Patients living with HIV have quantitatively inadequate food consumption

Author(s)

Bárbara Ferreira Vercesi ^[1] ; Izabela Spereta Moscardini ^[2] ; Gabriel Perri Esteves ^[3] ; Rebeca Antunes Beraldo ^[4]

Affiliation

^[1] Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Clínica Médica - Brasil

^[2] Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Clínica Médica - Brasil

^[3] Universidade de São Paulo. Faculdade de Medicina. Divisão de Reumatologia - Brasil

^[4] Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Clínica Médica - Brasil

• Document type: Journal article
• Source: ARCHIVES OF ENDOCRINOLOGY METABOLISM; v. 67, n. 5 2023-06-05.

Abstract

ABSTRACT Objective: The objective of the current study was to estimate energy expenditure and compare it with the usual food consumption of PLWH, and to determine whether duration of high-potency antiretroviral therapy (HAART) influenced nutritional intake and adequacy. Materials and methods: Anthropometric measurements and bioelectrical impedance analysis (BIA) provided data for estimating resting energy expenditure (REE) using Melchior's equations. Dietary Reference Intakes (DRIs) and 24-Hour Recall were used to verify if reported food intake aligned with energy, macro and micronutrient recommendations. Results: Sixty one patients with a mean age of 52 ± 9.4 years and who had a high frequency of diabetes mellitus (24.5%), hypertension (54%), and dyslipidemia (90.1%) were evaluated. Estimated REE of female and male patients with less than 10 years of HAART was 1791 (1717.5; 1887.2) and 1941 (1808; 2335.6), and their estimated energy intake was 900.5 (847;1221.9) and 2095.4 (1297.5; 2496.4), respectively. The estimated REE for female and male patients with more than 10 years of HAART was 1796.20 (1598.9;1820.7) and 2105 (1913.4; 2308), and their estimated energy intake was 1566 (1353.1; 1764.3) and 1999.7 (1706.5; 2508.1), respectively. Being on HAART for more than 10 years was associated with increased energy intake (533 (95% CI 3; 1063) kcals), but not with meeting energy requirements. Conclusion: Patients had an atherogenic metabolic profile, inadequate dietary pattern, and a similar REE, regardless of HAART duration, contributing even more to the increased risk of cardiovascular diseases. (AU)

• FAPESP's process: 19/12904-8 - Evaluation of food consumption and energy expenditure of HIV seropositive patients with increased cardiovascular risk
• Grantee: Bárbara Ferreira Vercesi
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• FAPESP's process: 17/00692-0 - Effects of a lifestyle modification program on the metabolic, molecular and inflamattory profile of HIV patients with increased cardiovascular risk
• Grantee: Rebeca Antunes Beraldo
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• FAPESP's process: 20/07860-9 - The influence of exercise training on bone health in patients taking high doses of glucocorticoids
• Grantee: Gabriel Perri Esteves
• Support Opportunities: Scholarships in Brazil - Doctorate (Direct)