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

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

doi:10.1097/jnc.0000000000000395

Cited by 5 publications

(3 citation statements)

References 51 publications

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“…Public health systems should incorporate programs to promote lifestyle modifications encompassing more physical activities in daily routines including regular exercise and nutritional education among the aging population. Food insecurity, also shown to be associated with frailty among PWH 33 and poor adherence to ART, 34 should be taken into account by public health policy makers as well.…”

Section: Discussionmentioning

confidence: 99%

Frailty and health-related quality of life among older people living with HIV pre- and post-COVID-19 pandemic onset: A cross-sectional study

Torres,

Jesus,

Arabe

et al. 2024

The Brazilian Journal of Infectious Diseases

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Section: Discussionmentioning

confidence: 99%

Frailty and health-related quality of life among older people living with HIV pre- and post-COVID-19 pandemic onset: A cross-sectional study

Torres,

Jesus,

Arabe

et al. 2024

The Brazilian Journal of Infectious Diseases

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“…Public health systems should incorporate programs to promote lifestyle modi cations encompassing more physical activities in daily routines including regular exercise and nutritional education among the aging population. Food insecurity, also shown to be associated with frailty [33] and poor adherence to ART [34], should be taken into account by public health policy makers as well.…”

Section: Discussionmentioning

confidence: 99%

Frailty and health-related quality of life among older people living with HIV pre- and post-COVID-19 pandemic onset: A cross-sectional study

Torres,

Arabe,

Jesus

et al. 2023

Preprint

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Background: Antiretroviral therapy increased the survival and life expectancy of people living with HIV (PWH). HIV infection may have an impact on the aging process, including frailty development. Frailty-related syndromes among older PWH (aged 50 years or older) may affect their health-related quality of life (HQoL). Additionally, the COVID-19 pandemic has impacted health-related outcomes, including frailty and HQoL. This study aimed to estimate the prevalence of frailty and pre-frailty among older PWH, and to explore associations of HQoL with the study assessment period and frailty status. Methods: Cross-sectional study conducted pre- (May 23, 2019 to March 5, 2020) and post-COVID-19 pandemic onset (June 23, 2021 to May 5, 2022), among older PWH at INI-Fiocruz, the largest cohort of PWH in Rio de Janeiro, Brazil. We measured frailty using a modified version of Fried assessment, consisting of five domains: (1) unintentional weight loss; (2) self-reported exhaustion, (3) weakness (grip strength), (4) slow walking speed, (5) low physical activity. QoL was assessed using the ACTG SF-21, which contains 21 questions divided into 8 domains. We used chi-square test, Fisher's exact test, Kruskal-Wallis and ranksum test for comparisons. Results: Between May 2019 and May 2022, 250 individuals were included in this analysis: 109 (43.6%) pre-COVID-19 and 141 (56.4%) post-COVID-19. The median age was 60 years (IQR:55-64). Most self-identified as cisgender men (152; 60.8%), Pardo or Black (146; 58.4%), with completed secondary education or less (169; 67.9%) and low income (132; 52.8%). Prevalences of frailty and pre-frailty were 9.2% (95%CI:8.1-10.3) and 61.6% (95%CI:54.0-69.2), while frailty prevalences were 10.6% and 7.3% in the post- and pre-COVID-19 pandemic periods, respectively. HQoL was lower among older PWH with frailty compared to those with non-frailty and pre-frailty. HQoL was also lower among older PWH included in the post-COVID-19 compared to pre-COVID-19 pandemic periods for four out of eight QoL domains. Conclusions: We observed low prevalence of frailty, but high prevalence of pre-frailty among older PWH. Our study increases the body of knowledge about aging and HIV and underscores the importance of including frailty and HQoL during clinical assessment, especially after the COVID-19 pandemic.

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“…The interconnections between HIV/AIDS, food insecurity, and undernutrition are increasingly understood, leading to a surge of interventions. The impact of HIV/AIDS on food insecurity has been well-documented in Africa and manifests through the debilitation of the most productive household members, decreased household economic capacity, decreased household agricultural output, and increased caregiver burden (1)(2)(3). Moreso, observational studies suggest that food insecurity is associated with increased HIV transmission risk behaviours and decreased access to HIV treatment and care (4)(5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Understanding perspectives of HIV/AIDS affected households on food and nutrition interventions and social protection programmes in Zimbabwe

George,

Dembedza,

Lesley

2024

Front. Nutr.

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IntroductionThe study was aimed at understanding the needs and perspectives of HIV affected households on food and nutrition security intervention programmes.MethodsThe study used qualitative methods that include focus groups discussions and key informant interviews to solicit for lived experiences of People Living With HIV (PLWHIV).ResultsThe results revealed that intervention programmes by both government and development partners (donors) can be divided into four (4) categories: food and nutrition security, livelihood, health, and social protection. Interventions that targeted health included the provision of HIV antiretroviral drugs to PLWHIV and counselling to both PLWHIV and affected persons. Intervention programmes targeted at social protection included provision of food aid and cash transfers.DiscussionThe recommendations based on the research findings are that intervention programmes should focus more on resilience building as a way of building capacity of PLWHIV. This way, sustainability of intervention programmes is improved. As such, it is important to ensure, through policy, that all intervention programmes have a component of capacity building to improve resilience of participants and programme sustainability. Furthermore, there is a need to improve targeting for beneficiaries of intervention programmes and clearly define the “vulnerable” group.

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

Cited by 5 publications

References 51 publications

Frailty and health-related quality of life among older people living with HIV pre- and post-COVID-19 pandemic onset: A cross-sectional study

Frailty and health-related quality of life among older people living with HIV pre- and post-COVID-19 pandemic onset: A cross-sectional study

Frailty and health-related quality of life among older people living with HIV pre- and post-COVID-19 pandemic onset: A cross-sectional study

Understanding perspectives of HIV/AIDS affected households on food and nutrition interventions and social protection programmes in Zimbabwe

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