13
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      The Effectiveness of a Bioactive Food Compound in the Lipid Control of Individuals with HIV/AIDS

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Cardiovascular events due to decompensated lipid metabolism are commonly found in Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) patients using anti-retroviral therapy (HAART). Thus, the aim of this study was to identify the effect of a bioactive food compound (BFC) containing functional foods on individuals with HIV undergoing HAART. Particularly, this study aims to verify the clinical outcome in the change of the lipid profile due to the use of this compound. This study includes 115 individuals with HIV on HAART. All patients received dietary guidelines; however, sixty-one consumed BFC while fifty-one did not (NO BFC). Biochemical examinations and socio-demographic and clinical profiles were evaluated. As result, in patients using hypolipidemic and/or hypoglycemic drugs, there was 28.6% decrease in triglyceride levels ( p < 0.001) in the NO BFC group, and 18.3% reduction in low density lipoprotein cholesterol (LDL-C) ( p < 0.001) in the BFC group. In patients who did not use hypolipidemic and/or hypoglycemic drugs in the NO BFC group, there was 30.6% increase in triglycerides, 11.3% total cholesterol and 15.3% LDL-C levels ( p < 0.001) while for the BFC group there was 4.5% reduction in total cholesterol ( p < 0.001). In conclusion, this study evidenced that the dietary intervention containing BFC positively affected in lipid control, since these HIV/AIDS patients using HAART are more vulnerable to lipid disorders.

          Related collections

          Most cited references38

          • Record: found
          • Abstract: not found
          • Article: not found

          Cardiovascular risk and body-fat abnormalities in HIV-infected adults.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            V Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Diagnosis, prediction, and natural course of HIV-1 protease-inhibitor-associated lipodystrophy, hyperlipidaemia, and diabetes mellitus: a cohort study.

              The prevalence and severity of lipodystrophy syndrome with long-term therapy for HIV-1 infection that includes a protease inhibitor is unknown. We studied the natural course of the syndrome to develop diagnostic criteria and identifying markers that predict its severity. We assessed 113 patients who were receiving HIV-1 protease inhibitors (mean 21 months) and 45 HIV-1-infected patients (28 with follow-up) never treated with a protease inhibitor. Lipodystrophy was assessed by questionnaire (including patients' rating of severity), physical examination, and dual-energy x-ray absorptiometry. Body composition and fasting lipid and glycaemic variables were compared with data obtained 8 months previously. Oral glucose tolerance was investigated. There was 98% concordance between patients' reports of the presence or absence of lipodystrophy (reported by 83% of protease-inhibitor recipients and 4% of treatment-naïve patients; p=0.0001) and physical examination. Patients' ratings of lipodystrophy were significantly associated with declining total body fat (p=0.02). Lower body fat was independently associated with longer duration of protease-inhibitor therapy and lower bodyweight before therapy, and more severe lipodystrophy was associated with higher previous (p < 0.03) and current (p < or = 0.01) triglyceride and C-peptide concentrations, and less peripheral and greater central fat (p=0.005 and 0.09, respectively). Body fat declined a mean 1.2 kg over 8 months in protease-inhibitor recipients (p=0.05). The prevalence of hyperlipidaemia remained stable over time (74% of treated patients vs 28% of naïve patients; p=0.0001). Impaired glucose tolerance occurred in 16% of protease-inhibitor recipients and diabetes mellitus in 7%; in all but three patients these abnormalities were detected on 2 h post-glucose load values. Diagnosis and rating severity of lipodystrophy is aided by the combination of physical examination, patient's rating, and measurement of body fat, fasting triglycerides, and C-peptide. Weight before therapy, fasting triglyceride, and C-peptide concentrations early in therapy, and therapy duration seem to predict lipodystrophy severity. Lipodystrophy was common and progressive after almost 2 years of protease inhibitor therapy, but was not usually severe. Hyperlipidaemia and impaired glucose tolerance were also common.
                Bookmark

                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                08 October 2016
                October 2016
                : 8
                : 10
                : 598
                Affiliations
                [1 ]Nutrition Service, University Hospital, Federal University of Mato Grosso do Sul—UFMS, Campo Grande 79079-900, MS, Brazil
                [2 ]Post Graduate Program in Health and Development in the Central-West Region of Brazil, Federal University of Mato Grosso do Sul—UFMS, Campo Grande 79079-900, MS, Brazil; rita.guimaraes@ 123456ufms.br (R.d.C.A.G.); elenirpontes@ 123456uol.com.br (E.R.J.C.P.); aragao60@ 123456hotmail.com (V.A.d.N.); priscila.hiane@ 123456ufms.br (P.A.H.)
                Author notes
                [* ]Correspondence: rosangela.ferreira@ 123456ufms.br ; Tel.: +55-67-3345-7445; Fax: +55-67-3345-7400
                Article
                nutrients-08-00598
                10.3390/nu8100598
                5083986
                27740592
                a2d7a681-6d5a-4010-8ed0-66efcded8d6c
                © 2016 by the authors; licensee MDPI, Basel, Switzerland.

                This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 21 July 2016
                : 19 September 2016
                Categories
                Article

                Nutrition & Dietetics
                lipid profile,anti-retroviral therapy,functional food,dyslipidemia,metabolic syndrome

                Comments

                Comment on this article