Estado nutricional, qualidade da dieta e adesão ao tratamento de pacientes portadores da Síndrome de Imunodeficiência Adquirida (HIV/AIDS) atendidos no Centro de Saúde do município de Itaqui/RS

Abstract

To evaluate the nutritional status, quality of diet and adherence to treatment of people living with HIV / AIDS treated at the health center of Itaqui-RS. Cross-sectional study including 21 individuals of both sexes. Sociodemographic, lifestyle, clinical data and use of medications information were collected. It was applied an adherence to treatment questionnaire and performed anthropometric measurements of weight, height, circumferences; triceps skinfold thickness and calculated the body mass index (BMI) and waist/hip ratio. For assessment of body composition was used bioimpedance. Dietary intake was assessed using 24 hours food record and the adequacy of food intake was performed according to guidelines. Mean age was 38.7±9.3 years, and 66.7% female, 95.2% non-smoker and 85.7% non-alcoholic. The average score of the questionnaire was 89.8±6.7, indicating adherence to treatment. The mean BMI was 28.7±8,0 Kg/m2 and the fat percentage was 26.9±8.3%. Increased values of waist circumference and wais/rip ratio were associated with longer treatment (p=0.021 and p=0.013, respectively). Regarding food intake, 66.7% did not meet the minimum daily intake for fiber and 61.9% consume sodium above the recommendation. The intake below the recommendation for vitamins E, C and A was 61,9%, 71.4% and 90.5%, respectively. We observed high adherence to antiretroviral treatment and HIV associated lipodystrophy was evident. In addition, dietary intake of micronutrients was inadequate. These findings highlight the importance of a continuous nutritional monitoring and new strategies to improve the quality of diet.