[Evolution of the nutritional status of patients with HIV-AIDS. Effects of socioeconomic situation and dietetic counseling] NLM AIDSLINE Important note: Information in this article was accurate in 1999. The state of the art may have changed since the publication date.

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[Evolution of the nutritional status of patients with HIV-AIDS. Effects of socioeconomic situation and dietetic counseling]

An Med Interna. 1998 Dec;15(12):627-32. Unique Identifier : AIDSLINE MED/99138542
Sanchez Alvarez MC; Gomez Ramos MJ; Cano Sanchez A; Pacheco Guevara R; Nicolas Hernandez M; Garcia Alberola A; S. Medicina Intensiva-Unidad de Nutricion, Hospital General; Universitario, Murcia.


Abstract: OBJECTIVES: To know HIV-AIDS patient's nutritional status in different infection's condition and their relation with the socioeconomic situation and, in that case, the nutritional condition improvement through the dietetic advice appropriated for each patient. METHODS: Prospective study of 79 patients with HIV-AIDS diagnostic in any illness's condition and recopilation of anthropometrics and biochemical variables. At the beginning of the study we got data about socioeconomic situation of patient with a scale of 1 to 5 points each variable and an score top of 35. In the survivors we checked, after dietetic advice, the variables at 6 and 12 months by sanitary personal (physician and nurse) who weren't implicated in direct assistance. The study was analyzed by Student "T" for matched data and the simple correlation test. RESULTS: We have objectivated a lost of initial weight over their habitual's with a progressive impairment in different stage of evolution that weren't modified by dietetic advice. We didn't observed significant variations in the biochemical variables included in advances states and in parameters which are usually affected in malnutrition. In the analysis of relation between nutritional condition and socioeconomic factors, it was estimated a lesser score, that was statistically significative, in patients who had a work, family situation and an affective upset positive. CONCLUSIONS: The results obtained induce to think that the nutritional advices appropriated for each patient are not related, in our series, with progressive deterioration of anthropometrics variables, neither biochemical parameters fluctuations at 6, 12 months of follow-up. The patient's socioeconomic situation is not influenced by nutritional condition except for the work, affectivity and family environment.
Keywords: JOURNAL ARTICLE de su situacion socio-economica y del consejo dietetico. Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Comparative Study Counseling Data Interpretation, Statistical Diet English Abstract Female Follow-Up Studies Human HIV Infections/*COMPLICATIONS/METABOLISM/MORTALITY Male Middle Age Nutrition Disorders/*ETIOLOGY/METABOLISM/MORTALITY/PREVENTION & CONTROL *Nutritional Status Prospective Studies Socioeconomic Factors Time FactorsKWDjournalarticledesusituacionsocio-economicaydelconsejodieteticoKWDacquiredimmunodeficiencysyndrome/KWDcomplicationsadultcomparativestudycounselingdatainterpretation,statisticaldietenglishabstractfemalefollow-upstudieshumanhivinfections/KWDcomplications/metabolism/mortalitymalemiddleagenutritiondisorders/KWDetiology/metabolism/mortality/prevention&controlKWDnutritionalstatusprospectivestudiessocioeconomicfactorstimefactors
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