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FRAILTY, FOOD INSECURITY, AND NUTRITIONAL STATUS IN PEOPLE LIVING WITH HIV.

E Smit1, C Wanke2, K Dong2

  • 1School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR, USA.

The Journal of Frailty & Aging
|December 23, 2015
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Frailty is common in older adults with HIV, linked to food insecurity and lower energy intake. Interventions are needed to improve nutrition and daily living activities in this population.

Keywords:
Frailtydietfood insecurityphysical function

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Area of Science:

  • Gerontology
  • Infectious Diseases
  • Nutritional Science

Background:

  • Frailty is a growing concern in the aging population.
  • Nutritional status and food insecurity are known risk factors for frailty in the general population.
  • Limited research exists on frailty in people living with HIV (PLWH).

Purpose of the Study:

  • To investigate the association between nutritional status, food insecurity, and frailty in older adults with HIV.
  • To understand the prevalence of frailty and pre-frailty in this population.

Main Methods:

  • Cross-sectional study of 50 people living with HIV (PLWH) aged 45 and older.
  • Assessed frailty, food insecurity, physical function, and dietary intake.
  • Collected data on HIV duration, antiretroviral therapy use, and medical history.

Main Results:

  • 16% of PLWH were frail, 44% were pre-frail.
  • Frail PLWH reported significantly more difficulties with activities of daily living.
  • Frail PLWH were more likely to be food insecure (63% vs. 10%) and had lower energy intake.

Conclusions:

  • Frailty is prevalent in older PLWH and associated with food insecurity.
  • Further research is needed to develop targeted interventions for improving food security and daily living activities.
  • Interventions may help prevent and manage frailty in PLWH.