Castro Aline de Cássia Oliveira, Silveira Erika Aparecida, Falco Marianne de Oliveira, Nery Max Weyler, Turchi Marília Dalva
MSc - Professor of Nutrition, Pontifícia Universidade Católica de Goiás (PUC Goiás). Nutritionist, Secretaria Municipal de Saúde de Goiânia, Goiânia, GO, Brazil.
PhD - Associate Professor, Posgraduation Program Health Science, Universidade Federal de Goiás (UFG), Goiânia, GO, Brazil.
Rev Assoc Med Bras (1992). 2016 Jul;62(4):353-60. doi: 10.1590/1806-9282.62.04.353.
To investigate the prevalence of overweight, abdominal obesity and associated factors in people living with HIV/AIDS (PLWHA).
Cross-sectional study with 270 PLWHA. A questionnaire was applied to investigate sociodemographic, clinical and lifestyle characteristics. Weight, height and waist circumference were measured. BMI ≥25 kg/m2 was considered overweight, while abdominal obesity referred to waist circumference ≥102 cm for men and ≥88 cm for women. The authors used multiple Poisson regression with 5% significance level.
The prevalence of overweight and abdominal obesity was 33.7% and 12.6%, respectively, referring to 37.9% of women and 5.7% of men (p<0.001). Overweight was associated with age of 40-49 years and ≥50 years, non-use of ARV therapy, and lower tertile of consumption of risk foods. Abdominal obesity was associated with: female gender, age of 40-49 years and ≥50 years, income greater than four times the minimum wage, and CD4+ lymphocyte count >350 cells/mm3.
There was a high prevalence of overweight and abdominal obesity associated with sociodemographic and clinical conditions, and consumption of risk foods. This scenario indicates the need for reorientation of the health care focus in this population.
调查人类免疫缺陷病毒/获得性免疫综合征（HIV/AIDS）感染者中超重、腹型肥胖及相关因素的流行情况。
对270名HIV/AIDS感染者进行横断面研究。采用问卷调查来调查社会人口学、临床和生活方式特征。测量体重、身高和腰围。体重指数（BMI）≥25kg/m²被视为超重，而腹型肥胖是指男性腰围≥102cm，女性腰围≥88cm。作者采用显著性水平为5%的多重泊松回归分析。
超重和腹型肥胖的患病率分别为33.7%和12.6%，其中女性为37.9%，男性为5.7%（p<0.001）。超重与40 - 49岁及≥50岁的年龄、未接受抗逆转录病毒治疗以及风险食物消费处于较低三分位数有关。腹型肥胖与以下因素有关：女性性别、40 - 49岁及≥50岁的年龄、收入高于最低工资的四倍以及CD4 +淋巴细胞计数>350个细胞/mm³。
超重和腹型肥胖的患病率较高，与社会人口学和临床状况以及风险食物的消费有关。这种情况表明需要重新调整该人群的医疗保健重点。
