Central obesity and dietary intake in HIV/AIDS patients

Jaime, Patrícia Constante; Florindo, Alex Antônio; Latorre, Maria do Rosário Dias de Oliveira; Segurado, Aluísio Cotrim

doi:10.1590/s0034-89102006000500012

Cited by 41 publications

(41 citation statements)

References 18 publications

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“…A high proportion of participants in the present study have developed abdominal obesity. This mirrors findings reported elsewhere [21][22]. The trend predisposes participants in the present study to cardiometabolic complications [23] in addition to the known health complications associated with the infection.…”

Section: Discussionsupporting

confidence: 89%

Body Composition of Adults Living with HIV in Two Cities in Ghana

Adom¹,

Boatin²,

Bansa³

et al. 2014

SJPH

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Background: Human immunodeficiency virus (HIV) infection affects nutrition through increases in restingenergy expenditure, reduction in food intake, nutrient malabsorption and loss, and complex metabolic alterations that culminates in weight loss and wasting common in acquired immune deficiency syndrome. This study sought to assess body composition of adults living with HIV. Methods: This cross-sectional study involved 63 adults living with HIV in two cities in Ghana. Socio-demographic information was obtained with a questionnaire. Body composition was measured with the deuterium dilution method and with anthropometry. Data analysis was done by SPSS version 16.0. Descriptive statistics and frequencies and percentages were calculated. The independent sample t-test was used for comparisons between groups. Differences were considered significant at p < 0.05. Results: Median (interquartile range) body mass index was within normal for both males (20.6, [18.9, 21.6 kg/m 2 ]) and females (21.6; [19.8, 24.9 kg/m 2 ]). Underweight (7.9%) and overweight (19.0%) were however prevalent. Males have significantly higher median fat free mass than females (52.7 kg versus 40.1 kg; p<0.0001) kg whereas females have a significantly higher fat mass (27.5% versus 12.2%; p<0.0001), and high abdominal obesity (49.0%). Almost 21% and 8% of participants have depleted fat free mass and fat mass respectively. Conclusion: The study demonstrates some level of malnutrition among the study participants. This underscores the importance of monitoring body composition in people living with HIV. Measurements of waist and hip circumferences should form part of the assessment tools. This will help in identifying those on antiretroviral treatment that are at risk of developing abdominal obesity and thereby supporting the need for modifying treatment regimens when necessary. In addition, regular screening for hypertension, diabetes and other indicators of metabolic abnormalities is recommended.

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Section: Discussionsupporting

confidence: 89%

Body Composition of Adults Living with HIV in Two Cities in Ghana

Adom¹,

Boatin²,

Bansa³

et al. 2014

SJPH

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“…22 The association between abdominal obesity and advanced age has been found in other studies with PLWHA. 8,9,23,26 The highest frequency of overweight in categories of more advanced ages was also found in the Brazilian population. 20 In this study, abdominal obesity was associated with higher income.…”

Section: Discussionmentioning

confidence: 74%

“…7,9,23 As for overweight, there was no association with females, unlike another two studies on PLWHA. 6,26 In the Brazilian population, however, the prevalence of overweight is very similar among both men and women. 20 The prevalence of overweight and abdominal obesity increases with age.…”

Section: Discussionmentioning

confidence: 99%

Overweight and abdominal obesity in adults living with HIV/AIDS

Castro

Silveira

Falco³

et al. 2016

Rev. Assoc. Med. Bras.

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Objective: To investigate the prevalence of overweight, abdominal obesity and associated factors in people living with HIV/AIDS (PLWHA). Method: Cross-sectional study with 270 PLWHA. A questionnaire was applied to investigate sociodemographic, clinical and lifestyle characteristics. Weight, height and waist circumference were measured. BMI ≥25 kg/m 2 was considered overweight, while abdominal obesity referred to waist circumference ≥102 cm for men and ≥88 cm for women. The authors used multiple Poisson regression with 5% significance level. Results: The prevalence of overweight and abdominal obesity was 33.7% and 12.6%, respectively, referring to 37.9% of women and 5.7% of men (p<0.001). Overweight was associated with age of 40-49 years and ≥50 years, non-use of ARV therapy, and lower tertile of consumption of risk foods. Abdominal obesity was associated with: female gender, age of 40-49 years and ≥50 years, income greater than four times the minimum wage, and CD4+ lymphocyte count >350 cells/mm³. Conclusion: There was a high prevalence of overweight and abdominal obesity associated with sociodemographic and clinical conditions, and consumption of risk foods. This scenario indicates the need for reorientation of the health care focus in this population.

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“…The complexity of HIV infection and its consequences reinforce the need of health-related actions to maintain the nutritional status of this group of patients. As the subjects of most Brazilian studies on this matter are patients of one single clinic, 13,14,17,18,19,20,21 and few include a higher number of clinics connected to a health care network 15,16,22,23 , the investigations on the nutritional status of HIV/ AIDS individuals, particularly those focusing on undernourishment, in a sample of patients attended in a public healthcare network with facilities broadly distributed over a geographic area, such as the one of the city of São Paulo, Brazil, may contribute for the understanding of this phenomenon.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with undernourishment among people 20 years old or over with HIV/AIDS, attending public health services in the São Paulo municipality, Brazil

Bassichetto

Bergamaschi

Garcia³

et al. 2014

Cad. Saúde Pública

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The study evaluated the nutritional status of 629 people living with HIV/AIDS attended at 12 specialized services of São Paulo's Municipal Health Department, Brazil. Data were obtained from medical records and through interviews during nutritional consultation. We used the classification criteria established by World Health Organization to assess malnourished individuals, a BMI < 18.5kg/m2. The prevalence of malnutrition in people with AIDS is 3.12 times that observed among people with HIV, and among people with co-infection it is 3.41 times that obtained among people without co-infection. This indicates how these conditions can harm the maintenance of the nutritional status, and shows that they demand a comprehensive understanding of the mechanisms involved in this phenomenon, as well as the development of strategies to improve the health care of individuals at nutritional risk.

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Central obesity and dietary intake in HIV/AIDS patients

Cited by 41 publications

References 18 publications

Body Composition of Adults Living with HIV in Two Cities in Ghana

Body Composition of Adults Living with HIV in Two Cities in Ghana

Overweight and abdominal obesity in adults living with HIV/AIDS

Factors associated with undernourishment among people 20 years old or over with HIV/AIDS, attending public health services in the São Paulo municipality, Brazil

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