Pregnancy and medical follow-up of women living with HIV/AIDS in Guadeloupe and Martinique (French West Indies): medical progress and social problems

2011 ◽  
Vol 21 (1) ◽  
pp. 9-14
Author(s):  
Dolorès Pourette
Keyword(s):  
West Indies ◽  
Social Problems ◽  
French West Indies ◽  
Medical Progress ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Lean Mass Improvement from Nutrition Education and Protein Supplementation among Rural Indian Women Living with HIV/AIDS: Results from Cluster Randomized Factorial Trial at 18-Month Follow-Up

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 179
Author(s):  
Catherine L. Carpenter ◽  
Kavita Kapur ◽  
Padma Ramakrishna ◽  
Suresh Pamujula ◽  
Kartik Yadav ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Lean Mass ◽  
Andhra Pradesh ◽  
Protein Supplementation ◽  
Women Living With Hiv ◽  
Factorial Trial ◽  
Cluster Randomized ◽  
Living With Hiv ◽  
Hiv Aids

Loss of lean muscle mass impairs immunity and increases mortality risk among individuals with HIV/AIDS. We evaluated the relative contributions of protein supplementation and nutrition education on body composition among 600 women living with HIV/AIDS in rural Andhra Pradesh, India. We conducted a cluster randomized controlled 2 × 2 factorial trial lasting six months with follow up at twelve and eighteen months. Interventions occurred in the Nellore and Prakasam regions of Andhra Pradesh by trained village women, ASHA (Accredited Social Health Activists), and included: (1) the usual supportive care from ASHA (UC); (2) UC plus nutrition education (NE); (3) UC plus nutritional protein supplementation (NS); (4) combined UC plus NE plus NS. A Bioimpedance Analyzer Model 310e measured body composition. SAS 9.4 analyzed all data. Mixed models using repeated measures evaluated lean mass change from baseline as primary and fat weight and total weight as secondary outcomes. Lean mass change was significantly associated with NS (p = 0.0001), NE (p = 0.0001), and combined NS plus NE (p = 0.0001), with similar associations for secondary outcomes. Stronger associations for total weight were observed with greater ART adherence. Nutritional interventions may improve physiologic response to HIV. Significant increases in lean mass resulted from independent and combined protein supplementation and nutrition education.

scholarly journals Increased chance of metabolic syndrome in women living with HIV/AIDS and lipodystrophic syndrome

2016 ◽  
Vol 49 (5) ◽  
pp. 421 ◽  
Author(s):  
Thiago Cândido Alves ◽  
Camila De Moraes ◽  
André Pereira dos Santos ◽  
Ana Cláudia Rossini Venturini ◽  
Rodrigo De Carvalho Santana ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Women Living With Hiv ◽  
Sindrome Metabolica ◽  
Terapia Antirretroviral ◽  
Living With Hiv ◽  
Total P ◽  
Lipodystrophic Syndrome ◽  
Hiv Aids

Modelo do estudo: Estudo de prevalência de corte transversal. Objetivo: comparar a sintomatologia critério para Síndrome Metabólica em homens e mulheres que vivem com HIV/aids, pacientes com Síndrome Lipoditrófica em terapia antirretroviral. Método: participaram do estudo 41 pacientes HIV positivos de ambos os sexos (18 a 69 anos), de um programa de orientação de exercício físico como terapia alternativa. Foi determinada a composição corporal total e regional por DXA, estatura, peso, circunferência de abdome, e determinação de parâmetros metabólicos (perfil lipídico e glicêmico) e imunológicos (detecção de carga viral e contagem de células T CD4+). Foram utilizados os critérios da IDF para o diagnóstico de SM. Resultados: As mulheres apresentaram maior gordura relativa (p = 0,001), obesidade central (p = 0,005), colesterol total (p = 0,043), LDL colesterol (p = 0,034) e contagem de CD4+ (p = 0,034) quando comparadas aos homens. Os valores médios para ambos os sexos apresentaram níveis elevados de triglicerídeos (> 211,4 mg.dL-1) e baixos de HDL (< 39,5 mg.dL- 1). A prevalência de Síndrome Metabólica nas mulheres foi duas vezes maior do que nos homens (p = 0,021), com significantes diferenças também na obesidade abdominal central (p = 0,005). Conclusões: A razão de prevalência (RP = 0,465) do sexo associado à Síndrome Metabólica indicou que as mulheres têm maior risco relativo e, portanto requerem ações alternativas na redução das chances de desenvolvimento desta síndrome

Sign in / Sign up

Export Citation Format

Share Document