Cardiovascular risk: anthropometric, clinical and dietary markers in HIV-infected persons

• Autor(a) principal: LEITE, Luísa Helena Maia
• Data de Publicação: 2023
• Outros Autores: SAMPAIO, Ana Beatriz de Mattos Marinho
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Nutrição
• Texto Completo: https://periodicos.puc-campinas.edu.br/nutricao/article/view/9273
• topic: Anthropometric; Diet; Cardiovascular diseases; HIV; Primary prevention; Antropometria; Dieta; Doenças cardiovasculares; HIV; Prevenção primária

ObjectiveThis study described the anthropometric, clinical and dietary markers associated with cardiovascular risk in HIV-infected persons.MethodsA cross-sectional study was done with 100 adults with HIV/Aids from Rio de Janeiro City. The cardiovascular risk was estimated by the Framingham risk score. Dietary intake was evaluated by a 24-hour dietary recall and a food frequency questionnaire. Variables were compared by the Student’s t- and chi-square tests.ResultsMost of the patients were males (63%) with a mean age of 41.8 years, SD=9.6 years and 77% were takingantiretroviral drugs. The prevalence of metabolic syndrome was 52%, overweight, 47%, and 53%had a Framingham risk score >10%. The main cardiovascular risk factors potentially modifiable were: lowhigh-density lipoprotein (70%), high cholesterol (35%), hypertension (35%), smoking (23%) and high bloodglucose level (21%). Persons with Framingham risk score >10% had a tendency to consume diets high incholesterol (p=0.720), sodium (p=0.898), sugar/sugary foods (p=0.032) and low in fiber (p=0.273), andconsumed more alcoholic beverages (p=0.053). Lifestyle assessment revealed higher smoking prevalence andlow levels of physical activity in the group with Framingham risk score >10, but the differences were notsignificant.ConclusionThe results of this study show that patients with HIV/Aids under the Highly Active Antiretroviral Therapy andhigher Framingham risk score do not follow the recommendations for the primary prevention of cardiovasculardiseases, reinforcing the need of encourag