Dietary patterns and nutritional status of HIV-infected children and adolescents in El Salvador: A cross-sectional study
| Autor: | Pilar Aparicio, Sandra Ayala, Rocio Martín-Cañavate, Luis E. Castañeda, Estefania Custodio, Maria Jose Sagrado, Estefanie Rivas, Gustavo Escobar, Michela Sonego |
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| Přispěvatelé: | Red de Investigación Cooperativa en Enfermedades Tropicales (España), Fundación Inocencia (España), Agencia Española de Cooperación Internacional para el Desarrollo, Instituto de Salud Carlos III, Fundación Inocencia |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Male Cross-sectional study Physiology lcsh:Medicine HIV Infections Adolescents Geographical locations Families 0302 clinical medicine Hiv infected Poverty Areas Medicine and Health Sciences Medicine Public and Occupational Health 030212 general & internal medicine lcsh:Science Child Children Multidisciplinary Institutionalization Nutritional status Socioeconomic Aspects of Health Child Preschool Infectious diseases Female Research Article Adolescent Anti-HIV Agents MEDLINE Nutritional Status Viral diseases Diet Surveys 03 medical and health sciences Environmental health El Salvador Humans Nutrition 030109 nutrition & dietetics business.industry lcsh:R Food Consumption Biology and Life Sciences Central America Diet Health Care Cross-Sectional Studies Age Groups People and Places North America Population Groupings lcsh:Q business Physiological Processes |
| Zdroj: | Repisalud Instituto de Salud Carlos III (ISCIII) PLoS ONE, Vol 13, Iss 5, p e0196380 (2018) PLoS ONE |
| Popis: | INTRODUCTION: The present study aimed to assess the nutritional status, the dietary patterns and its associated factors in the HIV-infected population of children and adolescents on antiretroviral treatment at the El Salvador reference center for pediatric HIV care (CENID). METHODS: A cross-sectional survey was carried out between December 2010 and December 2011. Socio-demographic and clinical characteristics were collected from 307 children and adolescents aged 2-18 years and receiving antiretroviral therapy. Nutritional status was assessed by height-for-age, weight-for-height and body mass index-for-age. Dietary data was collected through a 24 hour recall, and through a weekly food frequency questionnaire. Dietary patterns were identified by principal component analysis. Bivariate and multivariable statistical methods were used to assess the factors associated with "high adherence" to the "healthy diet" pattern. RESULTS: More than a third of the study group (33.2%) were stunted, 3.3% were identified as being wasted, and 10% were overweight or obese. Their diets were predominantly based on a high consumption of cereals, beans, eggs and processed foods and a low consumption of fruits, vegetables and dairy products. Three dietary patterns were identified: "healthy diet", "high fat/sugar diet" and "low diversity diet". Being female (OR: 1.63; 95%CI: 0.97-2.75), younger (OR: 2.37; 95%CI: 1.28-4.36) and institutionalized (OR: 14.5; 95%CI: 5.35-39.50) increased the odds to adhere to the "healthy diet" pattern. CONCLUSION: Our findings reveal a high prevalence of stunting and overweight in HIV-infected children in El Salvador. Institutionalized children were more likely to adhere to a healthy dietary pattern whereas children in poverty were more likely to have less varied and healthy diets. These results highlight the need to assess the dietary patterns of HIV-infected children and adolescents in order to guide public policies to design healthy life style interventions for this population at risk. The study was funded by the Agencia Española de Cooperacion y Desarrollo (AECID), la Fundacion Inocencia and the Red de Investigacion Cooperativa en Enfermedades Tropicales (RICET) Instituto de Salud Carlos III, RD12/0018/0001. Sí |
| Databáze: | OpenAIRE |
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