Cadernos de Saúde Pública
On-line version ISSN 1678-4464Print version ISSN 0102-311X
MARIZ, Carolline de Araújo et al. Body mass index in individuals with HIV infection and factors associated with thinness and overweight/obesity. Cad. Saúde Pública [online]. 2011, vol.27, n.10, pp.1997-2008. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2011001000013.
A cross-sectional study was conducted using body mass index (BMI) to estimate the prevalence of thinness and overweight/obesity and associated factors in 2,018 individuals with HIV/AIDS attending health services referral centers. The dependent variable was classified as thinness, overweight/obesity and eutrophy. Multinomial logistic regression analyses were performed considering eutrophy as the reference level. The prevalence of thinness was 8.8% and of overweight/obesity, 32.1%. The variables associated with thinness were anemia and CD4 cell count < 200mm3. The variables associated with risk of overweight/obesity were age > 40 years and diabetes, and the variables identified as decreasing likelihood of overweight/obesity were having no long-term partner, smoking, presence of an opportunistic disease, anemia, and albumin levels < 3.5mg/dL. The main nutritional problem observed in this population was overweight and obesity, which were much more prevalent than thinness. Older individuals with diabetes should be targeted for nutritional interventions and lifestyle changes.
Keywords : Body Mass Index; HIV Infections; Acquired Immunodeficiency Syndrome.