Poor diet quality among Brazilian adolescents with HIV/AIDS

Background: Although clinical manifestations of cardiovascular disease (CVD) are observed, usually in the adult stage of life, there is strong evidence that these disorders can begin in adolescence. Few people who get a moderate to high risk for CVD at this stage can reverse this situation as an adult, which makes the monitoring of risk factors important element for detecting predisposition to the development of CVD in this population. Dietary modifications should form the basis for prevention of CVD, may reflect favorable changes in measurable risk factors. Dietary indices, such as the Healthy Eating Index (HEI) has been valid strategies for monitoring the power of a given population, and verification of cause and effect relationships in epidemiological studies Methods:The present study aimed to analyze the association between quality of diet through the Brazilian Healthy Eating Index Revised(BHEI-R) and risk factors for cardiovascular diseases (CVD) in schoolchildren (N=1077) enrolled in the public school system, in the city of João Pessoa, Northeast Brazil. A cross-sectional study was performed and socio-demographic data and variables of risk factors for CVD were collected. Food intake was obtained from two 24h food recalls. Ordinal logistic regression was used to identify the variables associated with the BHEI-R (p<0.005).Results: Lower time spent on sedentary behavior (OR=1.39; 95%CI=1.03-1.87) and maternal level of education (OR=0.55; 95%CI=0.38-0.81) were associated with a higher BHEI-R score. There was an inadequate intake of "whole fruits" (1.2 points; SD=2.1), "whole cereals" This article is available at: www.intarchmed.com and www.medbrary.com 2 (1.3 points; SD=1.6), "milk and dairy products" (2.0 points; ST=3.0) and foods from the "solid fat and added sugar and alcohol" group (7.9 points; SD=6.3). Conclusions:The importance of providing guidance on the reduction in sedentary behavior and performing actions that promote healthy eating should be emphasized among adolescents.

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“…This score was similar to those found in the literature with Brazilian adolescents and in international studies [25,26].…”

Section: Discussionsupporting

confidence: 91%

Diet Quality And Risk Factors For Cardiovascular Diseases Among Adolescents From The Public Schools In A City In The Northeast Region Of Brazil

Coutinho

Arruda²,

Costa³

et al. 2016

Int Arch Med

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“…When analyzing the study outcomes and index scores, two studies did not include them 18,19 and 15 studies did not analyze them [11][12][13][14][20][21][22][23][24][25][26][27][28][29][30] . Study outcomes and index scores were found in 28 studies: seven of these evaluated the relationship of the index with socioeconomic and demographic factors and food items 17,[31][32][33][34][35][36] ; eight studies evaluated the relationship with socioeconomic factors and health [37][38][39][40][41][42][43][44] ; five studies evaluated the relationship with health outcomes [45][46][47][48][49] ; four studies evaluated the relationship with nutrients [50][51][52][53] ; two studies evaluated the relationship with some type of intervention 15,54 ; one study evaluated the relationship with nutrients and food items 55 ; and one study evaluated the relationship with socioeconomic and demographic factors …”

Section: Resultsmentioning

confidence: 99%

“…Some researchers use the term Healthy Eating Index [13][14][15][18][19][20][21]23,24,[27][28][29][30][31]33,34,[36][37][38]40,42,[45][46][47]50,[52][53][54] , while other studies refer to the Dietary Quality Index 11,12,17,22,25,26,32,35,39,41,43,44,48,49,51,55,56 . Some authors referred to using the Dietary Quality Index when they published in Brazilian journals and the Healthy Eating Index when they published in international journals, reinforcing the lack of standardization in relation to nomenclatures regarding indices.…”

Section: Discussionmentioning

confidence: 99%

Aspectos metodológicos da avaliação da qualidade da dieta no Brasil: revisão sistemática

Morais

Moraes

Silva

et al. 2017

Ciênc. saúde coletiva

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“…In a study by Ziegler et al (11) with a sample of young North American subjects, which compared food intake to DRIs recommendations, a low intake of micronutrients was also observed. Some studies report abnormalities in the nutritional status of patients living with AIDS and the importance of adequate nutritional therapy, nutrient deficiency being one of the most important issues in those patients since they present poor food intake and bear metabolic modifications, such as increased protein catabolism (12).…”

Section: Discussionmentioning

confidence: 99%

Las deficiencias más significativas de macro y micro nutrientes en adolescentes que viven con el VIH/sida en terapia anti-retroviral

Pereira¹,

Miraglia²,

Schmitz³

et al. 2016

Nutr Hosp

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ResumenObjetivo: identificar la ingestión alimentaria de macro y micronutrientes en adolescentes viviendo con VIH/sida que usan terapia anti-retroviral y compararlos a las Dietary Reference Intakes. Metodología: estudio transversal realizado con adolescentes de ambos sexos con VIH/sida, en el que se evaluó la composición dietética de macro y micronutrientes a través del recordatorio alimentario de 24h. Resultados: 39 adolescentes con una edad promedio de 15 años, un 51,3% del sexo masculino. Los participantes consumieron menos calorías totales en la dieta, fibra total (Los porcentajes de ingestión por debajo de lo recomendado representaron el 79,5% para las calorías, el 82,1% para la fibra total, el 89,7% para la vitamina A, el 100% para la vitamina D, el 87,2% para la vitamina E, el 100% para la vitamina K, el 71,8% para la vitamina B5, el 82,1% para la vitamina B9, el 76,9% para la vitamina C, el 92,3% para el calcio, el 61,5% para el fósforo, el 97,4% para el potasio y el 76,9% para el magnesio. Los participantes consumían más carbohidratos (g), proteínas (g), vitaminas B2 (mg/d), B3 (mg/d), B8 (mg/d) y sodio (g/d) de lo recomendado, representando porcentajes por encima de la ingestión del 92,3% para los hidratos de carbono, del 64,1% para las proteínas y la vitamina B2, del 56,4% para la vitamina B3, del 82,1% para la vitamina B8 y del 59% para el sodio. Los demás nutrientes estaban dentro de lo recomendado por las DRIs. Conclusión: el consumo alimentario fue inadecuado en comparación con lo recomendado por las Directrices Internacionales de Nutrición.The most significant deficiencies in macro and micro nutrients in adolescents living with HIV/AIDS in antiretroviral therapy was lower than recommended. The percentages of intake lower than recommended were 79.5% for calories, 82.1% for total fibers, 89.7% for vitamin A, 100% for vitamin D, 87.2% for vitamin E, 100% for vitamin K, 71.8% for vitamin B5, 82.1% for vitamin B9, 76.9% for vitamin C, 92.3% for calcium, 61.5% for phosphorus, 97.4% for potassium, and 76.9% for magnesium. The participants ingested more carbohydrates (g), proteins (g), vitamins B2 (mg/d), B3 (mg/d), B8 (mg/d) and sodium (g/d) than recommended, the percentages above the recommendations being 92.3% for carbohydrates, 64.1% for proteins and vitamin B2, 56.4% for vitamin B3, 82.1% for vitamin B8, and 59% for sodium. The remaining nutrients were within the amounts recommended by the DRIs.

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Poor diet quality among Brazilian adolescents with HIV/AIDS

Cited by 5 publications

References 16 publications

Diet Quality And Risk Factors For Cardiovascular Diseases Among Adolescents From The Public Schools In A City In The Northeast Region Of Brazil

Diet Quality And Risk Factors For Cardiovascular Diseases Among Adolescents From The Public Schools In A City In The Northeast Region Of Brazil

Aspectos metodológicos da avaliação da qualidade da dieta no Brasil: revisão sistemática

Las deficiencias más significativas de macro y micro nutrientes en adolescentes que viven con el VIH/sida en terapia anti-retroviral

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