Nutritional assessment and lipodystrophy in people living with HIV

Maria Olimpia Ribeiro do Vale Almada, Joab Oliveira Salomão, Flávia Reis Ferreira de Souza, Janaíne Magalhães Piol Oliveira, Geilton Xavier de Matos, Rene Jesus de La Torre Acosta, Monise da Silva Silva, Pedro Henrique Bortoloti Alves

Abstract


Objective: to evaluate the nutritional and food profile of people living with HIV and muscle lipodystrophy. Method: this is a quantitative, descriptive, cross-sectional study in a school clinic. Food consumption was measured through a 24-hour recall, using the Food Frequency Questionnaire. Anthropometric information was used. The NUTWIN® software, 2010, was used to analyze dietary intake. We proceeded with the descriptive statistical analysis of the data. Results: it is reported that 45 people participated in this study, being 53.3% female. The mean age of 43.3 years was recorded and the average time of treatment with antiretrovirals was ten years. It is observed that the most common form of lipodystrophy was lipohypertrophy, followed by lipoatrophy, respectively, with 51.1% and 28.9%. In the anthropometric evaluation, the mean Body Mass Index of 24.7 kg / m² was verified, with eutrophy classification to 44.4%. Conclusion: there was, at R-24h, insufficient intake of energy, carbohydrates, lipids, fibers and calcium for both sexes. It is considered essential to promote nutritional monitoring and education to mitigate the metabolic changes caused by lipodystrophy. Descriptors: Nutritional Assessment; Lipodystrophy; HIV; Antiretroviral Terapy; Food Consumption; Quality of Life.

Resumo

Objetivo: avaliar o perfil nutricional e alimentar das pessoas que vivem com HIV e lipodistrofia muscular. Método: trata-se de um estudo quantitativo, descritivo, transversal, em um ambulatório escola. Aferiu-se o consumo alimentar por meio de um recordatório de 24 horas, aplicando-se o Questionário de Frequência Alimentar. Utilizaram-se infomações de avaliação antropométrica. Recorreu-se ao software NUTWIN®, 2010, para analisar a ingestão dietética. Procedeu-se com a análise estatística descritiva dos dados. Resultados: informa-se que participaram nesse estudo 45 pessoas, sendo 53,3% do sexo feminino. Registrou-se a média de idade de 43,3 anos e a média do tempo de tratamento com antirretrovirais foi de 10 anos. Observa-se que a forma de lipodistrofia mais presente foi a lipohipertrofia, seguida pela lipoatrofia, respectivamente, com 51,1% e 28,9%. Verificou-se, na avaliação antropométrica, o Índice de Massa Corporal médio de 24,7 kg/m², com classificação de eutrofia para 44,4%. Conclusão: verificou-se, pelo R-24h, a ingestão insuficiente de energia, carboidratos, lipídios, fibras e cálcio para ambos os sexos. Considera-se essencial promover o acompanhamento nutricional e a educação para se amenizar as alterações metabólicas provocadas pela lipodistrofia. Descritores: Avaliação Nutricional; Lipodistrofia; HIV; Terapia Antirretroviral; Consumo Alimentar; Qualidade de Vida.

Resumen

Objetivo: evaluar el perfil nutricional y alimentario de las personas que viven con VIH y lipodistrofia muscular. Método: este es un estudio cuantitativo, descriptivo, transversal en una clínica escolar. El consumo de alimentos se midió a través de un recuerdo de 24 horas, utilizando el Cuestionario de Frecuencia de Alimentos. Se utilizó informaciones de evaluación antropométrica. El software NUTWIN®, 2010, se utilizó para analizar la ingesta alimentaria. Se procedió al análisis estadístico descriptivo de los datos. Resultados: se informa que 45 personas participaron en este estudio, siendo 53.3% mujeres. Se registró la edad media de 43,3 años y el tiempo promedio de tratamiento con antirretrovirales fue de 10 años. Se observa que la forma más común de lipodistrofia fue la lipohipertrofia, seguida de la lipoatrofia, respectivamente, con 51.1% y 28.9%. En la evaluación antropométrica, se verificó el índice de Masa Corporal promedio de 24.7 kg / m², con clasificación de eutrofia al 44.4%. Conclusión: se verificó, por el R-24 h, una ingesta insuficiente de energía, carbohidratos, lípidos, fibras y calcio para ambos sexos. Se considera esencial promover el monitoreo nutricional y la educación para ablandar los cambios metabólicos causados por la lipodistrofia. Descriptores: Evaluación Nutricional; Lipodistrofia; HIV; Terapia Antirretroviral; Consumo de Alimentos; Calidad de Vida.


Keywords


Nutritional Assessment; Lipodystrophy; HIV; Antiretroviral Terapy; Food Consumption; Quality of Life.

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DOI: https://doi.org/10.5205/1981-8963.2020.244530



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