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Revista de Saúde Pública

Print version ISSN 0034-8910On-line version ISSN 1518-8787

Abstract

JAIME, Patrícia Constante; FLORINDO, Alex Antonio; LATORRE, Maria do Rosário Dias de Oliveira  and  SEGURADO, Aluísio Augusto Cotrim. Central obesity and dietary intake in HIV/AIDS patients. Rev. Saúde Pública [online]. 2006, vol.40, n.4, pp.634-640. ISSN 0034-8910.  http://dx.doi.org/10.1590/S0034-89102006000500012.

OBJECTIVE: To assess the association between dietary intake and central obesity among people living with HIV/AIDS and receiving highly active antiretroviral therapy. METHODS: A cross-sectional study was conducted involving 223 adult individuals in the city of São Paulo city in 2002. The study population was classified according to central obesity, defined as waist-to-hip ratio >0.95 for men and >0.85 for women. The dietary variables studied were energy consumption (in calories and calories/kilo of body weight), macronutrients (in grams and % of energy intake), total fiber (grams) and fruit and vegetables intake (grams). The potential confounders examined were sex, skin color, age, schooling, income, body mass index, physical activity, smoking habits, peripheral CD4+ T lymphocyte count and length of protease inhibitor use. The multiple logistic regression model was performed in order to evaluate the association between central obesity and dietary intake. RESULTS: The prevalence of central obesity was 45.7% and it was associated with greater consumption of lipids: for every increase of 10g of lipid intake the odds of central obesity increased 1.28 times. Carbohydrate consumption showed negative association (OR=0.93) with central obesity after adjustment for control variables. CONCLUSIONS: The results suggest that the amount of carbohydrates and lipids in the diet, regardless of total energy intake, may modify the chance of developing central obesity in the studied population. Nutritional interventions may be beneficial for preventing central obesity among HIV/AIDS patients.

Keywords : Obesity; HIV-associated lipodystrophy syndrome; Anti-HIV agents [adverse effects]; Food consumption; Dietary fats; Waist-hip ratio; Cross-sectional studies.

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