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

BMC Public Health. 2024 Apr 17;24(1):1066. doi: 10.1186/s12889-024-18566-y.

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.

Keywords: BMI; COVID-19; Social participation restrictions; Weight status.

MeSH terms

  • Adult
  • COVID-19*
  • Cross-Sectional Studies
  • Humans
  • Incidence
  • Obesity / epidemiology
  • Social Participation*
  • United States