Evidence map›Paper›PMID 31714352›Full record

ArticleAIDS (London, England)2020

Lifetime alcohol use among persons living with HIV is associated with frailty.

Vincent J Maffei, Tekeda F Ferguson, Meghan M Brashear, Donald E Mercante, Katherine P Theall, Robert W Siggins, Christopher M Taylor, Patricia Molina, David A Welsh

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Vincent J MaffeiComprehensive Alcohol-HIV/AIDS Research Center.
Tekeda F FergusonComprehensive Alcohol-HIV/AIDS Research Center.
Meghan M BrashearComprehensive Alcohol-HIV/AIDS Research Center.
Donald E MercanteComprehensive Alcohol-HIV/AIDS Research Center.
Katherine P TheallComprehensive Alcohol-HIV/AIDS Research Center.
Robert W SigginsComprehensive Alcohol-HIV/AIDS Research Center.
Christopher M TaylorDepartment of Microbiology, Immunology, and Parasitology, School of Graduate Studies.
Patricia MolinaComprehensive Alcohol-HIV/AIDS Research Center.
David A WelshComprehensive Alcohol-HIV/AIDS Research Center.
Graduate School USA · USGTx (United States) · USLouisiana State University Health Sciences Center New Orleans · USTulane University · US

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Lucio Miele · 2012 to 2026
$69.1M
Translational Research/Education ComponentP60AA009803 · NIAAA · LSU HEALTH SCIENCES CENTER · PI DAVID A WELSH · 2004 to 2026
$42.6M
BIOMEDICAL ALCOHOL RESEARCH TRAINING PROGRAMT32AA007577 · NIAAA · LSU HEALTH SCIENCES CENTER · PI PATRICIA E. MOLINA · 1999 to 2026
$9.6M
PILOT--IMPACT OF ALCOHOLISM ON AIDS ASOCIATED MUSCLE WASTINGP50AA009803 · NIAAA · LOUISIANA STATE UNIV HSC NEW ORLEANS · PI NELSON, STEVE · 1994 to 2003
$7.2M
Alcohol-associated Intestinal Dysbiosis and CD8+ T-cell Activation and Immunosenescence during HIV InfectionF30AA026527 · NIAAA · LSU HEALTH SCIENCES CENTER · PI VINCENT MAFFEI, VINCENT MAFFEI VINCENT MAFFEI · 2018 to 2020
$144k
NIAAA NIH HHS F30 AA026527NIAAA NIH HHS P50 AA009803NIAAA NIH HHS P60 AA009803NIAAA NIH HHS T32 AA007577NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

backgroundThe average lifespan of persons living with HIV (PLWH) on antiretroviral therapy approximates the general population. However, PLWH are susceptible to early aging and frailty. Behaviors such as alcohol consumption may contribute to frailty among PLWH.

objectiveTo determine the relationships between recent and lifetime alcohol use and frailty among PLWH.

designCross-sectional, prospective cohort study of in-care PLWH (n = 365) participating in the New Orleans Alcohol Use in HIV Study.

methodsRecent alcohol exposure was measured by the 30-day alcohol timeline follow-back (TLFB) assessment and by whole-blood-spot phosphatidylethanol (PEth) quantitation. Lifetime alcohol exposure (LAE) was estimated by a modified lifetime drinking history instrument. Frailty was assessed by a 58-item deficit index (DI58) and the phenotypic frailty index (PFI). The Veterans Aging Cohort Study Risk Index 2.0 was calculated.

resultsUsing generalized linear regression, LAE was positively associated with the DI58 (95% CI 0.001--0.006) and PFI severity (95% CI 0.004--0.023) after adjustment for age and other factors. Conversely, recent alcohol exposure was negatively associated with the DI58 [TLFB 95% CI: (-0.126 to -0.034), PEth: (-0.163 to -0.058)] and PFI severity [TLFB 95% CI (-0.404 to -0.015), PEth (-0.406 to 0.034)]. The VACS was not associated with alcohol use. Median per-decade alcohol exposure peaked in the second decade and tapered with aging thereafter. Increasing LAE and decreasing TLFB were co-associated with a specific subset of health deficits.

conclusionLifetime alcohol use is positively associated with frailty among PLWH. Specific health deficits may discourage alcohol consumption in some PLWH.

Indexed as

AdultAgingAlcoholismBlack or African AmericanCross-Sectional StudiesFemaleFrailtyGlycerophospholipidsHIV InfectionsHumansLinear ModelsMaleMiddle AgedNew OrleansProspective StudiesSeverity of Illness IndexGlycerophospholipidsphosphatidylethanol

Identifiers

PMID31714352
PMCPMC6960033
OpenAlexW2988520187

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.