Nutritional status and dietary intakes in human immunodeficiency virus (HIV)-infected outpatients in Abidjan, Côte D'Ivoire, 1995.
OBJECTIVE
To evaluate nutritional status and dietary intakes in HIV-outpatients in Abidjan, Côte d'Ivoire.


METHODS
Cross-sectional study.


METHODS
In the Outpatients and Counselling Unit in the University Hospital in Treichville, and in the follow-up Unit of Blood Donors.


METHODS
100 HIV-infected patients at different stages of the infection recruited consecutively in the two consultation services.


METHODS
Clinical, biological and anthropometric data were collected: weight, baseline weight, height, triceps skinfold (TS), arm circumference (AC), body mass index (BMI), muscular circumference (MC) and weight loss (WL). Dietary intake was estimated by the 24 h recall method.


RESULTS
The M:F sex ratio was 1.1:1. Mean age was 32.5 y (30.7-34.4); 64% of the patients were symptomatic (S+). Mean weight was 58.7 kg (56.8-60.6) and mean BMI, 20.9 k/m2 (20.7-21.1); 67% of the patients had a BMI < 21.5 kg/m2. S+ patients had mean weight, BMI, AC and MC significantly lower than asymptomatic patients (P < 0.0001 = 0.001, 0.0003 and 0.004 respectively) and had suffered a more important WL (P < 0.0001). Immunodepressed patients had mean weight, AC and MC significantly lower than patients with a CD4 count > or = 200/mm3 (P = 0.04, 0.005 and 0.04 respectively). WL was independent of CD4 count. Protein, carbohydrate and fat intakes were respectively 59 g/24 h (52-66), 266 g/24 h (240-292) and 59 g/24 h (51-66). Energy mean intake was 7.6 MJ/24 h (6.9-8.4) and lower than WHO recommended intakes.


CONCLUSIONS
In Abidjan, anthropometric parameters and dietary intakes of HIV-infected patients are worsened by clinical events. Nutritional intakes are generally lower than recommendations. Further studies are needed to determine if, in the African context, a causal relationship could exist between dietary intakes and nutritional status in HIV-infected patients.
Castetbon
K
K
Unité INSERM 330, Université de Bordeaux II, France.
Kadio
A
A
Bondurand
A
A
Boka Yao
A
A
Barouan
C
C
Coulibaly
Y
Y
Anglaret
X
X
Msellati
P
P
Malvy
D
D
Dabis
F
F
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D000328:Adult; D000886:Anthropometry; D015992:Body Mass Index; D001835:Body Weight; D018791:CD4 Lymphocyte Count; D007560:Cote d'Ivoire; D003430:Cross-Sectional Studies; D004032:Diet; D001068:Feeding and Eating Disorders; D005260:Female; D015497:HIV-1; D015498:HIV-2; D006801:Humans; D018655:Lymphocyte Count; D008297:Male; D009752:Nutritional Status