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Association of COVID-19 Infection with Sociodemographic, Anthropometric and Lifestyle Factors: A Cross-Sectional Study in an Older Adults’ Population Aged over 65 Years Old

Background: The COVID-19 pandemic has led to unfavorable disruptions to daily living routines by exerting deleterious effects on several aspects of human mental and physical health and quality of life worldwide. The purpose of the current survey is to explore the potential association of COVID-19 in...

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Autores principales: Pavlidou, Eleni, Papadopoulou, Sousana K., Antasouras, Georgios, Vorvolakos, Theofanis, Alexatou, Olga, Tsourouflis, Gerasimos, Angelakou, Exakousti-Petroula, Serdari, Aspasia, Grammatikopoulou, Maria G., Psara, Evmorfia, Vadikolias, Konstantinos, Dakanalis, Antonios, Lefantzis, Nikolaos, Giaginis, Constantinos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660554/
https://www.ncbi.nlm.nih.gov/pubmed/37987276
http://dx.doi.org/10.3390/diseases11040165
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author Pavlidou, Eleni
Papadopoulou, Sousana K.
Antasouras, Georgios
Vorvolakos, Theofanis
Alexatou, Olga
Tsourouflis, Gerasimos
Angelakou, Exakousti-Petroula
Serdari, Aspasia
Grammatikopoulou, Maria G.
Psara, Evmorfia
Vadikolias, Konstantinos
Dakanalis, Antonios
Lefantzis, Nikolaos
Giaginis, Constantinos
author_facet Pavlidou, Eleni
Papadopoulou, Sousana K.
Antasouras, Georgios
Vorvolakos, Theofanis
Alexatou, Olga
Tsourouflis, Gerasimos
Angelakou, Exakousti-Petroula
Serdari, Aspasia
Grammatikopoulou, Maria G.
Psara, Evmorfia
Vadikolias, Konstantinos
Dakanalis, Antonios
Lefantzis, Nikolaos
Giaginis, Constantinos
author_sort Pavlidou, Eleni
collection PubMed
description Background: The COVID-19 pandemic has led to unfavorable disruptions to daily living routines by exerting deleterious effects on several aspects of human mental and physical health and quality of life worldwide. The purpose of the current survey is to explore the potential association of COVID-19 infection with multiple sociodemographic, anthropometric, and lifestyle factors of community-dwelling older adults. Methods: This is a cross-sectional survey including 5197 older adults aged over 65 years old from 10 geographically diverse regions of Greece. Relevant questionnaires were used to record study the population sociodemographic factor, while anthropometric parameters were also measured. Validated questionnaires were also applied to assess several lifestyle factors such as depression, anxiety, stress, cognitive status, sleep quality, health-related quality of life, physical activity levels, and Mediterranean diet (MD) adherence. Results: In multivariate regression analysis, COVID-19 infection was significantly, independently related with urban residence (p = 0.0107), regular smoking (p = 0.0218), overweight status and obesity (p = 0.0036), as well as abdominal obesity (p = 0.0008), higher risk of depression (p = 0.0027), anxiety (p = 0.0045), stress (p = 0.0038), inadequate sleep quality (p = 0.0108), lower physical activity levels (p = 0.0012), reduced MD compliance (p = 0.0009), and poor health-related quality of life (p = 0.0002). In univariate analysis, older adults’ age (p = 0.0001), male gender (p = 0.0015), living alone (p = 0.0023), lower educational and economic level (p = 0.0175 and p = 0.0294, respectively), and cognition decline (p = 0.0032) were also related with the presence of COVID-19 infection; however, these associations were considerably attenuated at a non-significant level by adjustment for several confounders in multivariate analysis. Conclusions: This is one of the few available studies supporting evidence that COVID-19 infection may be associated with diverse sociodemographic, anthropometric, and lifestyle factors in an older adults’ population in Greece. This study highlights the strong demand to provide psychological and nutritional counselling and support to older adults diagnosed with COVID-19 infection in order to ameliorate disease symptoms and severity, emphasizing the adaptation of healthy dietary and lifestyle habits as preventing and supplementary therapeutic factors against COVID-19.
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spelling pubmed-106605542023-11-09 Association of COVID-19 Infection with Sociodemographic, Anthropometric and Lifestyle Factors: A Cross-Sectional Study in an Older Adults’ Population Aged over 65 Years Old Pavlidou, Eleni Papadopoulou, Sousana K. Antasouras, Georgios Vorvolakos, Theofanis Alexatou, Olga Tsourouflis, Gerasimos Angelakou, Exakousti-Petroula Serdari, Aspasia Grammatikopoulou, Maria G. Psara, Evmorfia Vadikolias, Konstantinos Dakanalis, Antonios Lefantzis, Nikolaos Giaginis, Constantinos Diseases Article Background: The COVID-19 pandemic has led to unfavorable disruptions to daily living routines by exerting deleterious effects on several aspects of human mental and physical health and quality of life worldwide. The purpose of the current survey is to explore the potential association of COVID-19 infection with multiple sociodemographic, anthropometric, and lifestyle factors of community-dwelling older adults. Methods: This is a cross-sectional survey including 5197 older adults aged over 65 years old from 10 geographically diverse regions of Greece. Relevant questionnaires were used to record study the population sociodemographic factor, while anthropometric parameters were also measured. Validated questionnaires were also applied to assess several lifestyle factors such as depression, anxiety, stress, cognitive status, sleep quality, health-related quality of life, physical activity levels, and Mediterranean diet (MD) adherence. Results: In multivariate regression analysis, COVID-19 infection was significantly, independently related with urban residence (p = 0.0107), regular smoking (p = 0.0218), overweight status and obesity (p = 0.0036), as well as abdominal obesity (p = 0.0008), higher risk of depression (p = 0.0027), anxiety (p = 0.0045), stress (p = 0.0038), inadequate sleep quality (p = 0.0108), lower physical activity levels (p = 0.0012), reduced MD compliance (p = 0.0009), and poor health-related quality of life (p = 0.0002). In univariate analysis, older adults’ age (p = 0.0001), male gender (p = 0.0015), living alone (p = 0.0023), lower educational and economic level (p = 0.0175 and p = 0.0294, respectively), and cognition decline (p = 0.0032) were also related with the presence of COVID-19 infection; however, these associations were considerably attenuated at a non-significant level by adjustment for several confounders in multivariate analysis. Conclusions: This is one of the few available studies supporting evidence that COVID-19 infection may be associated with diverse sociodemographic, anthropometric, and lifestyle factors in an older adults’ population in Greece. This study highlights the strong demand to provide psychological and nutritional counselling and support to older adults diagnosed with COVID-19 infection in order to ameliorate disease symptoms and severity, emphasizing the adaptation of healthy dietary and lifestyle habits as preventing and supplementary therapeutic factors against COVID-19. MDPI 2023-11-09 /pmc/articles/PMC10660554/ /pubmed/37987276 http://dx.doi.org/10.3390/diseases11040165 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pavlidou, Eleni
Papadopoulou, Sousana K.
Antasouras, Georgios
Vorvolakos, Theofanis
Alexatou, Olga
Tsourouflis, Gerasimos
Angelakou, Exakousti-Petroula
Serdari, Aspasia
Grammatikopoulou, Maria G.
Psara, Evmorfia
Vadikolias, Konstantinos
Dakanalis, Antonios
Lefantzis, Nikolaos
Giaginis, Constantinos
Association of COVID-19 Infection with Sociodemographic, Anthropometric and Lifestyle Factors: A Cross-Sectional Study in an Older Adults’ Population Aged over 65 Years Old
title Association of COVID-19 Infection with Sociodemographic, Anthropometric and Lifestyle Factors: A Cross-Sectional Study in an Older Adults’ Population Aged over 65 Years Old
title_full Association of COVID-19 Infection with Sociodemographic, Anthropometric and Lifestyle Factors: A Cross-Sectional Study in an Older Adults’ Population Aged over 65 Years Old
title_fullStr Association of COVID-19 Infection with Sociodemographic, Anthropometric and Lifestyle Factors: A Cross-Sectional Study in an Older Adults’ Population Aged over 65 Years Old
title_full_unstemmed Association of COVID-19 Infection with Sociodemographic, Anthropometric and Lifestyle Factors: A Cross-Sectional Study in an Older Adults’ Population Aged over 65 Years Old
title_short Association of COVID-19 Infection with Sociodemographic, Anthropometric and Lifestyle Factors: A Cross-Sectional Study in an Older Adults’ Population Aged over 65 Years Old
title_sort association of covid-19 infection with sociodemographic, anthropometric and lifestyle factors: a cross-sectional study in an older adults’ population aged over 65 years old
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660554/
https://www.ncbi.nlm.nih.gov/pubmed/37987276
http://dx.doi.org/10.3390/diseases11040165
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