Increase in body mass index during the COVID-19 pandemic among people who smoke: An analysis of multi-site electronic health records

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dc.creatorWiener, R. Constance
dc.creatorWaters, Christopher
dc.creatorMorgan, Emily
dc.creatorFindley, Patricia A.
dc.creatorShen, Chan
dc.creatorWang, Hao
dc.creatorSambamoorthi, Usha
dc.creator.orcid0000-0001-8311-1360 (Sambamoorthi, Usha)
dc.date.accessioned2023-04-19T14:06:46Z
dc.date.available2023-04-19T14:06:46Z
dc.date.issued2023-04-12
dc.description.abstractThe effects of the COVID-19 period among people who smoke (compared by sex) are largely unknown. The purpose of this study was to compare body mass index (BMI) increase among men and women who smoked during the pandemic. We used a retrospective longitudinal, observational study design of secondary data. We used electronic health records from TriNetX network (n = 486,072) from April 13, 2020-May 5, 2022 among adults aged 18-64 who smoked and had a normal BMI prior to the pandemic. The main measure was a change of BMI from < 25 to >/=25. Risk ratio was determined between men and women with propensity score matching. Overall, 15.8% increased BMI to >/=25; 44,540 (18.3%) were women and 32,341 (13.3%) were men (Risk Ratio = 1.38, 95% CI: 1.36, 1.40; p < .0001). Adults with diabetes, hypertension, asthma, COPD or emphysema or who were women, were more likely to develop BMI>/=25 during the pandemic. Women who smoked were more likely to have an increase in BMI than men who smoked during the COVID-19 period.
dc.description.sponsorshipThis study was financially supported by the National Institute of General Medical Sciences in the form of a grant (5U54GM104942-05) awarded to RCW. This work was also financially supported by the National Institutes of Health (NIH) in the form of a grant (1OT2OD032581-01) awarded to US. This work was also financially supported by the National Institute on Minority Health and Health Disparities through the Texas Center for Health Disparities (NIMHD) in the form of a grant (5U54MD006882-10) awarded to HW and US. This work was also financially supported by NIH funded AIM-AHEAD program in the form of a grant (NIH/ 1OT2OD032581-01) awarded to US. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
dc.identifier.citationWiener, R. C., Waters, C., Morgan, E., Findley, P. A., Shen, C., Wang, H., & Sambamoorthi, U. (2023). Increase in body mass index during the COVID-19 pandemic among people who smoke: An analysis of multi-site electronic health records. PLOS global public health, 3(4), e0001474. https://doi.org/10.1371/journal.pgph.0001474
dc.identifier.issn2767-3375
dc.identifier.issue4
dc.identifier.urihttps://hdl.handle.net/20.500.12503/32345
dc.identifier.volume3
dc.publisherPLOS
dc.relation.urihttps://doi.org/10.1371/journal.pgph.0001474
dc.rights.holder© 2023 R. Constance et al.
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourcePLOS Global Public Health
dc.titleIncrease in body mass index during the COVID-19 pandemic among people who smoke: An analysis of multi-site electronic health records
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dc.type.materialArticle

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