成人HIV患者自我报告的脂肪营养不良和身体形象的自我感知

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Journal of Health and Allied Sciences NU Pub Date : 2023-09-29 DOI:10.1055/s-0043-1775761
Lismeia R. Soares, Jorge Casseb, Luiz Vinicius de Alcantara Sousa, Glaucia Luciano da Veiga, Beatriz da Costa Aguiar Alves, Thaís Gascón, Fernando L.A. Fonseca
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引用次数: 0

摘要

摘要:HIV-1感染个体的营养评估具有重要意义,因为它允许间接监测生理和形态变化,识别营养风险,并有效干预以维持或恢复营养状态。这反过来又有助于提高这一人口的生活质量。本研究旨在建立自我形象感知与身体组成、生化特征和使用降脂药物之间的联系,这些人是在巴西圣保罗接受门诊随访的成年艾滋病毒感染者。方法采用回顾性横断面研究对231名服用和停用抗逆转录病毒药物的成年人进行研究。该研究主观评估了两个方面:(1)身体脂肪再分配的改变(称为自我报告的脂肪营养不良)和(2)身体形象的自我感知。这些变量随后与个体自我感知的身体形象相关。结果该研究包括67% (n = 154)男性和33% (n = 77)女性,其中28.5% (n = 66)暴露于某种形式的蛋白酶抑制剂。在参与者中,40% (n = 98)感觉到身体脂肪再分配的改变(脂肪营养不良)。显著的变化包括面部、手臂、大腿和臀部的脂肪减少(分别为p = 0.004、0.006、0.001和0.001),腰围增加(p = 0.001),静脉突出(p = 0.001),脂肪瘤的出现或增加(p = 0.046)。结论降脂药物的使用与身体形象自我认知呈正相关。在这项研究中,与主观的自我报告方法相比,人体测量和生化参数被证明在评估艾滋病毒/艾滋病感染者体内脂肪分布的变化方面更有效。
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Self-Reported Lipodystrophy and Self-Perception of Body Image in Adults with HIV
Abstract Introduction and Objectives Nutritional assessment in individuals infected with HIV-1 holds significance as it allows for indirect monitoring of physiological and morphological changes, identification of nutritional risks, and effective intervention to maintain or restore nutritional status. This, in turn, contributes to enhancing the quality of life for this population. This study aims to establish a connection between self-image perceptions and body composition, biochemical profiles, and the use of lipid-lowering medications among adults with HIV who are undergoing outpatient follow-up in São Paulo, Brazil. Methods A retrospective cross-sectional study was conducted involving 231 adults, both on and off antiretroviral drugs. The study subjectively assessed two aspects: (1) alterations in the redistribution of body fat (referred to as self-reported lipodystrophy) and (2) self-perceptions of body image. These variables were subsequently correlated with the individuals' self-perceived body image. Results The study included 67% (n = 154) men and 33% (n = 77) women, with 28.5% (n = 66) having been exposed to some form of protease inhibitor. Among the participants, 40% (n = 98) perceived alterations in the redistribution of body fat (lipodystrophy). Notable changes included fat loss in the face, arms, thighs, and buttocks (p = 0.004, 0.006, 0.001, and 0.001, respectively), along with increased waistlines (p = 0.001), prominent veins (p = 0.001), and the presence or increase of lipomas (p = 0.046). Conclusion A positive correlation was observed between the use of lipid-lowering medications and self-perceptions of body image. In this study, anthropometric and biochemical parameters proved more effective in assessing changes in the distribution of body fat among people living with HIV/AIDS compared to the subjective self-reported method.
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来源期刊
Journal of Health and Allied Sciences NU
Journal of Health and Allied Sciences NU MEDICINE, GENERAL & INTERNAL-
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33.30%
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85
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