Background Coronavirus disease 2019 (COVID-19) has spread to the world. Whether there is an association between lifestyle behaviors and the acquisition of COVID-19 remains unclear. Methods In this case-control study, we recruited 105 patients with SARS-CoV-2 infection as a case group from the Wuhan Tongji Hospital (Wuhan, China). For each case two control subjects were recruited. Participants were randomly selected from communities in Wuhan and matched for sex, age (± 2yrs), and pre-existing comorbidities (hypertension and diabetes). Results A total of 105 patients diagnosed with COVID-19 and 210 controls were included. Compared with control group, the case group had higher proportions of lack of sleep (30.5% vs. 14.8%, P = 0.001) and increased physical activities (56.2% vs. 32.9%, P < 0.001). And patients in the case group were more likely to have alopecia (28.6% vs. 10.0%, P < 0.001) than people from the control group. Overall, we found that lack of sleep [adjusted odds ratio (OR) 1.56, 95% confidence interval (CI) 1.03–2.39)], physical activities (≥ 5 times a week) (adjusted OR 2.05, 95%CI 1.39–3.02) and alopecia (adjusted OR 1.73, 95%CI 1.13–2.66) were independent risk factors for COVID-19 infection. Conversely, low-dose alcohol intake (<100g alcohol per week), hand hygiene, and fruits intake (daily) were significantly associated with a decrease in morbidity. Conclusions Individual lifestyle behaviors and health status can affect the occurrence of COVID-19.
【초록키워드】 COVID-19, Coronavirus disease 2019, physical activity, SARS-COV-2 infection, Comorbidity, Sex, diabetes, alcohol, hypertension, COVID-19 infection, low-dose, Wuhan, morbidity, Patient, Control, Community, age, Health status, case-control study, association, Odds ratio, hygiene, control group, 95%CI, 95% confidence interval, individual, participant, independent risk factor, Tongji Hospital, acquisition, Affect, decrease, Randomly, Wuhan, China, Result, selected, lack, spread to, significantly, proportion, recruited, adjusted, 105 patient, control subject, diagnosed with COVID-19, occurrence of COVID-19, 【제목키워드】 acquisition,