Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil

Detalhes bibliográficos
Autor(a) principal: Andrade, Carine de Sousa
Data de Publicação: 2012
Outros Autores: Jesus, Rosângela Passos de, Andrade, Taciana Borges, Oliveira, Neyara dos Santos, Nabity, Scott A, Ribeiro, Guilherme de Sousa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/26642
Resumo: Federal University of Bahia. School of Nutrition. Salvador, BA, Brasil
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spelling Andrade, Carine de SousaJesus, Rosângela Passos deAndrade, Taciana BorgesOliveira, Neyara dos SantosNabity, Scott ARibeiro, Guilherme de Sousa2018-05-24T18:13:23Z2018-05-24T18:13:23Z2012Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil1932-6203https://www.arca.fiocruz.br/handle/icict/2664210.1371/journal.pone.0048717engPublic Library of ScienceSíndrome de Imunodeficiência AdquiridaDesnutriçãoHospitalizaçãoEstado nutricionalPrevalênciaBrasilHumanosAcquired Immunodeficiency SyndromeMalnutritionHospitalizationNutritional statusPrevalenceBrazilHumansPrevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFederal University of Bahia. School of Nutrition. Salvador, BA, BrasilFederal University of Bahia. School of Nutrition. Salvador, BA, BrasilFederal University of Bahia. School of Nutrition. Salvador, BA, BrasilFederal University of Bahia. School of Nutrition. Salvador, BA, BrasilDuke University. School of Medicine. Durham, NC, United States of America / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Federal University of Bahia. Institute of Collective Health. Salvador, BA, BrazilBrazil's National STD/AIDS Program is considered a model of success worldwide. However, AIDS-associated malnutrition continues in subgroups of Brazilian patients despite access to free highly active antiretroviral therapy (HAART). We aimed to identify the prevalence of malnutrition and associated factors among patients hospitalized with AIDS. Methods: We conducted a cross-sectional nutritional assessment among 127 adults hospitalized with AIDS in Brazil’s third largest city. Using anthropometric measurements, we determined the prevalence of malnutrition (body mass index ,18.5 kg/m2) at hospitalization. Prevalence ratios of malnutrition by demographic, socioeconomic, and clinical conditions were estimated using log-binomial regression. Results: One-third of participants were first informed of their HIV disease during the current hospitalization and recent treatment interruption was common (71%) among those on HAART. Forty-three percent were malnourished and 35% had severe weight loss at admission. Patient characteristics independently associated with malnutrition were older age (2% increased prevalence for each year; 95% confidence interval [CI] 0–4%) and very low daily per capita household income. Living on ,USD 2.00, USD 2.00–4.99 or USD 5.00–9.99 increased the prevalence of malnutrition by 2.01 (95% CI 1.06–3.81), 1.75 (95% CI 0.92–3.35) and 1.42 (95% CI 0.76–2.65) times, respectively, compared to $USD 10.00 per day. Chronic diarrhea was marginally associated with malnutrition (RR 1.42; 95% CI 0.99–2.04). Overall, 16% of the patients died during hospitalization. We observed a trend toward higher in-hospital case fatality among malnourished patients (22% vs. 12% for patients with and without malnutrition, respectively; chi square P = 0.14). Conclusions: Unacceptably high rates of malnutrition persist in Brazilians hospitalized with AIDS and our results reinforce the importance of nutritional evaluations in these patients. Improved early testing and treatment adherence strategies may continue to help reduce AIDS-related morbidity and mortality in Brazil, yet novel interventions to disrupt the cycle of poverty, HIV, and malnutrition are also urgently needed.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/26642/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALAndrade Prevalence and Characteristics Associated.....pdfAndrade Prevalence and Characteristics Associated.....pdfapplication/pdf113426https://www.arca.fiocruz.br/bitstream/icict/26642/2/Andrade%20%20Prevalence%20and%20Characteristics%20Associated.....pdf345336cd7febe8f9d77870a6df498acbMD52TEXTAndrade Prevalence and Characteristics Associated.....pdf.txtAndrade Prevalence and Characteristics Associated.....pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
title Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
spellingShingle Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
Andrade, Carine de Sousa
Síndrome de Imunodeficiência Adquirida
Desnutrição
Hospitalização
Estado nutricional
Prevalência
Brasil
Humanos
Acquired Immunodeficiency Syndrome
Malnutrition
Hospitalization
Nutritional status
Prevalence
Brazil
Humans
title_short Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
title_full Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
title_fullStr Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
title_full_unstemmed Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
title_sort Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
author Andrade, Carine de Sousa
author_facet Andrade, Carine de Sousa
Jesus, Rosângela Passos de
Andrade, Taciana Borges
Oliveira, Neyara dos Santos
Nabity, Scott A
Ribeiro, Guilherme de Sousa
author_role author
author2 Jesus, Rosângela Passos de
Andrade, Taciana Borges
Oliveira, Neyara dos Santos
Nabity, Scott A
Ribeiro, Guilherme de Sousa
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Andrade, Carine de Sousa
Jesus, Rosângela Passos de
Andrade, Taciana Borges
Oliveira, Neyara dos Santos
Nabity, Scott A
Ribeiro, Guilherme de Sousa
dc.subject.other.pt_BR.fl_str_mv Síndrome de Imunodeficiência Adquirida
Desnutrição
Hospitalização
Estado nutricional
Prevalência
Brasil
Humanos
topic Síndrome de Imunodeficiência Adquirida
Desnutrição
Hospitalização
Estado nutricional
Prevalência
Brasil
Humanos
Acquired Immunodeficiency Syndrome
Malnutrition
Hospitalization
Nutritional status
Prevalence
Brazil
Humans
dc.subject.en.pt_BR.fl_str_mv Acquired Immunodeficiency Syndrome
Malnutrition
Hospitalization
Nutritional status
Prevalence
Brazil
Humans
description Federal University of Bahia. School of Nutrition. Salvador, BA, Brasil
publishDate 2012
dc.date.issued.fl_str_mv 2012
dc.date.accessioned.fl_str_mv 2018-05-24T18:13:23Z
dc.date.available.fl_str_mv 2018-05-24T18:13:23Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/26642
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0048717
identifier_str_mv Prevalence and characteristics associated with malnutrition at hospitalization among patients with acquired immunodeficiency syndrome in Brazil
1932-6203
10.1371/journal.pone.0048717
url https://www.arca.fiocruz.br/handle/icict/26642
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
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