食物保障不足与艾滋病毒感染者的虚弱状况和虚弱成分有关。

IF 3.4 2区 医学 Q3 IMMUNOLOGY
AIDS Pub Date : 2025-01-01 Epub Date: 2024-09-03 DOI:10.1097/QAD.0000000000004006
Stephanie A Ruderman, Amanda L Willig, John D Cleveland, Greer Burkholder, Christine Horvat Davey, Julia Fleming, Barbara Gripshover, Mari Katundu, Thomas W Buford, Raymond Jones, Michael S Saag, Joseph A C Delaney, Heidi M Crane, Allison R Webel
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引用次数: 0

摘要

背景:在艾滋病病毒感染者(PWH)中,低食品安全很常见,而且与较差的健康结果有关。虚弱是一种与衰老相关的结果,在艾滋病感染者中越来越普遍,而低食品安全可能会刺激这种结果。我们评估了食品安全与虚弱之间的关系:体力活动常规和饮食摄入对艾滋病病毒感染者纵向症状体验的影响(PROSPER-HIV)研究对艾滋病病毒感染者进行跟踪调查,以评估饮食和体力活动对症状的影响。我们利用 PROSPER-HIV 第 1 年访问(2019 年 1 月至 2022 年 7 月)中的食品安全和虚弱数据来估算相关性。食物安全通过经过验证的两项目食物安全问卷进行测量,并分为食物安全、低食物安全或极低食物安全。虚弱程度通过弗里德虚弱表型进行测量,分为健壮、虚弱前和虚弱。我们使用相对风险回归法来估计食物保障和虚弱状态之间的关系,并对人口特征进行了调整:在 574 名残疾人中,近四分之一为女性(22%),平均年龄为 52 岁,8% 为体弱者,46% 为前体弱者。据报告,近三分之一的残疾人的食物保障程度较低:13%的人食物保障程度较低,18%的人食物保障程度非常低。与 "粮食安全 "相比,我们发现 "低粮食安全 "与体弱[患病率比:4.06(95% 置信区间(CI):2.16-7.62]]相关,而与 "健康状况 "相比,"极低粮食安全 "与体弱[1.48(1.23-1.78)]和体弱[5.61(3.14-10.0)]相关:结论:在这项研究中,低食品安全与威利人的虚弱程度增加有关,表明这是促进健康老龄化的一个潜在干预点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Low food security is associated with frailty status and frailty components among people with HIV.

Background: Low food security is common among people with HIV (PWH) and is associated with poorer health outcomes. Frailty, an aging-related outcome that is increasingly prevalent among PWH, may be stimulated by low food security. We assessed associations between food security and frailty among PWH.

Methods: The Impact of Physical Activity Routines and Dietary Intake on the Longitudinal Symptom Experience of People Living with HIV (PROSPER-HIV) study follows PWH to evaluate how diet and physical activity impact symptoms. We utilized food security and frailty data from PROSPER-HIV Year 1 visits (January 2019 to July 2022) to estimate associations. Food security was measured via the validated two-item Food Security Questionnaire and categorized as Food Secure, Low Food Security, or Very Low Food Security. Frailty was measured with the Fried frailty phenotype, and categorized as robust, prefrail, and frail. We used relative risk regression to estimate associations between food security and frailty status, adjusted for demographic characteristics.

Results: Among 574 PWH, nearly one-quarter were women (22%), mean age was 52 years old, 8% were frail, and 46% prefrail. Low food security was reported among nearly one-third of PWH: 13% Low Food Security and 18% Very Low Food Security. Compared with being Food Secure, we found Low Food Security was associated with frailty [prevalence ratio: 4.06 (95% confidence interval (CI) 2.16-7.62] and Very Low Food Security was associated with both prefrailty [1.48 (1.23-1.78)] and frailty [5.61 (3.14-10.0)], as compared with robust status.

Conclusion: Low food security was associated with increased frailty among PWH in this study, suggesting a potential intervention point to promote healthy aging.

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来源期刊
AIDS
AIDS 医学-病毒学
CiteScore
5.90
自引率
5.30%
发文量
478
审稿时长
3 months
期刊介绍: ​​​​​​​​​​​​​​​​​Publishing the very latest ground breaking research on HIV and AIDS. Read by all the top clinicians and researchers, AIDS has the highest impact of all AIDS-related journals. With 18 issues per year, AIDS guarantees the authoritative presentation of significant advances. The Editors, themselves noted international experts who know the demands of your work, are committed to making AIDS the most distinguished and innovative journal in the field. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.
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