Changes in macronutrient intake among HIV-infected children between 1995 and 2004.
BACKGROUND
Nutritional concerns in HIV-infected children have evolved, from wasting to obesity and insulin resistance. However, little is known about the diet of these children during this evolution.


OBJECTIVE
We analyzed dietary macronutrient intake in HIV-infected children over nearly 10 y.


METHODS
HIV-infected children underwent periodic longitudinal nutritional assessments between 1995 and 2004. Sex-specific initial and final means or proportions and time trends in macronutrient intakes were estimated with regression analyses.


RESULTS
Three hundred thirty nutritional records from 49 males and 411 from 67 females were analyzed. Caloric intake exceeded the estimated energy requirement (EER) for ideal body weight in 1995 by 62% for males and 39% for females and decreased by 3% of the EER per year in males (P = 0.02) and by 2% in females (P = 0.004). In 2004, caloric intake still remained >19% above the EER in both groups. Protein intake was nearly 400% of the recommended dietary allowance (RDA) for ideal body weight in 1995 among both males and females and decreased by 13% of the RDA per year for males (P = 0.001) and by 21% per year for females (P < 0.001). However, daily protein intake still exceeded the RDA by >60% in both groups in 2004. Females consumed more energy from carbohydrates (P = 0.05) and sugar (P = 0.10) and less from monounsaturated (P = 0.04), polyunsaturated (P = 0.05), saturated (P = 0.03), and total (P = 0.10) fat in 2004 than in 1995.


CONCLUSIONS
Excessive caloric intake and a shift in dietary composition toward carbohydrates in females suggest that continued monitoring of diet in HIV-infected children is important to avoid increased nutritional risk.
Sharma
Tanvi S
TS
Divisions of Infectious Diseases and Gastroenterology, Golisano Children's Hospital at Strong, University of Rochester School of Medicine, Rochester, NY, USA.
Kinnamon
Daniel D
DD
Duggan
Christopher
C
Weinberg
Geoffrey A
GA
Furuta
Lauren
L
Bechard
Lori
L
Nicchitta
Jeanne
J
Gorbach
Sherwood L
SL
Miller
Tracie L
TL
D000293:Adolescent; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active / Q000009:adverse effects; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D004032:Diet; D004040:Dietary Carbohydrates / Q000008:administration & dosage*; D004041:Dietary Fats / Q000008:administration & dosage*; D004044:Dietary Proteins / Q000008:administration & dosage*; D002149:Energy Intake; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000378:metabolism / Q000473:pathology*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009751:Nutritional Requirements; D009752:Nutritional Status; D011446:Prospective Studies
D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004044:Dietary Proteins