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

IF 1.6 4区医学 Q2 NURSING Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-05-01 Epub Date: 2023-02-08 DOI:10.1097/JNC.0000000000000395

Christine Horvat Davey, Brianna Navis, Allison R Webel, Catherine Jankowski, Vitor H F Oliveira, Vincent Khuu, Paul F Cook, Kristine M Erlandson

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Abstract

Abstract: 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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食品不安全和营养不良对美国老年艾滋病病毒感染者虚弱程度和身体机能的影响。

摘要：我们进行了一项观察性横断面研究，以探讨食物不安全或营养不良是否与老年艾滋病病毒感染者（PWH）的虚弱或身体机能低下有关。研究共招募了 48 名 50 岁及以上的艾滋病感染者。采用独立样本 t 检验和卡方检验来研究食物不安全或营养不良与虚弱或身体功能的关系。参与者的年龄为 58.6 (±6.3) 岁，83% 为男性，77% 为白人，21% 为西班牙裔。总计有 44% 的人经历过食物不安全，71% 的人经历过营养不良，而 23% 的人体弱，69% 的人体弱前期。食物不安全与短期体能表现电池总分受损（p = .02）、平衡能力受损（p = .02）、起坐时间变慢（p = .03）和 12 个月内体重下降（p = .05）有关。营养不良与女性性别（p = .01）、虚弱程度（p = .04）和握力（p = .03）有关。在这一营养不良和虚弱的残疾人样本中，可以观察到营养不良与虚弱之间的密切关系。

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来源期刊

Janac-Journal of the Association of Nurses in Aids Care 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

120

期刊介绍： The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.