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Food Insecurity and Cognitive Performance Among Young People Living With and Without HIV: A Study Across Four African
Seth Frndak1,2, Nicole Dear1,2, Natalie Burns3,4,5
1U.S. Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Food insecurity impacts cognitive development in young adults living with HIV (PLWH). Targeted nutrient interventions may support cognitive domains, especially for PLWH facing food challenges.
Area of Science:
- Neuroscience
- Public Health
- Nutritional Science
Background:
- Cognitive development in young adults living with HIV (PLWH) remains understudied, particularly concerning food insecurity (FI).
- Nutrient-based interventions may offer age- and HIV-status-dependent cognitive benefits.
Purpose of the Study:
- To investigate the longitudinal cognitive development of adolescents and young adults in the African Cohort Study (AFRICOS).
- To assess the independent and interactive effects of age, HIV status, and food insecurity on cognitive outcomes.
Main Methods:
- Analysis of data from 1,012 participants (15-27 years old) in the AFRICOS study across four African countries.
- Utilized linear mixed models to examine cognitive performance on tests of learning, memory, processing speed, executive functions, and language generativity.
- Food insecurity assessed via self-reported meal frequency and sufficiency.
Main Results:
- Increasing age correlated with improved cognitive performance overall.
- People living with HIV (PLWH) demonstrated lower performance in language generativity and executive functions compared to people without HIV (PLWoH), despite antiretroviral therapy (ART).
- Food insecurity was linked to poorer memory in younger individuals and diminished executive functions in older individuals.
Conclusions:
- Young PLWH exhibit distinct cognitive challenges, particularly in language and executive functions, even with ART.
- Food insecurity disproportionately affects cognitive performance, with age-dependent impacts on memory and executive functions.
- Developmentally tailored cognitive interventions, potentially including nutrient-based strategies, are recommended for young PLWH.
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