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52, 95%CI1.82,6.83, P less then 0.001). A significant association between sleep efficiency and disease activity was observed as well (pooled OR = 4.55, 95%CI1.92,10.75, P = 0.001). Findings from this study indicate that both subjective and objective poor sleep quality were associated with an increased risk for disease activity. Larger studies with an experimental design are warranted to confirm the effects of sleep quality on intestinal pathological changes in IBD patients. Patients hospitalized for infection with SARS-CoV-2 typically p