Anthropometry and body composition of vertically HIV-infected children and adolescents under therapy with and without protease inhibitors
| Autor: | Heloisa Helena de Sousa Marques, Patrícia Helen de Carvalho Rondó, Neuber José Segri, Lígia Cardoso dos Reis |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Risk medicine.medical_specialty Outpatient Clinics Hospital Waist Adolescent medicine.medical_treatment Human immunodeficiency virus (HIV) Medicine (miscellaneous) HIV Infections medicine.disease_cause Body fat percentage Body Mass Index Young Adult Pubertal stage Thinness Acquired immunodeficiency syndrome (AIDS) Antiretroviral Therapy Highly Active Internal medicine Prevalence medicine Humans TRANSTORNOS DO CRESCIMENTO Child Growth Disorders Adiposity Nutrition and Dietetics Protease business.industry Public Health Environmental and Occupational Health HIV Protease Inhibitors Overweight Anthropometry Hospitals Pediatric medicine.disease Research Papers Infectious Disease Transmission Vertical Cross-Sectional Studies Physical therapy Female business Viral load Brazil |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Public Health Nutr |
| ISSN: | 1475-2727 1368-9800 |
| DOI: | 10.1017/s1368980014001591 |
| Popis: | ObjectiveAlthough the benefits of highly active antiretroviral therapy (HAART) have been documented, it is thought to be associated to disturbances in nutritional status. These disturbances may occur early in life and are poorly understood. The present study aimed to investigate the relationship between anthropometric parameters and body composition of perinatally HIV-infected children and adolescents under HAART, according to use and non-use of protease inhibitors.DesignCross-sectional study undertaken between August and December 2007. Demographic, socio-economic, clinical and anthropometric data were collected from the patients. Theχ2test, Wilcoxon rank sum test (Mann–Whitney) andttest were used to compare the following variables between users and non-users of protease inhibitors: age, gender, per capita income, HAART exposure, antiretroviral therapy adopted in the last three years, CD4 count, viral load, pubertal stage, nutritional status (BMI-for-age, height-for-age, waist and neck circumferences, triceps skinfold thickness, body fat percentage, upper-arm fat area and upper-arm muscle area).SettingAn HIV/AIDS out-patient clinic, São Paulo, Brazil.SubjectsOne hundred and fifteen patients (children and adolescents aged 6–19 years).ResultsProtease inhibitors users had a higher prevalence of stunting (P=0·03), lower BMI (P=0·03) and lower percentage of body fat (P=0·05) compared with non-users. There was no statistically significant difference between the HAART regimens and measurements of fat adiposity.ConclusionsThe findings of the study suggest that children and adolescents under protease inhibitors are at higher risk of growth and development deviations, but not at risk of body fat redistribution. |
| Databáze: | OpenAIRE |
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