Impact of Food Insecurity and Undernutrition on Frailty and Physical Functioning in Aging People With HIV in the United States

被引:4
作者
Davey, Christine Horvat [1 ]
Navis, Brianna [2 ]
Webel, Allison R. [3 ]
Jankowski, Catherine [4 ]
Oliveira, Vitor H. F. [3 ]
Khuu, Vincent [2 ]
Cook, Paul F. [4 ]
Erlandson, Kristine M. [2 ]
机构
[1] Case Western Reserve Univ, Cleveland, OH 44106 USA
[2] Univ Colorado, Anschutz Med Campus, Aurora, CO USA
[3] Univ Washington, Sch Nursing, Seattle, WA USA
[4] Univ Colorado, Anschutz Med Campus, Coll Nursing, Aurora, CO USA
来源
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2023年 / 34卷 / 03期
关键词
aging; cross-sectional study; food insecurity; frailty; HIV; physical function; LOWER-EXTREMITY FUNCTION; DEPRESSIVE SYMPTOMS; NUTRITIONAL-STATUS; OLDER-ADULTS; GAIT SPEED; PERFORMANCE; INDIVIDUALS; DISABILITY; ASSOCIATION; IMPAIRMENT;
D O I
10.1097/JNC.0000000000000395
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We conducted an observational cross-sectional study to explore whether food insecurity or undernutrition was associated with frailty or low physical functioning in aging persons with HIV (PWH). Forty-eight PWH aged 50 years and older were enrolled. Independent samples t-tests and chi-square tests were used to examine the relationship of food insecurity or undernutrition to frailty or physical function. Participants were 58.6 (+/- 6.3) years old, 83% male, 77% White, 21% Hispanic. In total, 44% experienced food insecurity and 71% experienced undernutrition, whereas 23% were frail and 69% were prefrail. Food insecurity was associated with impaired total short physical performance battery score (p = .02), impaired balance (p = .02), slower chair rise time (p = .03), and weight loss within 12 months (p = .05). Undernutrition was related to female gender (p = .01), worse frailty (p = .04), and weaker grip strength (p = .03). In this sample of undernourished and frail PWH, strong relationships between undernutrition and frailty were observed.
引用
收藏
页码:238 / 247
页数:10
相关论文
共 50 条
[11]   Food insecurity and physical functioning limitations among older US adults [J].
Jackson, Jennifer A. ;
Branscum, Adam ;
Tang, Alice ;
Smit, Ellen .
PREVENTIVE MEDICINE REPORTS, 2019, 14
[12]   Frailty in People Aging With Human Immunodeficiency Virus (HIV) Infection [J].
Brothers, Thomas D. ;
Kirkland, Susan ;
Guaraldi, Giovanni ;
Falutz, Julian ;
Theou, Olga ;
Johnston, B. Lynn ;
Rockwood, Kenneth .
JOURNAL OF INFECTIOUS DISEASES, 2014, 210 (08) :1170-1179
[13]   Longitudinal associations between food insecurity and substance use in a cohort of women with or at risk for HIV in the United States [J].
Whittle, Henry J. ;
Sheira, Lila A. ;
Frongillo, Edward A. ;
Palar, Kartika ;
Cohen, Jennifer ;
Merenstein, Daniel ;
Wilson, Tracey E. ;
Adedimeji, Adebola ;
Cohen, Mardge H. ;
Adimora, Adaora A. ;
Ofotokun, Ighovwerha ;
Metsch, Lisa ;
Turan, Janet M. ;
Wentz, Eryka L. ;
Tien, Phyllis C. ;
Weiser, Sheri D. .
ADDICTION, 2019, 114 (01) :127-136
[14]   Factors partitioning physical frailty in people aging with HIV: A classification and regression tree approach [J].
Inceer, Mehmet ;
Brouillette, Marie-J ;
Fellows, Lesley K. ;
Morais, Jose A. ;
Harris, Marianne ;
Smaill, Fiona ;
Smith, Graham ;
Thomas, Rejean ;
Mayo, Nancy E. .
HIV MEDICINE, 2022, 23 (07) :738-749
[15]   Perceived Neighborhood-Level Drivers of Food Insecurity Among Aging Women in the United States: A Qualitative Study [J].
Shieh, Jacqueline A. ;
Leddy, Anna M. ;
Whittle, Henry J. ;
Ofotokun, Ighovwerha ;
Adimora, Adaora A. ;
Tien, Phyllis C. ;
Weiser, Sheri D. .
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, 2021, 121 (05) :844-853
[16]   Assessing the impact of food insecurity on HIV medication adherence in the context of an integrated care programme for people living with HIV in Vancouver, Canada [J].
Koehn, Katrina ;
McLinden, Taylor ;
Collins, Alexandra B. ;
McDougall, Patrick ;
Baltzer-Turje, Rosalind ;
Miewald, Christiana ;
Wang, Lu ;
Li, Jenny ;
Salters, Kate A. ;
Hogg, Robert S. ;
Parashar, Surita .
PUBLIC HEALTH NUTRITION, 2020, 23 (04) :683-690
[17]   Frailty: a new vulnerability indicator in people aging with HIV [J].
Thomas D. Brothers ;
Kenneth Rockwood .
European Geriatric Medicine, 2019, 10 :219-226
[18]   Food insecurity and disability in the United States [J].
Heflin, Colleen M. ;
Altman, Claire E. ;
Rodriguez, Laura L. .
DISABILITY AND HEALTH JOURNAL, 2019, 12 (02) :220-226
[19]   Associations of food insecurity and psychosocial measures with diet quality in adults aging with HIV [J].
Muhammad, J. N. ;
Fernandez, J. R. ;
Clay, O. J. ;
Saag, M. S. ;
Overton, E. T. ;
Willig, A. L. .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2019, 31 (05) :554-562
[20]   Food Insecurity, Internalized Stigma, and Depressive Symptoms Among Women Living with HIV in the United States [J].
Palar, Kartika ;
Frongillo, Edward A. ;
Escobar, Jessica ;
Sheira, Lila A. ;
Wilson, Tracey E. ;
Adedimeji, Adebola ;
Merenstein, Daniel ;
Cohen, Mardge H. ;
Wentz, Eryka L. ;
Adimora, Adaora A. ;
Ofotokun, Ighovwerha ;
Metsch, Lisa ;
Tien, Phyllis C. ;
Turan, Janet M. ;
Weiser, Sheri D. .
AIDS AND BEHAVIOR, 2018, 22 (12) :3869-3878