Evidence map›Paper›PMID 34342022›Full record

ArticleAlcoholism, clinical and experimental research2021

Alcohol use and dysglycemia among people living with human immunodeficiency virus (HIV) in the Alcohol & Metabolic Comorbidities in PLWH: Evidence Driven Interventions (ALIVE-Ex) study.

Stefany D Primeaux, Liz Simon, Tekeda F Ferguson, Danielle E Levitt, Meghan M Brashear, Alice Yeh, Patricia E Molina

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03299205 (Alcohol & Metabolic Comorbidities in PLWHA), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT03299205 nacompletednot on this map

Alcohol & Metabolic Comorbidities in PLWHA: Evidence Driven Interventions

TypeinterventionalSponsorLouisiana State University Health Sciences Center in New OrleansRan2017 to 2023Enrolled68ConditionsHIV/AIDS, Dysglycemia, Alcohol Use DisorderArmsExercise
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Hazardous alcohol use and cardiometabolic risk among firefighters.Alcohol, clinical & experimental research · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Skeletal muscle bioenergetic health and function in people living with HIV: association with glucose tolerance and alcohol use.American journal of physiology. Regulatory, integrative and comparative physiology · 2021
    Article
  10. Review
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

7 authors at 2 institutions in 1 country.

Stefany D PrimeauxDepartment of Physiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.ORCID 0000-0002-4323-681X
Liz SimonDepartment of Physiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.ORCID 0000-0003-4149-3406
Tekeda F FergusonComprehensive Alcohol-HIV/AIDS Research Center, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.ORCID 0000-0003-2880-4935
Danielle E LevittDepartment of Physiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.
Meghan M BrashearDepartment of Physiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.
Alice YehDepartment of Physiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.
Patricia E MolinaDepartment of Physiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.ORCID 0000-0002-3598-384X
Louisiana State University Health Sciences Center New Orleans · USPennington Biomedical Research Center · US

Funding

Translational Research/Education ComponentP60AA009803 · NIAAA · LSU HEALTH SCIENCES CENTER · PI DAVID A WELSH · 2004 to 2026
$42.6M
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 & Metabolic Comorbidities in PLWHA; Evidence-Driven InterventionsUH3AA026198 · NIAAA · LSU HEALTH SCIENCES CENTER · PI MOLINA, PATRICIA E. · 2019 to 2021
$1.1M
Alcohol & Metabolic Comorbidities in PLWHA; Evidence-Driven InterventionsUH2AA026198 · NIAAA · LSU HEALTH SCIENCES CENTER · PI MOLINA, PATRICIA E. · 2017 to 2018
$391k
NIAAA NIH HHS P50 AA009803NIAAA NIH HHS P60 AA009803NIAAA NIH HHS UH2 AA026198NIAAA NIH HHS UH3 AA026198
6 · The paper itself

Abstract

backgroundAt-risk alcohol use is a common and costly form of substance misuse that is highly prevalent among people living with HIV (PLWH). The goal of the current analysis was to test the hypothesis that PLWH with at-risk alcohol use are more likely to meet the clinical criteria for prediabetes/diabetes than PLWH with low-risk alcohol use.

methodsA cross-sectional analysis was performed on measures of alcohol and glycemic control in adult PLWH (n = 105) enrolled in a prospective, interventional study (the ALIVE-Ex Study (NCT03299205)) that investigated the effects of aerobic exercise on metabolic dysregulation in PLWH with at-risk alcohol use. The Alcohol Use Disorders Identification Test (AUDIT), Timeline Followback, and phosphatidylethanol (PEth) level were used to measure alcohol use. Participants were stratified into low-risk (AUDIT score < 5) and at-risk alcohol use (AUDIT  score ≥ 5). All participants underwent an oral glucose tolerance test and measures of glycemic control- the Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) and Matsuda Index - were correlated with alcohol measures and compared by AUDIT score group using mixed-effects linear and logistic regression models, adjusting for age, sex, race, body mass index (BMI), and viral load.

resultsIn response to the glucose challenge, participants with at-risk alcohol use (n = 46) had higher glucose levels and were five times more likely to meet criteria for prediabetes/diabetes (OR: 5.3 (1.8, 15.9)) than participants with an AUDIT score < 5. Two-hour glucose values were positively associated with AUDIT score and PEth level and a higher percentage of PLWH with at-risk alcohol use had glucose values ≥140 mg/dl than those with low-risk alcohol use (34.8% vs. 10.2%, respectively).

conclusionIn this cohort of PLWH, at-risk alcohol use increased the likelihood of meeting the clinical criteria for prediabetes/diabetes (2-h glucose level ≥140 mg/dl). Established determinants of metabolic dysfunction (e.g., BMI, waist-hip ratio) were not associated with greater alcohol use and dysglycemia, suggesting that other mechanisms may contribute to the impaired glycemic control observed in this cohort.

Indexed as

AdultAlcohol DrinkingAlcoholismBlood GlucoseCross-Sectional StudiesDiabetes ComplicationsExerciseFemaleGlucose Tolerance TestGlycemic ControlGlycerophospholipidsHIV InfectionsHumansInsulin ResistanceMaleMetabolic DiseasesBlood GlucoseGlycerophospholipidsphosphatidylethanolat-risk alcohol usedysglycemiaglycemic controlHIVOGTT

Identifiers

PMID34342022
PMCPMC8547613
OpenAlexW3187967349

What OpenQuestion holds

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Registered trials

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.