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

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 w...

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Bibliographic Details
Published inThe Journal of the Association of Nurses in AIDS Care Vol. 34; no. 3; pp. 238 - 247
Main Authors Horvat Davey, Christine, Navis, Brianna, Webel, Allison R, Jankowski, Catherine, Oliveira, Vitor H F, Khuu, Vincent, Cook, Paul F, Erlandson, Kristine M
Format Journal Article
LanguageEnglish
Published United States Lippincott Williams & Wilkins Ovid Technologies 01.05.2023
Subjects
Aged
Aging
Chi-square test
Cross-Sectional Studies
Female
Food
Food Insecurity
Food security
Frail
Frail Elderly
Frailty
Frailty - epidemiology
Functional impairment
Geriatric Assessment
Grip strength
HIV
HIV Infections - complications
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Insecurity
Male
Malnutrition
Malnutrition - complications
Malnutrition - epidemiology
Middle Aged
Physical ability
United States - epidemiology
Weight loss
United States
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Summary: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.
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Specifically, using the CRediT taxonomy, the specific contributions of each author is as follows: Conceptualization and Methodology: C. Horvat Davey, B. Navis, A. Webel, C. Jankowski, V. Oliveira, V. Khuu, P. Cook, K. Erlandson; Formal Analysis: C. Horvat Davey, B. Navis, A. Webel, C. Jankowski, K. Erlandson; Funding Acquisition: K. Erlandson
Author Contributions
All authors on this paper meet the four criteria for authorship as identified by the International Committee of Medical Journal Editors; all authors have contributed to the drafting or been involved in revising it, reviewed the final version of this manuscript before submission, and agree to be accountable for all aspects of the work.
ISSN:1055-3290
1552-6917
DOI:10.1097/JNC.0000000000000395