Evidence map›Paper›PMID 42865439›Full record

ArticleFrontiers in nutrition2026

Caregiver burden and malnutrition in patients with HIV-associated lymphoma: indirect pathways via symptom distress and family closeness, and a test of resilience as a mediator.

Tingting Liu, Jing Lv, Luxiang Xu, Yu Peng, Chaoyu Wang, Xiaomei Zhang, Qing Xiao, Jun Li, Zhaoli Zhang, Yao Liu

Abstract read
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Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

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10 authors.

Tingting LiuDepartment of Hematology-Oncology, Hematologic Oncology Intelligent Diagnosis and Treatment Engineering Research Center of Chongqing Education Commission of China, Chongqing University Cancer Hospital, Chongqing, China.
Jing LvDepartment of Hematology-Oncology, Hematologic Oncology Intelligent Diagnosis and Treatment Engineering Research Center of Chongqing Education Commission of China, Chongqing University Cancer Hospital, Chongqing, China.
Luxiang XuDepartment of Hematology-Oncology, Hematologic Oncology Intelligent Diagnosis and Treatment Engineering Research Center of Chongqing Education Commission of China, Chongqing University Cancer Hospital, Chongqing, China.
Yu PengDepartment of Hematology-Oncology, Hematologic Oncology Intelligent Diagnosis and Treatment Engineering Research Center of Chongqing Education Commission of China, Chongqing University Cancer Hospital, Chongqing, China.
Chaoyu WangDepartment of Hematology-Oncology, Hematologic Oncology Intelligent Diagnosis and Treatment Engineering Research Center of Chongqing Education Commission of China, Chongqing University Cancer Hospital, Chongqing, China.
Xiaomei ZhangDepartment of Hematology-Oncology, Hematologic Oncology Intelligent Diagnosis and Treatment Engineering Research Center of Chongqing Education Commission of China, Chongqing University Cancer Hospital, Chongqing, China.
Qing XiaoDepartment of Hematology-Oncology, Hematologic Oncology Intelligent Diagnosis and Treatment Engineering Research Center of Chongqing Education Commission of China, Chongqing University Cancer Hospital, Chongqing, China.
Jun LiDepartment of Hematology-Oncology, Hematologic Oncology Intelligent Diagnosis and Treatment Engineering Research Center of Chongqing Education Commission of China, Chongqing University Cancer Hospital, Chongqing, China.
Zhaoli ZhangNursing Department, Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital, Chongqing, China.
Yao LiuDepartment of Hematology-Oncology, Hematologic Oncology Intelligent Diagnosis and Treatment Engineering Research Center of Chongqing Education Commission of China, Chongqing University Cancer Hospital, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: Malnutrition is a frequent and clinically significant complication in patients with HIV-associated lymphoma, adversely affecting treatment tolerance, prognosis, and quality of life. Although disease-related and immunological determinants of malnutrition have been widely reported, the potential psychosocial pathways-particularly the role of caregiver burden-in patients with HIV-associated lymphoma remain insufficiently characterized. This study aimed to identify key determinants of malnutrition and to examine whether caregiver burden exerts indirect effects through symptom distress and psychosocial factors. Methods: This single-center cross-sectional study included 200 patients with HIV-associated lymphoma and their family caregivers. Nutritional status was assessed using the Patient-Generated Subjective Global Assessment (PG-SGA), with the total score analyzed as a continuous outcome. Symptom burden, caregiver burden, psychological resilience, and family closeness were assessed using standardized instruments. Univariable and multivariable linear regression analyses were conducted using HC3 heteroscedasticity-consistent inference. Indirect statistical associations were examined using bootstrap analyses, followed by exploratory subgroup and sensitivity analyses. Results: Higher symptom burden and IPI risk were associated with higher PG-SGA total scores, whereas higher CD4 + T-cell counts and serum albumin concentrations were associated with lower scores (all Conclusion: Nutritional status in patients with HIV-associated lymphoma was associated mainly with symptom burden, immune status, serum albumin, and lymphoma prognostic risk. Caregiver burden showed neither an independent association with PG-SGA score nor a confirmed indirect association through symptom burden. Larger multicenter longitudinal studies are needed to clarify the temporal relationships among caregiver burden, psychosocial factors, and nutritional status.

Indexed as

caregiver burdenfamily closenessHIV-associated lymphomamalnutritionpsychosocial factorsresiliencesymptom distress

Identifiers

PMID42865439
PMCPMC13654734

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