Diet quality of persons living with HIV/AIDS on highly active antiretroviral therapy

Duran, Ana Clara; Almeida, Luara Bellinghausen; Segurado, Aluísio Cotrim; Jaime, Patrícia Constante

doi:10.1111/j.1365-277x.2008.00886.x

Cited by 40 publications

(43 citation statements)

References 8 publications

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“…Cross-behavior regulation studies show that individuals who exercise consistently report better compliance with healthy diet practices [64]. Adults living with HIV are also reported to have poor diet quality, including higher fat consumption and lower fiber intake compared to HIV-uninfected adults [65,66]. Greater central obesity, a key factor modulated by diet, is associated with a higher rate of NCI in HIV-infected individuals [53].…”

Section: Discussionmentioning

confidence: 99%

A Longitudinal Analysis of the Impact of Physical Activity on Neurocognitive Functioning Among HIV-Infected Adults

et al. 2016

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Higher levels of physical activity (PA) have been linked to better neurocognitive functioning in many populations. The current study examines the longitudinal association between PA and neurocognitive functioning among HIV-infected and HIV-uninfected persons. Community-dwelling adults (N = 291) self-reported level of PA and completed a comprehensive neuropsychological battery at two to four study visits (Mean follow-up time = 2.6 years). Participants were divided into three PA groups: ''No PA'' (no PA at any visit), ''consistent PA'' (PA at C50% of visits), and ''inconsistent PA'' (PA \ 50% of visits). A mixed effect model, adjusting for significant covariates showed that all PA groups had statistically significant, yet modest, neurocognitive decline over time; and, the consistent PA group began with, and maintained, significantly better neurocognitive function compared to the other two PA groups. This effect was evident among both HIV-uninfected and HIV-infected persons, despite the fact that HIV-infected persons showed lower baseline neurocognitive function. PA is a modifiable lifestyle behavior that may help to protect against neurocognitive impairment regardless of HIV status, however, given the proportion of HIV-infected individuals who evidence neurocognitive difficulties, a focus on increasing PA seems warranted.Resumen La actividad física (AF) ha sido asociada con un mejor funcionamiento neurocognitivo en varios grupos. Este estudio examinó la asociación longitudinal entre la AF y el funcionamiento neurocognitivo en personas con y sin infección del VIH. Adultos viviendo en la comunidad (N = 291) proporcionaron información acerca de sus niveles de AF y completaron una batería neuropsicológica exhaustiva. Los participantes completaron entre dos y cuatro visitas relacionadas con el estudio (tiempo de seguimiento promedio = 2,6 años) y fueron divididos en tres grupos de AF: ''Ninguna AF'' (Ninguna AF durante todas las visitas del estudio), ''AF Consistente'' (AF durante 50% o más de las visitas del estudio), y ''AF Inconsistente'' (AF durante menos del 50% de las visitas del estudio). Un modelo estadístico mixto, ajustando por el efecto de variables externas, indicó que hubo una reducción estadísticamente significativa, pero poco pronunciada, en el funcionamiento neurocognitivo en todos los grupos. Además, el grupo con AF Consistente demostró un mejor funcionamiento neurocognitivo en comparación con los otros dos grupos de AF al comienzo del estudio, el cual se mantuvo durante el seguimiento. A pesar de que las personas con VIH demostraron un funcionamiento neurocognitivo más bajo al comienzo del estudio que las personas sin VIH, el efecto de AF fue demostrado en los dos grupos. Es importante recalcar que la AF es un factor de vida modificable que podría proteger contra los daños neurocognitivos independientemente de si las personas tienen o no VIH. Dada la proporción de personas con VIH que demuestran problemas neurocognitivos relacionados con esta enfermedad, será importante enfocar los esfuerzos ...

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Section: Discussionmentioning

confidence: 99%

A Longitudinal Analysis of the Impact of Physical Activity on Neurocognitive Functioning Among HIV-Infected Adults

et al. 2016

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“…or micronutrient deficiencies. In a study of Brazilian PLHIV on HAART, being overweight was associated with poorer diet quality [60]. This double burden of malnutrition and overweight/obesity is an emerging problem for PLHIV, particularly in middle income countries.…”

Section: Food Insufficiency Measuresmentioning

confidence: 99%

“…Studies that measure dietary diversity using analysis of food groupings have shown that HIV-positive people often have poor diet composition, often with high numbers of starchy foods and low numbers of protein and micronutrient-dense food [70,71]. For example, Duran et al [71] used repeat 24-h recalls and the Healthy Eating Index in 56 HIV-positive people living in Brazil.…”

Section: Dietary Diversity Measuresmentioning

confidence: 99%

“…For example, Duran et al [71] used repeat 24-h recalls and the Healthy Eating Index in 56 HIV-positive people living in Brazil. Mean scores were low for fruits and vegetables, dairy products, and dietary fiber.…”

Section: Dietary Diversity Measuresmentioning

confidence: 99%

“…An adapted HDDS has also been used in connection to studies of infants and children [68,78]. Studies that measure dietary diversity using analysis of food groupings have shown that HIV-positive people, not unlike other poor populations, often consume poor diets, characterized by high frequency of starchy foods and low frequency of protein and micronutrient-dense food types [60,70,79,80]. However, few if any studies compare the dietary diversity of HIV-positive and HIV-negative participants.…”

Section: Dietary Diversity Measuresmentioning

confidence: 99%

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Measuring Food and Nutrition Security: Tools and Considerations for Use Among People Living with HIV

et al. 2013

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As an increasing number of countries implement integrated food and nutrition security (FNS) and HIV programs, global stakeholders need clarity on how to best measure FNS at the individual and household level. This paper reviews prominent FNS measurement tools, and describes considerations for interpretation in the context of HIV. There exist a range of FNS measurement tools and many have been adapted for use in HIV-endemic settings. Considerations in selecting appropriate tools include subtypes (food sufficiency, dietary diversity and food safety); scope/level of application; and available resources. Tools need to reflect both the needs of PLHIV and affected households and FNS program objectives. Generalized food sufficiency and dietary diversity tools may provide adequate measures of FNS in PLHIV for programmatic applications. Food consumption measurement tools provide further data for clinical or research applications. Measurement of food safety is an important, but underdeveloped aspect of assessment, especially for PLHIV.

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Behavioral and Physical Activity Interventions for HAND

Montoya

Henry

Moore

2019

Neurocognitive Complications of HIV-Infection

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Diet quality of persons living with HIV/AIDS on highly active antiretroviral therapy

Abstract: Most of these adults living with HIV/AIDS had diets that required improvement, and being overweight was associated with poorer diet quality. Nutritional interventions aimed at maintaining healthy body weight and diet should be taken into account in caring for HIV-infected people.

Cited by 40 publications

References 8 publications

A Longitudinal Analysis of the Impact of Physical Activity on Neurocognitive Functioning Among HIV-Infected Adults

A Longitudinal Analysis of the Impact of Physical Activity on Neurocognitive Functioning Among HIV-Infected Adults

Measuring Food and Nutrition Security: Tools and Considerations for Use Among People Living with HIV

Behavioral and Physical Activity Interventions for HAND

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