Assessment of the intake of macronutrients, physical activity and nutritional status of adults with hiv in córdoba, argentina
DOI:
https://doi.org/10.31053/1853.0605.v77.n3.24046Keywords:
VIH, macronutrients, physical activity, body mass indexAbstract
Introduction: HIV infection is one of the main public health problems worldwide and more than 30 years after the description of the first case of acquired immunodeficiency syndrome (AIDS), a stage that reflects the final clinical expression with the consequent destruction of the immune system, its impact on health systems is very important. A balanced diet and the regular practice of physical activity contribute to maintaining an adequate nutritional status, which together with highly active antiretroviral treatment (HAART) delay the development of the disease
Objective: to analyze whether intake of macronutrient and physical activity are associated with the nutritional status of patients with HIV under HAART.
Methods: were included 31 adults of both sexes with HIV under HAART without prior comorbidity, willing to participate with consent and assisted in a Private Clinic of Córdoba Capital city between 2016-2017. The lipid and glycemic profiles were recorded from the medical records. Were assessed the body mass index (BMI), macronutrient intake and physical activity Fisher was applied with p <0.05.
Results: Fifteen patients (48.4%) presented normal BMI and 14 (45.2%) overweight/obesity. The average percentage distribution of macronutrient intake was adequate. Twelve patients (38.7%) performed 60 min/day to light activities and 11 (35.5%) to moderate/vigorous activities.
No association was found between nutritional status and physical activity level, nor between nutritional status and macronutrient consumption.
Conclusion: The prevalence of overweight/obesity and low levels of physical activity are similar to the general population.
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1. Dirección de SIDA y Enfermedades de Transmisión Sexual. Ministerio de Salud de la Nación. Boletín sobre VIH-SIDA e ITS en la Argentina. 2016, año XIX, N° 33, p 8.
2. Fernández Argüelles RA, Gutiérrez Rentería CC, Castro MP, Flores García A, Cancino Marentes ME. Síndrome de lipodistrofia en pacientes con VIH/sida que reciben terapia antirretroviral de gran actividad en Tepic, México. Rev Cubana Farm. 2012; 46: 202-212.
3. Dutra CD, Libonati RM. Abordagem metabólica e nutricional da lipodistrofia em uso da terapia anti-retroviral. Rev Nutr. 2008; 21: 439-446.
4. Agostini M, Lupo S, Palazzi J, Marconi L, Masante L. Dieta y ejercicio físico aeróbico sistematizado: tratamiento no farmacológico de la lipodistrofia en pacientes VIH positivos bajo tratamiento antirretroviral de alta eficacia. Rev Med Rosario. 2009; 75: 10-15.
5. Organización Panamericana de la Salud. Tratamiento antirretroviral bajo la lupa: un análisis de salud pública en Latinoamérica y el Caribe 2013. Washington. 2013.
6. Ngala RA, Fianko K. Dyslipidaemia and dysglycaemia in HIV-infected patients on highly active anti-retroviral therapy in Kumasi Metropolis. Afr Health Sci. 2013; 13:1107–1116.
7. Castro Sansores C, Santos Rivero A, Salazar Rendón JC, Díaz Rodríguez I, Góngora Biachi R, González Martínez P. Síndrome de lipodistrofia en pacientes con infección por VIH que reciben tratamiento antirretroviral. Med Int Mex. 2008; 24:8-15.
8. Rondan PL, Flores-Flores O, Doria NA, Valencia-Mesias G, Chávez-Pérez V, Soria J. Elevada frecuencia de dislipidemia en pacientes infectados por VIH en un hospital público peruano. Rev Peru Med Exp Salud Pública. 2017; 34(2):239-44.
9. Massip T, Nicot G, Massip J, Valdés A, Pimienta A. Evaluación nutricional de personas con VIH/SIDA. Rev Chil Nutr. 2015; 42 (2):131-138.
10. Botros D, Somarriba G, Neri D, Miller TL. Interventions to address chronic disease and HIV: strategies to promote exercise and nutrition among HIV-infected individuals. Curr HIV/AIDS Rep. 2012; 9(4):351-363
11. Stone N, Robinson J, Lichtenstein A, et al. National Cholesterol Education Program. Rev Am J Cardiol. 2012; 110: 307-313.
12. Guías ALAD sobre el Diagnóstico, Control y Tratamiento de la Diabetes Mellitus Tipo 2 con Medicina Basada en la Evidencia. 2013
13. Mendizábal J. Manual Merck de Diagnóstico y Tratamiento. 10a edición. Ediciones Hartcout. Madrid, España. 1999.
14. Soriano de Castillo JM. Nutrición Básica Humana. Ed. Universidad de Valencia. 2011, p 376-382.
15. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. 2002, 106(25):3143-3421.
16. Vázquez M, Witriw A. Manual de Modelos visuales de alimentos. 1a ed.. Buenos Aires, Argentina. 1997.
17. Barr SI, Murphy SP, Agurs-Collins TD, Poos MI. Planning diets for individuals using the dietary reference intakes. Nutr Rev. 2003; 61:352-60.
18. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35:1381-95
19. Guevara FO, Cañón B, Liévano MC, Lombo B, Rendón I, Blanco F. Prevalencia de síndrome metabólico en pacientes infectados con VIH. Utilizando los criterios del ATP III y de la IDF. Acta Médica Colombiana. 2008; 33(4): 282-288.
20. Zayas Torriente M et al. Estado nutricional de las personas con VIH/SIDA asistidas por el sistema de atención ambulatoria. Rev Cub Aliment Nutr. 2009; 9 (1):106-114.
21. Videla Muñoz M, Leiva Martínez T, Valenzuela Avedaño C. Propuesta de protocolo de atención nutricional para pacientes viviendo con VIH sin terapia antirretroviral, atendidos en el centro
de referencias diagnosticas del Hospital San Martin de Quillota. Nutr Hosp. 2015; 31: 980-987.
22. Hasse B, Ledergerber B, Furrer H, et al. Morbidity and aging in HIV-infected persons: the Swiss HIV cohort study. Clin Infect Dis. 2011; 53: 1130-9.
23. Salman P, Stehr C, Daube E, Pavez N, Peña C et al. Caracterización de los pacientes diabéticos y prediabéticos portadores de VIH en hospital terciario de Concepción. Rev chil endocrinol diabetes 2017; 10 (1).
24. Calza L, Masetti G, Piergentelli B, et al. Prevalence of diabetes mellitus, hyperinsulinemia and metabolic síndrome among 755 adults patients with HIV-1 infection. Int J STD AIDS. 2011: 22: 43-5.
25. Mehta R et al. Epidemiología de las anormalidades metabólicas en pacientes con infección por VIH. Rev. Invest. Clín. 2004; 56 (2): 209-221.
26. Galli L, Salpietro S, Pellicciotta G, et al. Risk of type 2 diabetes among HIV-infected and healthy subjects in Italy. Eur J Epidemiol. 2012; 27: 657-65.
27. Rocha PB, Schuch I. Perfi l alimentar e nutricional dos pacientes HIV positivo atendidos em um serviço público de saúde de Porto Alegre. Rev. Soc. Bras. Alim. Nutr. 2009; 34: 1-15
28. Giudici KV, Duran AC, Jaime PC. Inadequacao do consumo alimentar em adultos vivendo com HIV. Sao Paulo Med. J. 2013; 131: 145-152.
29. Izquierdo Villarroyal B, Celaya Pérez S, Amiguet García J. Encuesta dietética y valoración de los nutrientes ingeridos en un grupo de pacientes VIH. Nutr Hosp. 2002, 17: 97-106
30. Samaras K, Wand H, Law M, Emery S, Cooper D, Carr A. Dietary intake in HIV-infected men with lipodystrophy: relationships with body composition, visceral fat, lipid, glucose and adipokine metabolism. Current HIV Research. 2009; 7: 456-461
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