Comparison of diet, muscle strength, steps per day and symptoms in people with HIV and HIV-negative peers.
Christine Horvat Davey, Vinh Trinh, Julie Schexnayder and 2 others
PMID 34888899WHAT IT FOUND
People with HIV walked fewer steps than matched peers, but symptom scores did not differ.
Among them, better diet quality, fiber, and grip strength were linked to better physical function; more steps were linked to more fatigue.
Key findings
01People with HIV consumed more fiber, took fewer steps, and did not differ from HIV-negative peers in PROMIS-29 symptom domains.
02Among people with HIV, better physical function was linked to higher diet quality, more fiber, and higher grip strength, while more steps were linked to more fatigue.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a secondary analysis of observational data, so it shows associations at one time point, not cause. It was done at one site and most participants were African American, so results may not apply to other groups. The authors did not account for potential clinical differences between the HIV-positive and HIV-negative groups. Some participants did not complete all measures, and missing data were statistically imputed. The fatigue finding was opposite to expectation, and the paper does not establish why.
Declared interests
The authors declared no conflicts of interest. The supplied publication types list NIH and non-U.S. government research support.
The easy way to misread this
Do not conclude that increasing steps, fiber, or grip strength will improve symptoms. These are cross-sectional associations, and more steps were linked to more fatigue among people with HIV, not less.