Comprehensive Alcohol-HIV/AIDS Research Center, Louisiana State University Health Sciences Center, 1901 Perdido St, New Orleans, LA 70112 USA.
Louisiana State University Health Sciences Center, School of Public Health, Department of Epidemiology, 2020 Gravier St, New Orleans, LA 70112, USA.
Alcohol Alcohol. 2022 Mar 12;57(2):226-233. doi: 10.1093/alcalc/agab066.
To assess whether binge drinking and heavy alcohol use are associated with increased sugar and fat consumption among a Southern cohort of people living with HIV (PWH).
This was a cross-sectional analysis of PWH enrolled in the New Orleans Alcohol use in HIV (NOAH) Study (n = 215). Binge and heavy drinking were identified through a 30-day Alcohol Timeline-Followback and dietary intake was assessed through a 24-hour dietary recall.
Participants were 65.4% male, 83.3% Black, with a mean age of 49.2 ± 9.9. Heavy drinkers consumed more total calories than abstainers (P = 0.035) and low-to-moderate drinkers (P = 0.024), and binge drinkers consumed more calories than non-binge drinkers (P = 0.025). Binge and heavy drinkers had significantly higher intake of total and saturated fat in grams. However, substantially increased caloric intake among these participants led to non-significant associations for alcohol use with high total and saturated fat intake as a percent of total energy intake (%TEI). Binge drinkers had lower odds of consuming high sugar as a %TEI (odds ratio: 0.31 [0.14, 0.68]). Additionally, sugar intake predicted total and saturated fat intake, and this association was slightly higher among binge drinkers (total fat P-value: 0.12).
In this population of PWH, while binge and heavy drinking predicted higher caloric and fat intake in grams, binge drinkers were less likely to consume a high-sugar diet. This analysis suggests that interventions focused on reduced alcohol use may be especially beneficial in reducing metabolic disease burden in PWH if supplemented with information on incorporating lower energy-dense foods with reduced fat.
评估在南部感染艾滋病毒（HIV）人群中， binge drinking 和 heavy alcohol use 是否与糖和脂肪摄入量增加有关。
这是一项横断面分析，纳入了新奥尔良 HIV 饮酒研究（NOAH）中的 215 名 HIV 感染者。通过 30 天酒精时间线回溯法（Alcohol Timeline-Followback）确定 binge drinking 和 heavy alcohol use，通过 24 小时膳食回忆法（24-hour dietary recall）评估饮食摄入。
参与者中 65.4%为男性，83.3%为黑人，平均年龄为 49.2±9.9 岁。与不饮酒者（P=0.035）和低-中度饮酒者（P=0.024）相比，重度饮酒者摄入的总卡路里更多， binge drinkers 摄入的卡路里比 non-binge drinkers 更多（P=0.025）。 binge 和 heavy drinkers 的总脂肪和饱和脂肪摄入量明显更高。然而，这些参与者的卡路里摄入量显著增加，导致酒精摄入量与总脂肪和饱和脂肪摄入量的高比例与总能量摄入（%TEI）无显著关联。 binge drinkers 摄入高糖的可能性较低（比值比：0.31 [0.14, 0.68]）。此外，糖摄入量预测总脂肪和饱和脂肪摄入量， binge drinkers 中的这种关联略高（总脂肪 P 值：0.12）。
在本 HIV 感染者人群中， binge drinking 和 heavy alcohol use 虽然预测了更高的克数卡路里和脂肪摄入量，但 binge drinkers 更不可能摄入高糖饮食。这项分析表明，如果辅以关于摄入低能量密度、低脂肪食物的信息，那么以减少酒精使用为重点的干预措施可能特别有益于降低 HIV 感染者的代谢疾病负担。
