Food Insecurity Is Associated With Inflammation Among Women Living With HIV

Anna M. Leddy, Annelys Roque, Lila A. Sheira, Edward A. Frongillo, Alan L. Landay, Adebola A. Adedimeji, Tracey E. Wilson, Daniel Merenstein, Eryka Wentz, Adaora A. Adimora, Igho Ofotokun, Lisa R. Metsch, Mardge H. Cohen, Phyllis C. Tien, Janet M. Turan, Bulent Turan, Sheri D. Weiser

Research output: Contribution to journalArticle

Abstract

Background: Chronic inflammation is associated with AIDS-defining and non-AIDS-defining conditions. Limited research has considered how food insecurity influences chronic inflammation among people living with human immunodeficiency virus (HIV). We examined whether food insecurity was associated with higher levels of inflammation among women living with HIV (WWH) in the United States. Methods: We analyzed cross-sectional data collected in 2015 from 421 participants on antiretroviral therapy from the Women's Interagency HIV Study. The exposure was any food insecurity. The outcome was inflammation, measured by proinflammatory cytokine interleukin-6 (IL-6) and tumor necroses factor receptor 1 (TNFR1) levels. We conducted multivariable linear regressions, adjusting for sociodemographic, clinical, and nutritional factors. Results: Nearly one-third of participants (31%) were food insecure and 79% were virally suppressed (<20 copies/mL). In adjusted analyses, food insecurity was associated with 1.23 times the level of IL-6 (95% confidence interval [CI], 1.06-1.44) and 1.13 times the level of TNFR1 (95% CI, 1.05-1.21). Findings did not differ by HIV control (virally suppressed with CD4 counts ≥500 cells/mm3 or not) in adjusted stratified analyses. Conclusion: Food insecurity was associated with elevated inflammation among WWH regardless of HIV control. Findings support the need for programs that address food insecurity among WWH.

LanguageEnglish (US)
Pages429-436
Number of pages8
JournalThe Journal of infectious diseases
Volume219
Issue number3
DOIs
StatePublished - Jan 9 2019

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Food Supply
HIV
Inflammation
Tumor Necrosis Factor Receptors
Interleukin-6
Confidence Intervals
CD4 Lymphocyte Count
Linear Models
Acquired Immunodeficiency Syndrome
Cytokines
Food
Research

ASJC Scopus subject areas

  • Immunology and Allergy
  • Infectious Diseases

Cite this

Leddy, A. M., Roque, A., Sheira, L. A., Frongillo, E. A., Landay, A. L., Adedimeji, A. A., ... Weiser, S. D. (2019). Food Insecurity Is Associated With Inflammation Among Women Living With HIV. The Journal of infectious diseases, 219(3), 429-436. https://doi.org/10.1093/infdis/jiy511

Food Insecurity Is Associated With Inflammation Among Women Living With HIV. / Leddy, Anna M.; Roque, Annelys; Sheira, Lila A.; Frongillo, Edward A.; Landay, Alan L.; Adedimeji, Adebola A.; Wilson, Tracey E.; Merenstein, Daniel; Wentz, Eryka; Adimora, Adaora A.; Ofotokun, Igho; Metsch, Lisa R.; Cohen, Mardge H.; Tien, Phyllis C.; Turan, Janet M.; Turan, Bulent; Weiser, Sheri D.

In: The Journal of infectious diseases, Vol. 219, No. 3, 09.01.2019, p. 429-436.

Research output: Contribution to journalArticle

Leddy, AM, Roque, A, Sheira, LA, Frongillo, EA, Landay, AL, Adedimeji, AA, Wilson, TE, Merenstein, D, Wentz, E, Adimora, AA, Ofotokun, I, Metsch, LR, Cohen, MH, Tien, PC, Turan, JM, Turan, B & Weiser, SD 2019, 'Food Insecurity Is Associated With Inflammation Among Women Living With HIV', The Journal of infectious diseases, vol. 219, no. 3, pp. 429-436. https://doi.org/10.1093/infdis/jiy511
Leddy, Anna M. ; Roque, Annelys ; Sheira, Lila A. ; Frongillo, Edward A. ; Landay, Alan L. ; Adedimeji, Adebola A. ; Wilson, Tracey E. ; Merenstein, Daniel ; Wentz, Eryka ; Adimora, Adaora A. ; Ofotokun, Igho ; Metsch, Lisa R. ; Cohen, Mardge H. ; Tien, Phyllis C. ; Turan, Janet M. ; Turan, Bulent ; Weiser, Sheri D. / Food Insecurity Is Associated With Inflammation Among Women Living With HIV. In: The Journal of infectious diseases. 2019 ; Vol. 219, No. 3. pp. 429-436.
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abstract = "Background: Chronic inflammation is associated with AIDS-defining and non-AIDS-defining conditions. Limited research has considered how food insecurity influences chronic inflammation among people living with human immunodeficiency virus (HIV). We examined whether food insecurity was associated with higher levels of inflammation among women living with HIV (WWH) in the United States. Methods: We analyzed cross-sectional data collected in 2015 from 421 participants on antiretroviral therapy from the Women's Interagency HIV Study. The exposure was any food insecurity. The outcome was inflammation, measured by proinflammatory cytokine interleukin-6 (IL-6) and tumor necroses factor receptor 1 (TNFR1) levels. We conducted multivariable linear regressions, adjusting for sociodemographic, clinical, and nutritional factors. Results: Nearly one-third of participants (31{\%}) were food insecure and 79{\%} were virally suppressed (<20 copies/mL). In adjusted analyses, food insecurity was associated with 1.23 times the level of IL-6 (95{\%} confidence interval [CI], 1.06-1.44) and 1.13 times the level of TNFR1 (95{\%} CI, 1.05-1.21). Findings did not differ by HIV control (virally suppressed with CD4 counts ≥500 cells/mm3 or not) in adjusted stratified analyses. Conclusion: Food insecurity was associated with elevated inflammation among WWH regardless of HIV control. Findings support the need for programs that address food insecurity among WWH.",
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AU - Landay, Alan L.

AU - Adedimeji, Adebola A.

AU - Wilson, Tracey E.

AU - Merenstein, Daniel

AU - Wentz, Eryka

AU - Adimora, Adaora A.

AU - Ofotokun, Igho

AU - Metsch, Lisa R.

AU - Cohen, Mardge H.

AU - Tien, Phyllis C.

AU - Turan, Janet M.

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N2 - Background: Chronic inflammation is associated with AIDS-defining and non-AIDS-defining conditions. Limited research has considered how food insecurity influences chronic inflammation among people living with human immunodeficiency virus (HIV). We examined whether food insecurity was associated with higher levels of inflammation among women living with HIV (WWH) in the United States. Methods: We analyzed cross-sectional data collected in 2015 from 421 participants on antiretroviral therapy from the Women's Interagency HIV Study. The exposure was any food insecurity. The outcome was inflammation, measured by proinflammatory cytokine interleukin-6 (IL-6) and tumor necroses factor receptor 1 (TNFR1) levels. We conducted multivariable linear regressions, adjusting for sociodemographic, clinical, and nutritional factors. Results: Nearly one-third of participants (31%) were food insecure and 79% were virally suppressed (<20 copies/mL). In adjusted analyses, food insecurity was associated with 1.23 times the level of IL-6 (95% confidence interval [CI], 1.06-1.44) and 1.13 times the level of TNFR1 (95% CI, 1.05-1.21). Findings did not differ by HIV control (virally suppressed with CD4 counts ≥500 cells/mm3 or not) in adjusted stratified analyses. Conclusion: Food insecurity was associated with elevated inflammation among WWH regardless of HIV control. Findings support the need for programs that address food insecurity among WWH.

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