Autor: |
Soares LR; Department of Nutrition, Clinical Nutrition Program, Clinical Research from FMABC, Universidade Federal do Rio de Janeiro, Macaé, Brasil., Casseb JSDR; Dermatology Department, Faculdade de Medicina da Universidade de São Paulo/FMUSP. São Paulo, Brazil., Chaba DCDS; Nursing Graduate in Health Sciences, Instituto de Medicina Tropical from the Faculty of Medicine, USP, São Paulo, Brasil., Batista LO; Department of Nutrition, Basic Nutrition and Dietetics Program, Universidade Federal do Rio de Janeiro, Macaé, Brasil., Sousa LVA; Faculdade de Medicina do ABC, FMABC, Santo André, Brasil., Fonseca FLA; Department of Pathology and Clinical Analysis, Campus Diadema, Universidade Federal de São Paulo, FMABC, Santo André, Brasil. |
Abstrakt: |
A cross-sectional study was conducted with 227 adults, 162 using antiretroviral therapy (ART), both sexes, in Secondary Immunodeficiency Outpatient Clinic of the Department of Dermatology of the Hospital das Clínicas of the Faculty of Medicine of University of São Paulo. The patients were grouped into 92 under ART and self-reported lipodystrophy (G1); 70 under ART and without self-reported lipodystrophy (G2); 65 without ART (G3). We evaluated: (1) self-reported lipodystrophy, self-perception and feeling about body image; (2) Anthropometric and lipemic profile. We included 67% ( n = 152) male; 33% ( n = 77) female. There was a negative impact of self-reported lipodystrophy on body image, where female was more critical, although it was significant for male ( p = 0.014). BMI revealed excess weight in female ( p = 0.058). Hip waist ratio was shown to be a better parameter than abdominal perimeter when measuring fat in central region of male and lipohypertrophy was characterized in both sexes. There was lipoatrophy in upper and lower limbs for individuals of the (G1) and the male of this group presented hypertriglyceridemia, ( p = 0.012). There was a difference in sex, pattern of self - perceived morphologic alterations and feeling in relation to body image when associated with self - reported lipodystrophy, ART use, anthropometric and lipemic profile. |