{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:00:23Z","timestamp":1781236823661,"version":"3.54.1"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,11,10]],"date-time":"2019-11-10T00:00:00Z","timestamp":1573344000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["R21 NR 015215"],"award-info":[{"award-number":["R21 NR 015215"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["T32 NR 7088"],"award-info":[{"award-number":["T32 NR 7088"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chronic Illness"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe correlates of fatigue and lack of energy symptoms in adults living with HIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults living with HIV were recruited if they were \u226545\u2009years old, unemployed, and reported either fatigue or lack of energy in the past week. HIV-associated correlates included CD4 cell count, viral load, and hemoglobin. Daytime correlates included physical activity, daytime sleepiness, napping behavior, and symptoms of anxiety and depression. Nighttime correlates included use of sleep medication, sleep duration, and sleep quality. Outcomes included physical and cognitive function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most (70%) of the 53 participants were male. The mean age was 56.7\u2009\u00b1\u20096.7\u2009years and participants had been living with HIV for a mean of 22\u2009\u00b1\u20096.4\u2009years. Controlling for all other factors, African Americans reported less fatigue and more energy than other racial\/ethnic groups. Lack of energy was associated with daytime napping and cognitive function. Fatigue was associated with shorter nighttime sleep duration, anxiety, and both physical and cognitive function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings highlight potential differences between lack of energy and fatigue that could influence intervention outcomes. Avoiding daytime naps and encouraging longer nighttime sleep may improve fatigue as well as physical and cognitive function in this chronic illness population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1742395319884110","type":"journal-article","created":{"date-parts":[[2019,11,11]],"date-time":"2019-11-11T00:08:06Z","timestamp":1573430886000},"page":"463-474","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Daytime and nighttime correlates of fatigue and lack of energy in adults living with HIV"],"prefix":"10.1177","volume":"17","author":[{"given":"SoSon","family":"Jong","sequence":"first","affiliation":[{"name":"Department of Family Health Care Nursing, University of California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5331-1740","authenticated-orcid":false,"given":"Kathryn A","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Family Health Care Nursing, University of California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caryl L","family":"Gay","sequence":"additional","affiliation":[{"name":"Department of Family Health Care Nursing, University of California, San Francisco, CA, USA"},{"name":"Lovisenberg Diakonale Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,11,10]]},"reference":[{"key":"bibr1-1742395319884110","unstructured":"Centers for Disease Control and Prevention. 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