Anthropometric, Biochemical Nutritional Status, and Dietary Intake of People with HIV Under Antiretroviral Treatment, Córdoba, Argentina
DOI:
https://doi.org/10.17533/udea.penh.v25n1a04Keywords:
HIV, antiretroviral therapy, nutritional status, macronutrients, micronutrientsAbstract
Background: Antiretroviral therapy (ART) improves the quality of life and survival of people with human immunodeficiency virus (HIV); however, its prolonged use generates long-term metabolic and hematological effects. Additionally, dietary aspects and the infection itself are involved. Objective: To analyze the nutritional status and intake of macro and micronutrients in people with HIV under this treatment. Materials and Methods: Descriptive, cross-sectional, and correlational study. Fifty-nine adults with HIV under ART with CD4 T lymphocytes ≥200/mm3 and without any other underlying pathology, who attended the infectious diseases service at Hospital Rawson in Córdoba, Argentina, during the period 2019-2020, participated. Demographic, biochemical (<12 months), ART initiation and current regimen, anthropometric nutritional status, and dietary intake data were recorded. Results: 57.6% were overweight; 25.4% had hypertriglyceridemia; 41.5% had low HDL cholesterol; and 27.6% had hyperglycemia. Excessive intake of calories (49.2%), lipids (54.3%), and sodium (57.6%), and deficient intake of potassium (44.1%), calcium (77.9%), zinc (20.3%), vitamins A (42.4%), and C (35.6%) were recorded in most individuals. Conclusion: The high prevalence of overweight/obesity along with lipid and glycemic alterations requires a comprehensive approach in which adequate nutrition complements ART.
Downloads
References
Naciones Unidas. Paz, dignidad e igualdad en un planeta sano. [Citado julio de 2023] [Internet]. Disponible en: https://www.un.org/es/globalissues/aids#:~:text=Acabar%20con%20la%20epidemia%20de%20sida%20para%202030%20es%20una,las%20Naciones%20Unidas%20en%202015
Ministerio de Salud. Boletín N.° 39 Respuestas al VIH y las ITS en la Argentina. Argentina: OPS/ONUSIDA. 2022. [Citado abril de 2023] [Internet]. Disponible en: https://bancos.salud.gob.ar/recurso/boletin-ndeg-39-respuesta-al-vih-y-las-its-en-laargentina
Sociedad Argentina de Infectología. VII Consenso Argentino de Terapia Antirretroviral 2018-2019. Argentina, 2018. [Citado diciembre de 2022] [Internet]. Disponible en: https://www.sadi.org.ar/publicaciones/item/771-vii-consenso-argentinode-terapia-antirretroviral-2018-2019
Castro-Sansores CJ, Santos-Rivero A, Lara-Perera D, González-Martínez P, Alonso-Salomón G, Góngora-Biachi MC. Hiperlipidemia e intolerancia a la glucosa en un grupo de pacientes infectados con VIH que reciben terapia antirretrovírica hiperactiva. Rev Salud Publ Mex. 2006;48(3):193-99. Disponible en: https://www.scielo.org.mx/pdf/spm/v48n3/29734.pdf
Godfrey C, Bremer A, Alba D, Apovian C, Koethe JR, Koliwad S et al. Obesity and FatMetabolism in Human Immunodeficiency Virus-Infected Individuals: Immunopathogenic Mechanisms and Clinical Implications. J Infect Dis. 2019;220(3):420-31. https://doi.org/10.1093/infdis/jiz118
Ortíz DW, Marroquín HE, Larson L, Franco KB, Spec A, Melendez JR et al. Metabolicsyndrome in peoplewith HIV from Guatemala: Analysis of components and riskfactors. Int J STD AIDS. 2022;33(11):987-94. http://dx.doi.org/10.1177/09564624221119321
Bailin SS, Gabriel CL, Wanjalla CN, Koethe JR. Obesity and Weight Gain in Persons with HIV. Curr HIV/AIDS Rep. 2020;17(2):138-50. http://dx.doi.org/10.1007/s11904-020-00483-5
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 Perú Med Exp Salud Pública. 2017;34(2):239-44. http://dx.doi.org/10.17843/rpmesp.2017.342.2587
Bujanos-Buenrostro I, Rivera-Morales IM, Ramos-Jiménez J, Erthard-Ramírez A. Lipodistrofia asociada a VIH y sus complicaciones metabólicas. Enf Infec Microbiol. 2013;34(2):54-8. Disponible en: https://www.medigraphic.com/pdfs/micro/ei-2014/ei142c.pdf
Mehta S, Finkelstein JL, eds. Nutrition and HIV: Epidemiological Evidence to PublicHealth. New York (NY): CRC Press; 2018. https://doi.org/10.1201/9781351058193
Instituto Nacional de estadísticas y Censo. 4° Encuesta Nacional de Factores de Riesgo. Resultados definitivos. Argentina, 2019. [Citado diciembre de 2022] [Internet]. Disponible en: https://www.indec.gob.ar/ftp/cuadros/publicaciones/enfr_2018_resultados_definitivos.pdf
Fernández GL, Del Vo MF, Balbo JA, Sánchez RJ, Oberto MG. Valoración de la ingesta de macronutrientes, actividad física y estado nutricional de adultos con VIH en Córdoba, Argentina. Rev Fac Cien Med Univ Nac Córdoba. 2020;77(3):182-86. http://dx.doi.org/10.31053/1853.0605.v77.n3.24046
Whitehead Jr RD, Mei Z, Mapango C, Jefferds MED. Methods and analyzers for hemoglobin measurement in clinical laboratories and field settings. Ann N Y Acad Sci. 2019;1450(1):147-71. https://doi.org/10.1111/nyas.14124
ICSH recommendations for measurement of erythrocyte sedimentation rate. International Council for Standardization in Haematology (Expert Panel on Blood Rheology) Journal of Clinical Pathology. 1993;46:198-203. http://dx.doi.org/10.1136/jcp.46.3.198
Executive Summaryofthethirdreportofthe Nacional Coleste-rol EducationProgram (NCEP). Expert Panel on Detection, Evaluation, and Treatment of High Blood Colesterol in Adults (AdultTreatment Panel III). JAMA 2001;285(19):2486-97. http://dx.doi.org/10.1001/jama.285.19.2486
Asociación Latinoamericana de Diabetes. Guías ALAD sobre el Diagnóstico, Control y Tratamiento de la Diabetes Mellitus Tipo 2 con Medicina Basada en la Evidencia. Rev ALAD. 2019. México. [Citado diciembre de 2022] [Internet]. Disponible en: https://www.revistaalad.com/guias/5600AX191_guias_alad_2019.pdf
Sociedad Argentina de Hematología. Guías de diagnóstico y tratamiento. Argentina, 2019. [Citado diciembre de 2022] [Internet]. Disponible en: http://www.sah.org.ar/docs/2019/Guia_2019-completa.pdf
World Health Organization, Physical status: the use and interpretation of anthropometry. Reportof a WHO Expert Committee. Geneva World Health Organization; 1995. Technical report: 854:427-31. [Citado octubre de 2022] [Internet]. Disponible en: https://apps.who.int/iris/handle/10665/37003
Mendizábal J. Manual Merck de Diagnóstico y Tratamiento,10.a ed. Madrid: Ediciones Hartcout, 1999.
Perovic NR, Defagó MD, Aguinaldo A, Joekes S, Actis AB. Validity and reproducibility of a food frequency questionnaire to asses lipid and phytochemical intake. Rev Fac Cien Med Univ Nac Córdoba. 2015; 2(2):69-77. Disponible en: https://revistas.unc.edu.ar/index.php/med/article/view/10113
Vázquez M, Witriw A. Modelos visuales de alimentos y tablas de relación peso/volumen. Buenos Aires: Universidad de Buenos Aires; 1997, pp. 1-41.
Moreiras O, Carbajal A, Cabrera L, Cuadrado C. Tablas de composición de alimentos, 14.a ed. Madrid: Ediciones Pirámide; 2010. pp. 270-78.
Health Organization, Nutrientre quirements for people living with HIV/AIDS: report of a technical consultation. Geneva. Switzerland. 2003. [Citado octubre de 2022] [Internet]. Disponible en: https://apps.who.int/iris/handle/10665/42853
Food and Nutrition Board. Institute of Medicine. Dietary reference intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. 2001 [Citado abril de 2023]. Disponible en: https://www.nap.edu/read/10026/chapter/1
Food and Nutrition Board. Institute of Medicine. Dietary Reference Intakes for Sodium and Potassium, 2019. [Citado abril de 2023]. Disponible en: https://www.nap.edu/read/25353/chapter/1
Food and Nutrition Board. Institute of Medicine. Dietary Reference Intakes for Calcium and Related Nutrients, 1997. [Citado abril de 2023]. Disponible en: https://www.nap.edu/read/5776/chapter/1
Food and Nutrition Board. Institute of Medicine. Dietary Reference Intakes for Vitamins C, E, Selenium and Carotenoids, 2000 [Citado abril de 2023]. Disponible en: https://www.nap.edu/read/9810/chapter/1
Vargas-Zárate M, Becerra Bulla F, Prieto Suárez E. Evaluación de la ingesta dietética en estudiantes universitarios. Bogotá, Colombia. Rev Salud Pública, 2010;12(1):116-25. Disponible en: https://www.redalyc.org/pdf/422/42219010011.pdf
Bhagwat P, Ofotokun I, McComsey G, Brown T, Moser C, Sugar CA, et al. Changes in Waist Circumference in HIV-Infected Individuals Initiating a Raltegavir or Protease Inhibitor Regimen: Effects of Sex and Race. Open Forum Infect Dis. 2018;5(11): ofy201. http://dx.doi.org/10.1093/ofid/ofy201
Nduka CU, Uthman OA, Kimani PK, Stranges S. Body Fat Changes in People Living with HIV on Antiretroviral Therapy. AIDS Rev. 2016;18(4):198-211. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27438580
Oliveira N, Guimarães N, La-Santrer E, Figueiredo S. Anthropometric measures as indicator sof the nutritional status of people living with HIV. Rev chil nutr. 2019;46(6):753-60. http://dx.doi.org/10.4067/S0717-75182019000600753
Ministerio de Salud y Desarrollo Social. 2° Encuesta Nacional de Nutrición y Salud. Resumen Ejecutivo. Argentina, 2019. [Citado diciembre de 2022] [Internet]. Disponible en: https://bancos.salud.gob.ar/sites/default/files/2020-01/encuesta-nacnutricion-salud_resumen-ejecutivo.pdf
Galindo J, Tello-Bolívar IC, Montaño-Agudelo D, Mueses-Marín HF. Conocimientos, actitudes y prácticas frente a la alimentación de personas con VIH/SIDA y su relación con síndrome metabólico, Cali-Colombia. Perspect Nutr Humana. 2015;17:20-35. http://dx.doi.org/10.17533/udea.penh.v17n1a03
Linares-Guerra EM, León-Sánchez MA, Santana-Porbén S, González-Gutiérrez T. Factores relacionados con los cambios longitudinales de la adiposidad corporal en personas con VIH/SIDA. Rev Ciencias Médicas. 2020;24(1):e4147. Disponible en: http://revcmpinar.sld.cu/index.php/publicaciones/article/view/4147
Beraldo RA, Santos APD, Guimarães MP, et al. Body fatre distribution and changes in lipid and glucose metabolism in people living with HIV/AIDS. Redistribuição de gordura corporal e alterações no metabolismo de lipídeos e glicose em pessoas vivendo com HIV/AIDS. Rev Bras Epidemiol. 2017;20(3):526-36. http://dx.doi.org/10.1590/1980-5497201700030014
Arrive E, Viard JP, Salanave B, Dollfus C, Matheron S, Reliquet V, et al. Metabolic risk factors in Young adults infected with HIV since childhood compared with the general population. PLoS One. 2018;13(11):e0206745. https://doi.org/10.1371/journal.pone.0206745
Kerkhoff AD, Lawn SD, Schutz C, Burton R, Boulle A, Cobelens FJ, et al. Anemia, Blood Transfusion Requirements and Mortality Risk in Human Immunodeficiency Virus-Infected Adults Requiring Acute Medical Admissionto Hospital in South Africa. Open Forum Infect Dis. 2015;2(4):ofv173. https://doi.org/10.1093/ofid/ofv173
Obeagu EI, Obeagu GU, Ukibe NR, Oyebadejo SA. Anemia, iron, and HIV: decoding theinterconnected pathways: A review. Medicine (Baltimore). 2024;103(2):e36937. https://doi.org/10.1097/MD.0000000000036937
Shah KK, Verma R, Oleske JM, Scolpino A, Bogden JD. Essential trace elements and progression and management of HIV infection. Nutr Res. 2019;71:21-9. https://doi.org/10.1016/j.nutres.2019.08.001
Flores-Lopez G, Flores-Arenales I. Suplementación nutricional, ganancia ponderal en pacientes con VIH/SIDA. Rev Salud Jalisco 2020;7:58-61. https://www.medigraphic.com/pdfs/saljalisco/sj-2020/sj201j.pdf
Wilkinson AL, Huey SL, Mehta S. Antioxidants and HIV/AIDS: Zinc, Selenium, and Vitamins C and E. En: Mehta S, Finkelstein JL, eds. Nutrition and HIV. Nueva York (NY): CRC Press, 2018. https://doi.org/10.1201/9781351058193-5
Maywald M, Rink L. Zinc in Human Health and Infectious Diseases. Biomolecules. 2022;12(12):1748. https://doi.org/10.3390/biom12121748
Rodríguez Toro E. Impacto de la deficiencia de micronutrientes en pacientes con VIH/sida. Rev. de la Asociación Colombiana de Infectología. 2007;11(2):78-86.
Read SA, Obeid S, Ahlenstiel C, Ahlenstiel G. The Role of Zinc in Antiviral Immunity. Adv Nutr. 2019; 10(4):696-710. https://doi.org/10.1093/advances/nmz013
Mehta S, Fawzi W. Effects of vitamins, including vitamin A, on HIV/AIDS patients. Vitam Horm. 2007;75:355-83. https://doi.org/10.1016/S0083-6729(06)75013-0
Visser ME, Durao S, Sinclair D, Irlam JH, Siegfried N. Micronutrient supplementation in adults with HIV infection. Cochrane Database Syst Rev. 2017;18;5(5):CD003650. https://doi.org/10.1002/14651858.CD003650
Makinde O, Rotimi K, Ikumawoyi K, Adeyemo V, Olayemi S. Effects vitamin A and vitamin C supplementationon oxidative stress in HIV and HIV-TB co- infection at Lagos UniversityTeaching Hospital (LUTH) Nigeria. AFR HealthSci. 2017;17(2):308-14.
Jones CY, Tang AM, Forrester JE, Huang J, Hendricks KM, Knox TA, Spiegelman D, Semba RD, Woods MN. Micronutrient levels and HIV disease status in HIV-infected patients on highly active antiretroviral therapy in the Nutrition for Healthy Living cohort. J Acquir Immune Defic Syndr. 2006; 43(4):475-82. https://doi.org/10.1097/01
Ruiz-Henao GI, Arenas-Quintero HM, Estrada-Álvarez JM, Villegas-Muñoz Y. Trastornos de la densidad mineral ósea en personas con VIH en tratamiento antirretroviral Pereira-Risaralda-Colombia. Infect. 2017;21(4):208-13. https://doi.org/10.22354/in.v21i4.683
Overton ET, Chan ES, Brown TT, Tebas P, McComsey GA, Melbourne KM et al. Vitamin D and Calcium Attenuate Bone Loss With Antiretroviral Therapy Initiation: A Randomized Trial. Ann Intern Med. 2015;162(12):815-24. https://doi.org/10.7326/M14-1409
Kwok K, Olatunbosun C, Ready E, et al. Risk Factors, Screening, Diagnosis, and Treatment of Osteoporosis in HIV-Infected Adults in an HIV Primary Care Clinic. Can J Hosp Pharm. 2022;75(3):178-85. https://doi.org/10.4212/cjhp.3144
Mangili A, Gerrior J, Tang AM, O’Leary DH, Polak JK, Schaefer EJ, et al. Riskof Cardiovascular Disease in a Cohort of HIV Infected Adults: A Study Using Carotid Intima-Media Thickness and Coronary Artery Calcium Score. Clin Infect Dis. 2006;43(11):1482-89. https://doi.org/10.1086/509575
Deossa-Restrepo GC, Restrepo-Betancur LF, Velásquez JE. Conocimientos y uso del sodio en la alimentación de los adultos de Medellín (Colombia). Perspect Nut Hum. 2017; 19(1): 55-65. https://doi.org/10.17533/udea.penh.v19n1a05
Sepulveda RT, Watson RR. Treatment of antioxidant deficiencies in AIDS patients. Nutr Research. 2002; 22:27-37. https://doi.org/10.1016/S0271-5317(01)00355-4
Weiss JJ, Sanchez L, Hubbard J, Lo J, Grinspoon SK, Fitch KV. Diet QualityIs Low and Differsby Sex in People with HIV. J Nutr. 2019;149(1):78-87. https://doi.org/10.1093/jn/nxy241
Cinque F, Cespiati A, Lombardi R, Guaraldi G, Sebastiani G. Nutritional and Lifestyle Therapy for NAFLD in People with HIV. Nutrients. 2023;15(8):1990. https://doi.org/10.3390/nu15081990
Ministerio de Salud de la Nación. Guías Alimentarias para la Población Argentina, Buenos Aires; 2016, pp 25-9.
Polo R., Gómez-Candela C., Miralles C., Locutura J., Álvarez J., Barreiro F. et al Recommendations from SPNS/GEAM/SENBA/SENPE/AEDN/SEDCA/GESIDA on nutrition in the HIV-infected patient. Nutr Hosp. 2007;22(2):229-43. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112007000200014&lng=es&tlng=en
Visser ME, Durao S, Sinclair D, Irlam JH, Siegfried N. Micronutrient supplementation in adults with HIV infection. Cochrane Database Syst Rev. 2017;5(5):CD003650. https://doi.org/10.1002/14651858
Downloads
Published
How to Cite
Issue
Section
License
Derechos de autor 2024 Universidad de Antioquia