Details:

Alternative Title:
Prev Chronic Dis
Publisher's site:
http://dx.doi.org/10.5888/pcd18.210222
Personal Author:
Webber, Bryant J. ; Lang, Michael A. ; Stuever, David M. ; Escobar, James D. ; Bylsma, Victoria F.H. ; ... More +
Webber, Bryant J. ; Lang, Michael A. ; Stuever, David M. ; Escobar, James D. ; Bylsma, Victoria F.H. ; Wolff, Gregory G. ; Less -
Description:
Introduction Understanding the impact of behaviors on COVID-19 severity can improve health promotion strategies. We investigated the association between health-related behaviors and odds of hospitalization for COVID-19 in a cohort of military personnel. Methods This case-controlled study compared all active-duty US Air Force service members hospitalized for COVID-19 between March 5, 2020, and March 10, 2021 (cases), with their geographically matched peers who had COVID-19 and were treated as outpatients (controls). We used logistic regression to compare cases and controls according to self-reported sleep duration, physical activity, dietary factors, binge alcohol consumption, and tobacco use — with and without adjustment for sociodemographic factors, body mass index, physical fitness level, pertinent disease history, and psychological distress — resulting in crude and adjusted odds ratios (ORs) with 95% CIs. The trend between sugar-sweetened beverage (SSB) consumption and hospitalization odds was assessed by using the Cochran-Armitage test. Results Ninety-three hospitalized cases were matched to 372 ambulatory controls. Adjusting for baseline characteristics and other health-related behaviors, cases were more likely than controls to report fewer than 7 hours of sleep, compared with 7 to 9 hours (OR = 1.84; 95% CI, 1.07–3.16), and were more likely than controls to consume 3 or more SSBs per week, compared with fewer than 3 SSBs (OR = 1.74; 95% CI, 1.03–2.92). In a dose–response relationship, higher SSB consumption was associated with greater odds of being hospitalized (P value for trend = .02). Conclusion Interventions that address short sleep duration and SSB consumption may reduce morbidity from COVID-19 among military service members and potentially in the broader US population.
Subject:
[+]
Case-Control Studies
Coronavirus Infections
COVID-19
Health Behavior
Hospitalization
Humans
Military Personnel
Odds Ratio

Source:
Prev Chronic Dis. 2021 ; 18;
Pubmed ID:
34762027
Pubmed Central ID:
PMC8588871
Document Type:
Journal Article ;
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:c79e0c9217fbb8273d7ad9df953d99b6a0c178023a0bd608f62ea98c96e62f1e
File Type:

Supporting Files

• PCD-18-E96.nxml

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