Severe food insecurity is associated with overweight and increased body fat among people living with HIV in the Dominican Republic
Severe food insecurity is associated with overweight and increased body fat among people living with HIV in the Dominican Republic
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DOI：
10.1080/09540121.2017.1348597
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发表时间：
2018-01-01
影响因子：
1.7
通讯作者：
Martinez, Homero
中科院分区：
文献类型：
--
作者：
Derose, Kathryn P.;Rios-Castillo, Israel;Martinez, Homero
粮食不安全是高收入国家低收入人口超重和肥胖的一个重要风险因素，但在艾滋病毒携带者中没有得到很好的研究，特别是在资源匮乏的环境中。为了探索食品不安全与多米尼加共和国PLHIV超重和肥胖之间的联系，我们在2012年3月至12月期间在四个地理位置分散的卫生中心(圣多明各、普拉塔港、圣胡安和伊格伊)对160名感染艾滋病毒的成年人进行了横断面研究。我们收集了关于家庭食品不安全、人体测量和社会人口数据的信息，并进行了描述性和多变量分析，控制了诊所的固定影响，并使用稳健的标准误差。参与者的平均年龄+/-SD为39.9+/-10.5岁；68%是女性，78%正在接受抗逆转录病毒治疗(ART)。共有58%的人报告了严重的家庭粮食不安全问题。在控制了年龄、性别、收入、在家有孩子、受教育程度和艺术状况后，严重的食物不安全与体重指数(=1.891，p=0.023)和体脂(=4.004，p=0.007)的增加有关。年龄和女性也与体脂增加有关(=0.259，p
Food insecurity is an important risk factor for overweight and obesity among low-income populations in high income countries, but has not been well-studied among people living with HIV (PLHIV), particularly in resource-poor settings. To explore the association between food insecurity and overweight and obesity among PLHIV in the Dominican Republic, we conducted a cross-sectional study of 160 HIV-infected adults between March-December 2012 in four geographically-dispersed health centers (Santo Domingo, Puerto Plata, San Juan, and Higuey). We collected information on household food insecurity, anthropometric measurements, and socio-demographic data and ran descriptive and multivariate analyses, controlling for fixed effects of clinics and using robust standard errors. Mean age +/- SD of participants was 39.9 +/- 10.5 years; 68% were women, and 78% were on antiretroviral therapy (ART). A total of 58% reported severe household food insecurity. After controlling for age, gender, income, having children at home, education, and ART status, severe food insecurity was associated with increased body mass index (BMI) (=1.891, p=0.023) and body fat (=4.004, p=0.007). Age and female gender were also associated with increased body fat (=0.259, p