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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11022407PMC
http://dx.doi.org/10.1186/s12889-024-18566-yDOI Listing

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