Skip to main content

Advertisement

SpringerLink
Log in

Regional Differences in Added Sweetener Knowledge, Consumption and Body Mass Index in People with HIV in the United States

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

This analysis of U.S.-based survey data reports regional differences (Northeast, Midwest, South, and West) in sweetener knowledge, consumption, and body mass index (BMI) among 877 people with HIV (PLWH; median age 54 years). BMI was lowest in the West and highest in the Midwest. Respondents in the West reported greater sweetener knowledge than in the Northeast, Midwest, and South. Respondents from the West reported lower sweetener consumption than the Midwest and South. Regional differences in BMI, sweetener knowledge, and consumption were demonstrated. Findings support consideration of regional differences when providing nutrition education.

Resumen

Ese analisis de los datos de la encuesta con sede en los Estados Unidos informa las diferencias regionales (noreset, medio oeste, sur, y oeste) en el conocimiento de los edulcorantes, el consumo, y el índice de masa coporal (IMC) entre 877 personas con VIH (PVVS; mediana de edad de 54 anos). El IMC fue más bajo en el oeste y más alto en el medio oeste. Los encuestados en el oeste informaron un mayor conocimiento de edulcorantes que el noreste, el medio oeste, y el sur. Los encuestados del oeste informaron un menor consumo de edulcorantes que el medio oeste y el sur. Se demostraron diferencias regionales en el IMC, el conocimiento de edulcorantes, y el consumo. Los hallazgos apoyan la consideración de las diferencias regionales al proporcionar educación nutritional.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Data Availability

All data are available from the corresponding author upon request.

References

  1. Koethe JR, Jenkins CA, Lau B, Shepherd BE, Justice AC, Tate JP, et al. Rising obesity prevalence and weight gain among adults starting antiretroviral therapy in the United States and Canada. AIDS Res Hum Retroviruses. 2016;32(1):50–8.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Obry-Roguet V, Bregigeon S, Cano CE, Lions C, Zaegel-Faucher O, Laroche H, et al. Risk factors associated with overweight and obesity in HIV-infected people: aging, behavioral factors but not cART in a cross-sectional study. Medicine (Baltimore). 2018;97(23): e10956.

    Article  PubMed  Google Scholar 

  3. Kileel EM, Dickins KA, Zheng H, Fitch KV, Looby SE. The Association of Distinct Social Determinants of Health with Added Sweetener Knowledge and Consumption in a US Sample of People Living with HIV. AIDS Behav. 2022;26(5):1552–61.

    Article  PubMed  Google Scholar 

  4. Azad MB, Abou-Setta AM, Chauhan BF, Rabbani R, Lys J, Copstein L, et al. Nonnutritive sweeteners and cardiometabolic health: a systematic review and meta-analysis of randomized controlled trials and prospective cohort studies. CMAJ. 2017;189(28):E929–39.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Barale M, Massano M, Bioletto F, Maiorino F, Pusterla A, Mazzetti R, et al. Sex-specific fat mass ratio cutoff value identifies a high prevalence of cardio-metabolic disorders in people living with HIV. Nutr Metab Cardiovasc Dis. 2022;32:8.

    Article  Google Scholar 

  6. Barbaro G, Fisher SD, Giancaspro G, Lipshultz SE. HIV-associated cardiovascular complications: a new challenge for emergency physicians. Am J Emerg Med. 2001;19(7):566–74.

    Article  CAS  PubMed  Google Scholar 

  7. Grinspoon S. Diabetes mellitus, cardiovascular risk, and HIV disease. Circulation. 2009;119(6):770–2.

    Article  PubMed  Google Scholar 

  8. Hall LN, Sanchez LR, Hubbard J, Lee H, Looby SE, Srinivasa S, et al. Aspartame intake relates to coronary plaque burden and inflammatory indices in human immunodeficiency virus. Open Forum Infect Dis. 2017;4(2):ofx083.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Tiozzo E, Konefal J, Adwan S, Martinez LA, Villabona J, Lopez J, et al. A cross-sectional assessment of metabolic syndrome in HIV-infected people of low socio-economic status receiving antiretroviral therapy. Diabetol Metab Syndr. 2015;7:15.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Andreyeva T. Large state variation in sugar-sweetened beverage purchases: what we learn from the beverage industry data. Curr Dev Nutr. 2021;5(12):nzab128.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kileel EM, Rivard C, Fitch KV, Looby SE. Eliciting perspectives of the key study population: an effective strategy to inform advertisement, content and usability of an online survey for a national investigation. Contemp Clin Trials Commun. 2020;19: 100585.

    Article  PubMed  PubMed Central  Google Scholar 

  12. United States Zip Codes. https://www.unitedstateszipcodes.org/zip-code-database/Accessed December 1, 2021.

  13. Centers for Disease Control and Prevention Adult Obesity Prevalence Maps 2020 https://www.cdc.gov/obesity/data/prevalence-maps.html Accessed December 1, 2021.

  14. Thompson-Paul AM, Wei SC, Mattson CL, Robertson M, Hernandez-Romieu AC, Bell TK, et al. Obesity among HIV-infected adults receiving medical care in the United States: data From the Cross-Sectional Medical Monitoring Project and National Health and Nutrition Examination Survey. Medicine (Baltimore). 2015;94(27): e1081.

    Article  PubMed  Google Scholar 

  15. Sax PE, Erlandson KM, Lake JE, McComsey GA, Orkin C, Esser S, et al. Weight gain following initiation of antiretroviral therapy: risk factors in randomized comparative clinical trials. Clin Infect Dis. 2020;71(6):1379–89.

    Article  CAS  PubMed  Google Scholar 

  16. Willig AL, Overton ET. Metabolic complications and glucose metabolism in HIV infection: a review of the evidence. Curr HIV/AIDS Rep. 2016;13(5):289–96.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Prada M, Saraiva M, Garrido MV, Rodrigues DL, Lopes D. Knowledge about sugar sources and sugar intake guidelines in Portuguese consumers. Nutrients. 2020;12(12):1–9.

    Article  Google Scholar 

  18. Tierney M, Gallagher AM, Giotis ES, Pentieva K. An online survey on consumer knowledge and understanding of added sugars. Nutrients. 2017;9(1):37.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Park S, Onufrak S, Sherry B, Blanck HM. The relationship between health-related knowledge and sugar-sweetened beverage intake among US adults. J Acad Nutr Diet. 2014;114(7):1059–66.

    Article  PubMed  Google Scholar 

  20. Park S, Pan L, Sherry B, Blanck HM. Consumption of sugar-sweetened beverages among US adults in 6 states: behavioral risk factor surveillance system, 2011. Prev Chronic Dis. 2014;11:E65.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Park S, McGuire LC, Galuska DA. Regional differences in sugar-sweetened beverage intake among US adults. J Acad Nutr Diet. 2015;115(12):1996–2002.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Kumar GS, Pan L, Park S, Lee-Kwan SH, Onufrak S, Blanck HM, et al. Sugar-sweetened beverage consumption among adults—18 states, 2012. MMWR Morb Mortal Wkly Rep. 2014;63(32):686–90.

    PubMed  PubMed Central  Google Scholar 

  23. Singh GK, Daus GP, Allender M, Ramey CT, Martin EK, Perry C, et al. Social determinants of health in the United States: addressing major health inequality trends for the Nation, 1935–2016. Int J MCH AIDS. 2017;6(2):139–64.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

This work was supported by the Nutrition and Obesity Research Center of Harvard, Pilot and Feasibility Grant: NIH Grant P30 DK40561. Conflicts of interest/Competing interests: Emma Kileel, Kirsten Dickins, and Jeff Blossom report no financial interests or potential related conflicts of interest. Kathleen V. Fitch has no disclosures to report. Sara E. Looby is a non-paid board member of the non-profit organization Healing Our Community Collaborative, Inc. Boston, MA, and has received 1-time speaker fees from the Association of Nurses in AIDS Care in 2017 and 2019, unrelated to this project.

Author information

Author notes

  1. Sara E. Looby and Kathleen V. Fitch have contributed equally to this work.

Authors and Affiliations

  1. Metabolism Unit, Massachusetts General Hospital, Boston, MA, USA

    Emma M. Kileel, Sara E. Looby & Kathleen V. Fitch

  2. Yvonne L. Munn Center for Nursing Research, Massachusetts General Hospital, Boston, MA, USA

    Kirsten A. Dickins & Sara E. Looby

  3. Center for Geographic Analysis, Harvard University, Cambridge, MA, USA

    Jeff Blossom

  4. Harvard Medical School, Boston, MA, USA

    Sara E. Looby & Kathleen V. Fitch

Authors
  1. Emma M. Kileel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kirsten A. Dickins
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jeff Blossom
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sara E. Looby
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kathleen V. Fitch
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

KVF and SEL were responsible for conceptualizing the study including development of the methodology, secured resources by obtaining grant funding, provided leadership, were responsible for supervision of the research staff, and wrote the original draft and oversaw revisions of the manuscript. KVF, SEL, EMK, and KAD contributed to the development of the study’s methodology, conducted the formal analysis including the development of coding associated with the software, and contributed to the original draft and revision of the manuscript. JB contributed to the original draft and revision of the manuscript and performed the geographic analysis by zip code.

Corresponding author

Correspondence to Kathleen V. Fitch.

Ethics declarations

Ethical Approval

All study procedures and materials were approved by the Mass General Brigham Institutional Review Board.

Consent to Participate

A description of the study was provided on the landing page for the online survey and consent was implied by survey completion. Identifiable information was not collected in the survey and participants did not receive remuneration for study participation.

Consent for Publication

All authors have reviewed the work and given consent for publication of this manuscript in AIDS and Behavior.

Clinical Trial Registration Number

Not applicable.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kileel, E.M., Dickins, K.A., Blossom, J. et al. Regional Differences in Added Sweetener Knowledge, Consumption and Body Mass Index in People with HIV in the United States. AIDS Behav 27, 816–822 (2023). https://doi.org/10.1007/s10461-022-03814-2

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-022-03814-2

Keywords

Search

Navigation