title: Inadequate food intake among adults living with HIV.
abstract: CONTEXT AND OBJECTIVE The number of people living with HIV (PLHIV) in Brazil is between 600,000 and 890,000. Assessing the diet is important in planning healthcare actions and improving PLHIV's quality of life. This study aimed to estimate the prevalence of inappropriate protein, total fat, saturated fat, carbohydrate, fiber, sodium, calcium and cholesterol intake among PVHIV on highly-active antiretroviral therapy (HAART). DESIGN AND SETTING Cross-sectional study in nine Specialized STD/AIDS Healthcare Centers in São Paulo. METHODS Men and women aged 20 to 59 years, on HAART for at least three months, were included. Nutrient intake was assessed using 24-hour food recall applied in person and repeated among 30% of the population by telephone. The between and within-person variances were corrected. RESULTS 507 individuals were evaluated: 58% male, mean age 41.7 years (standard deviation, SD = 7.8). The mean time since HIV diagnosis was 6.6 years (SD = 4.1), and since HAART onset, 5.1 years (SD = 3.3). More than 20% of the population presented intake above the recommendations for saturated fat, cholesterol and/or sodium, and below the recommendations for fiber. The recommended maximum tolerable sodium level was exceeded by 99% of the sample, and 86% of men and 94% of women did not reach the daily recommendations for calcium. Protein, carbohydrate and total fat intakes were adequate for the majority of the population. CONCLUSIONS A significant portion of the population presented inappropriate intake of saturated fat, sodium, fiber and calcium. Interventions aimed at improving PLHIV's dietary quality are needed.
authors.affiliation: Department of Nutrition, Faculdade de Saúde Pública, Universidade de São Paul, São Paulo, Brazil. kellyg@usp.br
authors.forename: Kelly Virecoulon
authors.initials: KV
authors.lastname: Giudici
authors.forename: Ana Clara Fonseca Leitao
authors.initials: AC
authors.lastname: Duran
authors.forename: Patricia Constante
authors.initials: PC
authors.lastname: Jaime
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D002136:Calcium, Dietary / Q000008:administration & dosage*; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D004034:Diet Surveys / Q000379:methods; D004041:Dietary Fats / Q000008:administration & dosage*; D004043:Dietary Fiber / Q000008:administration & dosage*; D004044:Dietary Proteins / Q000008:administration & dosage*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status / Q000502:physiology*; D012016:Reference Values; D012982:Sodium, Dietary / Q000008:administration & dosage*; D055815:Young Adult
chemical_list: D002136:Calcium, Dietary; D004041:Dietary Fats; D004043:Dietary Fiber; D004044:Dietary Proteins; D012982:Sodium, Dietary
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