Alcohol, nutrition and lifestyle factors in AIDS

Authors

  • Amanda Fernandes Oliveira de Souza Universidade Federal de Pernambuco
  • Vitor Coêlho Silva Brandão Universidade Federal de Pernambuco
  • Regiane Maio Universidade Federal de Pernambuco
  • Maria Goretti Pessoa de Araújo Burgos Universidade Federal de Pernambuco

Keywords:

Alcohol Drinking, Nutritional Status, AIDS

Abstract

Introduction: Alcohol consumption is the most common form of drug abuse in Brazil. In patients with HIV/AIDS, frequent ingestion of high doses of alcohol is associated with a negative outcome in treatment. Objective: Assessment of the consumption of financial companies in the use of companies, ART and consumption with clinics, and lifestyle Methods: cross-sectional study, series of cases, carried out at the Outpatient Clinic for Infectious-Parasitic Diseases of a university hospital in Northeast Brazil. Demographic and socioeconomic variables, time since AIDS diagnosis, clinical characteristics and life habits were analyzed; in anthropometry, Body Mass Index (BMI), Waist Circumference (WC) and Waist/Height Ratio (WHR) were used. Results: 144 individuals were evaluated, aged 40.39 ± 9.04 years, 56.9% male. The predominant education was high school (41%), with an income of up to 1 minimum wage. As for lifestyle, 20.1% were smokers, 41% were alcoholics and 72.9% were sedentary. Excess weight predominated in 53.5%, with risk for cardiovascular diseases (CVD) measured by WC of 36.8% and by WHtR of 82.6%. In the AUDIT (Alcohol use identification test) classification, 47.5% of the patients were at risk of alcohol dependence, which was associated with being overweight (60.7%); 50% of the individuals were classified as risk and high risk/ probable dependence, with no difference between sexes. Conclusion: consumption of alcoholic beverages, smoking and physical inactivity was high; in patients with excess weight and use of alcoholic beverages, there was a tendency towards the risk of cardiovascular disease; this habit was not associated with clinical, sociodemographic and economic variables.

References

ALMEIDA RT, ALMEIDA MMG, ARAÚJO TM. Obesidade abdominal e risco cardiovascular: desempenho de indicadores antropométricos em mulheres. Arq Bras Cardiol. 2009;92(5): 345-80. http://dx.doi.org/10.1590/S0066-782X2009000500007. PMid:19629289.

CABRAL JR, MORAES DCA, CABRAL LR, CORRÊA CA, OLIVEIRA ECS, OLIVEIRA RC. Adesão à terapia antirretroviral e a associação no uso de álcool e substâncias psicoativas. Enfermería Glob. 2018; 52:13-24.

CURTI MLR, ALMEIDA LB, JAIME PC. Evolução de parâmetros antropométricos em portadores do vírus da imunodeficiência humana ou com síndrome da imunodeficiência adquirida: um estudo prospectivo. Rev Nutr. 2010; 23(1): 57-64. http://dx.doi.org/10.1590/S1415-52732010000100007.

DIEHL LA, DIAS JR, PAES ACS, THOMAZINI MC, GARCIA LR, CINAGAWA E, et al. Prevalência da lipodistrofia associada ao HIV em pacientes ambulatoriais brasileiros: relação síndrome metabólica e fatores de risco cardiovascular. Arq Bras Endocrinol

Metab. 2008 ;52(4):658-67. http://dx.doi.org/10.1590/S0004-27302008000400012.

DUTRA CDT, LIBONATI RMF. Abordagem metabólica e nutricional da lipodistrofia em uso de terapia anti-retroviral. Rev Nutr. 2008;21(4):439-46. http://dx.doi.org/10.1590/S1415-52732008000400008.

FLORIN IP, HEYDER VR, TADDEL JA. Métodos de inquéritos dietéticos. Cad Nutr. 2005; 13:11-23.

HENDRICKS KM, DONG KR, TANG AM, DING B, SPIEGELMAN D, WOODS MN, et al. High-fiber diet in HIV-positive men is associated with lower risk of developing fat deposition. Am J Clin Nutr. 2003;78(4):790-5. http://dx.doi.org/10.1093/ajcn/78.4.790. PMid:14522738.

LANGFORD SE, ANANWORANICH J, COOPER DA. Predictorns of disease progression in HIV infeccion: a review. AIDS Res Ther. 2007;4(1):11. http://dx.doi.org/10.1186/1742-6405-4-11. PMid:17502001.

KLIER A, ARCANJO FM, SOUZA IF. Impacto do álcool sobre os parâmetros da síndrome metabólica em adultos: uma revisão integrativa. Rev Eletrônica Acervo Saúde. 2021;13(2): e5843. http://dx.doi.org/10.25248/reas.e5843.2021.

LEE LM, KARON JM, SELIK R, NEAL J, FLEMING PL. Survival after AIDS diagnosis in adolescents and adults during the treatment in United States, 1984–1997. JAMA. 2001;285(10):1308-15. http://dx.doi.org/10.1001/jama.285.10.1308. PMid:11255385.

LEITE LH, PAPA A, VALENTINI RC. Insatisfação com imagem corporal e adesão à terapia antirretroviral entre indivíduos com HIV/AIDS. Rev Nutr. 2011; 24(6):873-81. http://dx.doi. org/10.1590/S1415-52732011000600008

LIMA CT, FREIRE AC, SILVA AP, TEIXEIRA RM, FARRELL M, PRINCE M. Concurrent and construct validity of the AUDIT in an urban Brazilian sample. Alcohol Alcohol. 2005; 40(6):584-9. http://dx.doi.org/10.1093/alcalc/agh202. PMid:16143704.

MOLINA PE, FAN J, BOXER R, GELATO MC, LANG CH, ABUMRAD NN. Modulation of insulin-like growth factor-I: a specific role for vitamin B1 (thiamine). J Nutr Biochem. 1996;7(4):207-13. http://dx.doi.org/10.1016/0955-2863(96)00011-3.

MONDY K, OVERTON ET, GRUBB J, TONG S, SEYFRIED W, POWDERLY W, et al. Metabolic syndrome in HIV-infected patients from an urban, Midwestern US outpatient population. Clin Infect Dis. 2007;44(5):726-34. http://dx.doi.org/10.1086/511679. PMid:17278068.

MOURA IS, NOVA LPV, SILVA LC, BURGOS MG. Indicadores nutricionais em pacientes portadores de HIV/SIDA: realidade ambulatorial e hospitalar. Nutr Clín Diet Hosp. 2018; 38:122-7.

OMS: ORGANIZAÇÃO MUNDIAL DA SAÚDE [Internet]. Genebra: Organização Mundial da Saúde; c2011 [citado em 2022 Out13]. Disponível em: https://unaids.org.br

PIANO MR. Alcohol’s effects on the cardiovascular system. Alcohol Res. 2017;38(2):219-41. PMid:28988575.

POLO R, GÓMEZ-CANDELA C, MIRALLES C, LOCUTURA J, ALVAREZ J, BARREIRO F, et al. Recomendaciones de SPNS/GEAM/SENBA/SENPE/AEDN/SEDCA/GESIDA sobre nutricion en el paciente con infeccion por VIH. Madri: Ministerio de Sanidad y Consumo; 2006.

REAL L, MOREIRA F, GONZALEZ M, JANSEN K. Tagabismo e composição corporal em pessoas vivendo com HIV/AIDS. Cien Saude Colet. 2021;26:1923-30. http://dx.doi.org/10.1590/1413-81232021265.19532019. PMid:34076132.

REGO SRM, OLIVEIRA CFA, REGO DMS, SANTOS RF Jr, SILVA VB. Estudo do autorrelato de adesão e uso problemático de álcool em uma população de indivíduos com AIDS em uso de HAART. J Bras Psiquiatr. 2011;60(1):46-9. http://dx.doi.org/10.1590/S0047-20852011000100009.

REIS ES Jr, BRAGA LS, PAVANELLI MF. Efeitos cardiovasculares, renais, e hepáticos da terapia antirretroviral (TARV): uma revisão da literatura. Rev Iniciare. 2017;2(1):28-35.

REHM J, MATHERS C, POPOVA S, THAVORNCHAROENSAP M, TEERAWATTANANON Y, PATRA J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373(9682):2223-33. http://dx.doi.org/10.1016/S0140-6736(09)60746-7. PMid:19560604.

SIQUEIRA JH, SANTANA NMT, PEREIRA TSS, MOREIRA AD, BENSEÑOR IM, BARRETO SM, et al. Consumo de bebidas alcoólicas e não alcoólicas: resultados do ELSA-Brasil. Cien Saude Colet. 2021;26(Supl. 2):3825-37. http://dx.doi.org/10.1590/1413-81232021269.2.30682019. PMid:34468676.

TERÁN-RICÓN G, SOIANO L, PORTILLO Z. Indicadores nutricionales em pacientes infectatos com vírus de inmunodeficiencia humana. An Venez Nutr. 2001;14(1):27-34.

WANDERA B, TUMWESIGYE NM, NANKABIRWA JI, KAMBUGU AD, PARKES-RATANSHI R, MAFIGIRI DK, et al. Alcohol consumption among HIV-infected persons in a large urban HIV clinic in Kampala Uganda: a constellation of harmful behaviors. PLoS One. 2015;10(5):e0126236. http://dx.doi.org/10.1371/journal.pone.0126236. PMid:25962171.

WHO: WORLD HEALTH ORGANIZATION. Global status report on alcohol and health 2018. Genebra: World Health Organization; 2019.

WORM SW, SABIN CA, REISS P, EL-SADR W, MONFORTE AD, PRADIER C, et al. Presence of the metabolic syndrome is not a better predictor of cardiovascular disease than the sum of its components in HIV-infected individuals: data collection on adverse events of anti-HIV drugs (D:A:D) study. Diabetes Care. 2009;32(3):474-80. http://dx.doi.org/10.2337/dc08-1394. PMid:19056612.

Published

2023-01-19 — Updated on 2022-11-17

Versions

Issue

Section

Artigos