship between these factors and infectious diseases like COVID-19 warrants further investigation.Methods This cross-sectional study used an anonymous survey collected from a diverse sample of US residents aged 18 or older. Excluding individuals under 18 or residing outside the USA, the survey captured data on diet, body mass index, smoking status, alcohol consumption, physical activity, sleep duration, COVID-19 infection status, socio-demographics and other potential confounders. Statistical analysis was performed using χ2 tests and logistic regression to explore the associations between lifestyle factors and COVID-19 infection, with a particular focus on gender differences.Results Among 1032 participants, the prevalence of COVID-19 was higher in women (42.8%) compared with men (32.0%). Significant associations were found between inadequate sleep (less than 4 hours per day) and increased risk of COVID-19 in both genders (OR=2.89, 95% CI: 1.13 to 7.35, p=0.02 for men; OR=5.69, 95% CI: 3.14 to 10.29, p<0.00 for women). Additionally, a significant association was observed between a lifestyle index, incorporating multiple lifestyle factors and COVID-19 infection in women (OR=1.79, 95% CI: 1.05 to 3.025, p=0.03).Conclusions The findings indicate a potential link between lifestyle factors and susceptibility to COVID-19, with inadequate sleep identified as a significant risk factor. These results suggest that promoting a healthy lifestyle could be an effective strategy for controlling the pandemic and mitigating the impact of infectious diseases. Further research is recommended to explore the role of restful sleep in preventing COVID-19 for men and women (including multiple lifestyle factors among women).https://bmjpublichealth.bmj.com/content/2/1/e000906.full
spellingShingle Abdullah Alismail
Razaz Shaheen
W Lawrence Beeson
Michael Paalani
Hildemar Dos Santos
Rhonda K Spencer-Hwang
Associations between lifestyle factors and COVID-19 infection rates: a cross-sectional analysis in the USA
BMJ Public Health
title Associations between lifestyle factors and COVID-19 infection rates: a cross-sectional analysis in the USA
title_full Associations between lifestyle factors and COVID-19 infection rates: a cross-sectional analysis in the USA
title_fullStr Associations between lifestyle factors and COVID-19 infection rates: a cross-sectional analysis in the USA
title_full_unstemmed Associations between lifestyle factors and COVID-19 infection rates: a cross-sectional analysis in the USA
title_short Associations between lifestyle factors and COVID-19 infection rates: a cross-sectional analysis in the USA
title_sort associations between lifestyle factors and covid 19 infection rates a cross sectional analysis in the usa
url https://bmjpublichealth.bmj.com/content/2/1/e000906.full
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