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Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | COVID-19 | Research

Associations between COVID-19 incidence, weight status, and social participation restrictions in the U.S.: evidence from the national population, cross-sectional study

Author: SuJung Jung

Published in: BMC Public Health | Issue 1/2024

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Abstract

Background

To explore the associations between coronavirus infection incidence and weight status and social participation restrictions among community-dwelling adults in the United States.

Methods

We analyzed data from the 2021 National Health Interview Survey (NHIS), which included a representative sample of 29,394 individuals (Coronavirus disease 2019 (COVID-19): 3,205) and a weighted total of 252,461,316 individuals (COVID-19: 31,697,404), considering the complex sampling design used in the survey.

Results

Age, race/ethnicity, education level, family income index, body mass index (BMI), and smoking status were significantly associated with COVID-19 infection. Weight status was significantly correlated with social participation restrictions and strongly associated with COVID-19 infection, particularly among individuals who were overweight or obese.

Conclusion

Weight status was shown to be associated not only with social participation restrictions but also with COVID-19 infection among U.S. adults. Understanding the complex interplay between weight status, social participation, and COVID-19 is crucial for developing effective preventive measures and promoting overall well-being in the community population.
Literature
3.
go back to reference Popkin BM, Du S, Green WD, Beck MA, Algaith T, Herbst CH, et al. Individuals with obesity and COVID-19: a global perspective on the epidemiology and biological relationships. Obes Rev. 2020;21(11):e13128.CrossRefPubMedPubMedCentral Popkin BM, Du S, Green WD, Beck MA, Algaith T, Herbst CH, et al. Individuals with obesity and COVID-19: a global perspective on the epidemiology and biological relationships. Obes Rev. 2020;21(11):e13128.CrossRefPubMedPubMedCentral
4.
go back to reference Ward ZJ, Bleich SN, Long MW, Gortmaker SL. Association of body mass index with health care expenditures in the United States by age and sex. PLOS One. 2021;16(3):e0247307.CrossRefPubMedPubMedCentral Ward ZJ, Bleich SN, Long MW, Gortmaker SL. Association of body mass index with health care expenditures in the United States by age and sex. PLOS One. 2021;16(3):e0247307.CrossRefPubMedPubMedCentral
5.
go back to reference O’Hearn M, Liu J, Cudhea F, Micha R, Mozaffarian D. Coronavirus Disease 2019 Hospitalizations Attributable to Cardiometabolic Conditions in the United States: a comparative risk assessment analysis. J Am Heart Assoc. 2021;10(5):e019259.CrossRefPubMedPubMedCentral O’Hearn M, Liu J, Cudhea F, Micha R, Mozaffarian D. Coronavirus Disease 2019 Hospitalizations Attributable to Cardiometabolic Conditions in the United States: a comparative risk assessment analysis. J Am Heart Assoc. 2021;10(5):e019259.CrossRefPubMedPubMedCentral
6.
go back to reference Sarmadi M, Ahmadi-Soleimani SM, Fararouei M, Dianatinasab M. COVID-19, body mass index and cholesterol: an ecological study using global data. BMC Public Health. 2021;21(1):1712.CrossRefPubMedPubMedCentral Sarmadi M, Ahmadi-Soleimani SM, Fararouei M, Dianatinasab M. COVID-19, body mass index and cholesterol: an ecological study using global data. BMC Public Health. 2021;21(1):1712.CrossRefPubMedPubMedCentral
8.
go back to reference Levasseur M, Richard L, Gauvin L, Raymond E. Inventory and analysis of definitions of social participation found in the aging literature: proposed taxonomy of social activities. Soc Sci Med 1982. 2010;71(12):2141–9. Levasseur M, Richard L, Gauvin L, Raymond E. Inventory and analysis of definitions of social participation found in the aging literature: proposed taxonomy of social activities. Soc Sci Med 1982. 2010;71(12):2141–9.
9.
go back to reference Lee XYB, Yusof NW, Pillai NK, Yap CG, Jahan NK. Review paper: association between social network and obesity among adult population. Open J Endocr Metab Dis. 2022;12(2):20–46.CrossRef Lee XYB, Yusof NW, Pillai NK, Yap CG, Jahan NK. Review paper: association between social network and obesity among adult population. Open J Endocr Metab Dis. 2022;12(2):20–46.CrossRef
11.
go back to reference Lin X, Xu Y, Pan X, Xu J, Ding Y, Sun X, et al. Global, regional, and national burden and trend of diabetes in 195 countries and territories: an analysis from 1990 to 2025. Sci Rep. 2020;10(1):14790.CrossRefPubMedPubMedCentral Lin X, Xu Y, Pan X, Xu J, Ding Y, Sun X, et al. Global, regional, and national burden and trend of diabetes in 195 countries and territories: an analysis from 1990 to 2025. Sci Rep. 2020;10(1):14790.CrossRefPubMedPubMedCentral
12.
go back to reference Biamonte E, Pegoraro F, Carrone F, Facchi I, Favacchio G, Lania AG, et al. Weight change and glycemic control in type 2 diabetes patients during COVID-19 pandemic: the lockdown effect. Endocrine. 2021;72(3):604–10.CrossRefPubMedPubMedCentral Biamonte E, Pegoraro F, Carrone F, Facchi I, Favacchio G, Lania AG, et al. Weight change and glycemic control in type 2 diabetes patients during COVID-19 pandemic: the lockdown effect. Endocrine. 2021;72(3):604–10.CrossRefPubMedPubMedCentral
13.
go back to reference Djuric O, Ottone M, Vicentini M, Venturelli F, Pezzarossi A, Manicardi V, et al. Diabetes and COVID-19 testing, positivity, and mortality: a population-wide study in Northern Italy. Diabetes Res Clin Pract. 2022;1(191):110051.CrossRef Djuric O, Ottone M, Vicentini M, Venturelli F, Pezzarossi A, Manicardi V, et al. Diabetes and COVID-19 testing, positivity, and mortality: a population-wide study in Northern Italy. Diabetes Res Clin Pract. 2022;1(191):110051.CrossRef
15.
go back to reference Blumberg SJ, Parker JD, Moyer BC. National Health Interview Survey, COVID-19, and online data collection platforms: adaptations, tradeoffs, and new directions. Am J Public Health. 2021;111(12):2167–75.CrossRefPubMedPubMedCentral Blumberg SJ, Parker JD, Moyer BC. National Health Interview Survey, COVID-19, and online data collection platforms: adaptations, tradeoffs, and new directions. Am J Public Health. 2021;111(12):2167–75.CrossRefPubMedPubMedCentral
18.
go back to reference Theis KA, Murphy L, Hootman JM, Wilkie R. Social participation restriction among U.S. adults with arthritis: A population-based study using the International Classification of Functioning, Disability, and Health (ICF). Arthritis Care Res. 2013;65(7):1059–69.CrossRef Theis KA, Murphy L, Hootman JM, Wilkie R. Social participation restriction among U.S. adults with arthritis: A population-based study using the International Classification of Functioning, Disability, and Health (ICF). Arthritis Care Res. 2013;65(7):1059–69.CrossRef
22.
go back to reference Brewis A, Trainer S, Han S, Wutich A. Publically misfitting: extreme weight and the everyday production and reinforcement of felt stigma. Med Anthropol Q. 2017;31(2):257–76.CrossRefPubMed Brewis A, Trainer S, Han S, Wutich A. Publically misfitting: extreme weight and the everyday production and reinforcement of felt stigma. Med Anthropol Q. 2017;31(2):257–76.CrossRefPubMed
23.
go back to reference Thedinga HK, Zehl R, Thiel A. Weight stigma experiences and self-exclusion from sport and exercise settings among people with obesity. BMC Public Health. 2021;21(1):565.CrossRefPubMedPubMedCentral Thedinga HK, Zehl R, Thiel A. Weight stigma experiences and self-exclusion from sport and exercise settings among people with obesity. BMC Public Health. 2021;21(1):565.CrossRefPubMedPubMedCentral
24.
go back to reference Jia P. A changed research landscape of youth’s obesogenic behaviours and environments in the post-COVID-19 era. Obes Rev. 2021;22(S1):e13162.CrossRefPubMed Jia P. A changed research landscape of youth’s obesogenic behaviours and environments in the post-COVID-19 era. Obes Rev. 2021;22(S1):e13162.CrossRefPubMed
25.
go back to reference Frisco ML, Van Hook J, Hummer RA. Would the elimination of obesity and smoking reduce U.S. racial/ethnic/nativity disparities in total and healthy life expectancy? SSM Popul Health. 2019;7:100374.CrossRefPubMedPubMedCentral Frisco ML, Van Hook J, Hummer RA. Would the elimination of obesity and smoking reduce U.S. racial/ethnic/nativity disparities in total and healthy life expectancy? SSM Popul Health. 2019;7:100374.CrossRefPubMedPubMedCentral
26.
go back to reference Manolis AS, Manolis AA, Manolis TA, Apostolaki NE, Melita H. COVID-19 infection and body weight: a deleterious liaison in a J-curve relationship. Obes Res Clin Pract. 2021;15(6):523–35.CrossRefPubMedPubMedCentral Manolis AS, Manolis AA, Manolis TA, Apostolaki NE, Melita H. COVID-19 infection and body weight: a deleterious liaison in a J-curve relationship. Obes Res Clin Pract. 2021;15(6):523–35.CrossRefPubMedPubMedCentral
27.
go back to reference Valerio A, Nisoli E, Rossi AP, Pellegrini M, Todesco T, El Ghoch M. Obesity and Higher Risk for Severe Complications of Covid-19: What to do when the two pandemics meet. J Popul Ther Clin Pharmacol J Ther Popul Pharmacol Clin. 2020;27(S Pt 1):e31–6. Valerio A, Nisoli E, Rossi AP, Pellegrini M, Todesco T, El Ghoch M. Obesity and Higher Risk for Severe Complications of Covid-19: What to do when the two pandemics meet. J Popul Ther Clin Pharmacol J Ther Popul Pharmacol Clin. 2020;27(S Pt 1):e31–6.
28.
go back to reference Aghili SMM, Ebrahimpur M, Arjmand B, Shadman Z, Pejman Sani M, Qorbani M, et al. Obesity in COVID-19 era, implications for mechanisms, comorbidities, and prognosis: a review and meta-analysis. Int J Obes. 2021;45(5):998–1016.CrossRef Aghili SMM, Ebrahimpur M, Arjmand B, Shadman Z, Pejman Sani M, Qorbani M, et al. Obesity in COVID-19 era, implications for mechanisms, comorbidities, and prognosis: a review and meta-analysis. Int J Obes. 2021;45(5):998–1016.CrossRef
29.
go back to reference Fernández-de-Las-Peñas C, Torres-Macho J, Elvira-Martínez CM, Molina-Trigueros LJ, Sebastián-Viana T, Hernández-Barrera V. Obesity is associated with a greater number of long-term post-COVID symptoms and poor sleep quality: a multicentre case-control study. Int J Clin Pract. 2021;75(12):e14917.CrossRefPubMed Fernández-de-Las-Peñas C, Torres-Macho J, Elvira-Martínez CM, Molina-Trigueros LJ, Sebastián-Viana T, Hernández-Barrera V. Obesity is associated with a greater number of long-term post-COVID symptoms and poor sleep quality: a multicentre case-control study. Int J Clin Pract. 2021;75(12):e14917.CrossRefPubMed
30.
go back to reference Vimercati L, De Maria L, Quarato M, Caputi A, Gesualdo L, Migliore G, et al. Association between Long COVID and Overweight/Obesity. J Clin Med. 2021;10(18):4143.CrossRefPubMedPubMedCentral Vimercati L, De Maria L, Quarato M, Caputi A, Gesualdo L, Migliore G, et al. Association between Long COVID and Overweight/Obesity. J Clin Med. 2021;10(18):4143.CrossRefPubMedPubMedCentral
31.
go back to reference Meyerowitz EA, Richterman A, Gandhi RT, Sax PE. Transmission of SARS-CoV-2: a review of viral, host, and environmental factors. Ann Intern Med. 2021;174(1):69–79.CrossRefPubMed Meyerowitz EA, Richterman A, Gandhi RT, Sax PE. Transmission of SARS-CoV-2: a review of viral, host, and environmental factors. Ann Intern Med. 2021;174(1):69–79.CrossRefPubMed
33.
go back to reference Usman MS, Siddiqi TJ, Khan MS, Patel UK, Shahid I, Ahmed J, et al. Is there a smoker’s paradox in COVID-19? BMJ Evid-Based Med. 2021;26(6):279–84.CrossRefPubMed Usman MS, Siddiqi TJ, Khan MS, Patel UK, Shahid I, Ahmed J, et al. Is there a smoker’s paradox in COVID-19? BMJ Evid-Based Med. 2021;26(6):279–84.CrossRefPubMed
34.
go back to reference Griffith GJ, Morris TT, Tudball MJ, Herbert A, Mancano G, Pike L, et al. Collider bias undermines our understanding of COVID-19 disease risk and severity. Nat Commun. 2020;11(1):5749.CrossRefPubMedPubMedCentral Griffith GJ, Morris TT, Tudball MJ, Herbert A, Mancano G, Pike L, et al. Collider bias undermines our understanding of COVID-19 disease risk and severity. Nat Commun. 2020;11(1):5749.CrossRefPubMedPubMedCentral
Metadata
Title
Associations between COVID-19 incidence, weight status, and social participation restrictions in the U.S.: evidence from the national population, cross-sectional study
Author
SuJung Jung
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-18566-y

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