Olagunju Mobolaji, Salako Abideen Olurotimi, Gbaja-Biamila Titilola Abike, Musari-Martins Tomilola, Ezemelue Priscilla Ngozi, Opaneye Babasola, AhmadRufai Abubakar Abubakar, Odusote Ibukun Oluwatomisin, Fasina Feyikemi, Adeyinka Adeniyi, Alabi Oreoluwa, David Agatha Nkiru, Ezechi Lilian, Odubela Oluwatosin O
Department of Epidemiology and Health Statistics, School of Public Health, Nanjing Medical University, Nanjing, China.
Clinical Sciences Department, Nigerian Institute of Medical Research Yaba, Lagos, Nigeria.
J Multimorb Comorb. 2025 May 11;15:26335565251341388. doi: 10.1177/26335565251341388. eCollection 2025 Jan-Dec.
The relationship between dietary patterns (DP) and health outcomes (elevated blood pressure, dyslipidaemia, hyperglycaemia, and body mass index) among adolescents and young adults (AYA) with HIV is not well understood. We aimed to identify dietary patterns and determinants associated with metabolic syndrome components among adolescents and young adults living with HIV in Lagos, Nigeria.
We conducted a cross-sectional study among 180 participants at an ART clinic in Lagos. Information on sociodemographic and clinical characteristics, as well as 72-hour dietary recall were collected. Anthropometric measurements (BMI (kg/m)) and blood pressure readings were collected. Blood samples were assayed for fasting blood sugar and lipid profiles. Statistical analysis was done using SPSS version 27, WHO Anthro Plus software.
The male-to-female ratio was 1:1. Four major DPs identified were DP 1 (higher consumption of beverages, vitamins, and vegetables); DP 2 (high intake of minerals, and fruits); DP3 (higher intake of carbohydrates, fat and oil); and DP4 (higher intake alcohol and vegetables). DP1 was associated with dyslipidaemia, underweight BMI and hyperglycaemia were associated with DP4, while DP2 had lower odds of overweight and elevated blood pressure.
This outcome provides valuable insights into DPs and their association with metabolic co-morbidity among AYA with HIV. This will inform nutritional counselling and interventions to promote quality of life and health.
青少年和青年艾滋病感染者（AYA）的饮食模式（DP）与健康结果（血压升高、血脂异常、高血糖和体重指数）之间的关系尚未完全明确。我们旨在确定尼日利亚拉各斯感染艾滋病毒的青少年和青年中与代谢综合征成分相关的饮食模式及其决定因素。
我们在拉各斯的一家抗逆转录病毒治疗诊所对180名参与者进行了一项横断面研究。收集了社会人口学和临床特征信息，以及72小时饮食回顾。测量了人体测量指标（体重指数（kg/m））和血压读数。采集血样检测空腹血糖和血脂谱。使用SPSS 27版、世界卫生组织儿童生长标准软件进行统计分析。
男女比例为1:1。确定的四种主要饮食模式为：饮食模式1（饮料、维生素和蔬菜摄入量较高）；饮食模式2（矿物质和水果摄入量高）；饮食模式3（碳水化合物、脂肪和油摄入量较高）；以及饮食模式4（酒精和蔬菜摄入量较高）。饮食模式1与血脂异常有关，体重指数过低和高血糖与饮食模式4有关，而饮食模式2超重和血压升高的几率较低。
这一结果为感染艾滋病毒的青少年和青年的饮食模式及其与代谢合并症的关联提供了有价值的见解。这将为营养咨询和干预提供依据，以提高生活质量和促进健康。
