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Published on: November 10, 2023
The COVID-19 and lifestyle nexus: settling the debate
Sathyanarayanan Doraiswamy1, Sohaila Cheema1, Ravinder Mamtani1
1Institute for Population Health, Weill Cornell Medicine - Qatar, Qatar.
Insights
Coronavirus disease 2019 (COVID-19) highlights the link between communicable diseases and non-communicable diseases (NCDs). Lifestyle factors impact immunity and disease severity, influencing both communicable and NCDs.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- The classification of diseases as communicable or non-communicable (NCDs) is a long-standing public health paradigm.
- A recent debate questioned whether coronavirus disease 2019 (COVID-19) could be considered a lifestyle disease.
- Unhealthy lifestyles are known contributors to NCDs.
Purpose of the Study:
- To clarify the concept of 'lifestyle diseases'.
- To examine the relationship between lifestyle factors, communicable diseases, and NCDs.
- To contextualize the COVID-19 pandemic within established disease classification frameworks.
Main Methods:
- This is a commentary, not an empirical study.
- Analysis of existing evidence linking lifestyle factors to disease susceptibility and severity.
- Discussion of the interplay between communicable and non-communicable diseases.
Main Results:
- Unhealthy lifestyles can compromise immunity and organ function, increasing susceptibility to communicable diseases.
- Lifestyle factors can influence the severity of communicable diseases like COVID-19.
- The COVID-19 pandemic underscores the close relationship between communicable diseases and NCDs.
Conclusions:
- Lifestyle choices significantly impact both communicable and non-communicable disease outcomes.
- Personal hygiene and lifestyle behaviors are crucial for preventing and mitigating communicable diseases.
- The distinction between communicable and non-communicable diseases is blurred by the influence of lifestyle factors.
Abstract:
A recent debate that has gained our attention is that of coronavirus disease 2019 (COVID-19) being referred to as a lifestyle disease by the Royal College of General Practitioners (in the title of an online event) for which they later apologized and withdrew the reference. In this commentary, we demystify diseases related to 'lifestyle' and put this in the context of the age-old public health way of classifying diseases as communicable and non-communicable (NCDs). Evidence indicates that unhealthy lifestyles, in addition to causing NCDs, can also result in reduced immunity and/or cause injury to organs predisposing individuals to diseases, and their severity, traditionally defined as 'communicable' such as COVID-19. COVID-19 has demonstrated the nexus between communicable and NCDs as never before in no uncertain terms. Two important messages that have emerged from the pandemic are: (1) there is close proximity of communicable diseases to NCDs; and (2) individual personal hygiene-related lifestyles can influence the occurrence, severity and prevention of communicable diseases such as COVID-19.
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