Castetbon K, Kadio A, Bondurand A, Boka Yao A, Barouan C, Coulibaly Y, Anglaret X, Msellati P, Malvy D, Dabis F
Unité INSERM 330, Université de Bordeaux II, France.
Eur J Clin Nutr. 1997 Feb;51(2):81-6. doi: 10.1038/sj.ejcn.1600365.
To evaluate nutritional status and dietary intakes in HIV-outpatients in Abidjan, Côte d'Ivoire.
Cross-sectional study.
In the Outpatients and Counselling Unit in the University Hospital in Treichville, and in the follow-up Unit of Blood Donors.
100 HIV-infected patients at different stages of the infection recruited consecutively in the two consultation services.
Clinical, biological and anthropometric data were collected: weight, baseline weight, height, triceps skinfold (TS), arm circumference (AC), body mass index (BMI), muscular circumference (MC) and weight loss (WL). Dietary intake was estimated by the 24 h recall method.
The M:F sex ratio was 1.1:1. Mean age was 32.5 y (30.7-34.4); 64% of the patients were symptomatic (S+). Mean weight was 58.7 kg (56.8-60.6) and mean BMI, 20.9 k/m2 (20.7-21.1); 67% of the patients had a BMI < 21.5 kg/m2. S+ patients had mean weight, BMI, AC and MC significantly lower than asymptomatic patients (P < 0.0001 = 0.001, 0.0003 and 0.004 respectively) and had suffered a more important WL (P < 0.0001). Immunodepressed patients had mean weight, AC and MC significantly lower than patients with a CD4 count > or = 200/mm3 (P = 0.04, 0.005 and 0.04 respectively). WL was independent of CD4 count. Protein, carbohydrate and fat intakes were respectively 59 g/24 h (52-66), 266 g/24 h (240-292) and 59 g/24 h (51-66). Energy mean intake was 7.6 MJ/24 h (6.9-8.4) and lower than WHO recommended intakes.
In Abidjan, anthropometric parameters and dietary intakes of HIV-infected patients are worsened by clinical events. Nutritional intakes are generally lower than recommendations. Further studies are needed to determine if, in the African context, a causal relationship could exist between dietary intakes and nutritional status in HIV-infected patients.
评估科特迪瓦阿比让市艾滋病毒门诊患者的营养状况和饮食摄入量。
横断面研究。
特雷什维尔大学医院的门诊及咨询科室，以及献血者随访科室。
在这两个咨询科室连续招募的100名处于不同感染阶段的艾滋病毒感染患者。
收集临床、生物学和人体测量数据：体重、基础体重、身高、三头肌皮褶厚度（TS）、上臂围（AC）、体重指数（BMI）、肌肉围度（MC）和体重减轻（WL）。通过24小时回顾法估算饮食摄入量。
男女比例为1.1:1。平均年龄为32.5岁（30.7 - 34.4岁）；64%的患者有症状（S+）。平均体重为58.7千克（5�.8 - 60.6千克），平均BMI为20.9千克/平方米（20.7 - 21.1千克/平方米）；67%的患者BMI < 21.5千克/平方米。有症状的患者平均体重、BMI、AC和MC显著低于无症状患者（P分别< 0.0001、0.001、0.0003和0.004），且体重减轻更明显（P < 0.0001）。免疫抑制患者的平均体重、AC和MC显著低于CD4细胞计数≥200/立方毫米的患者（P分别为0.04、0.005和0.04）。体重减轻与CD4细胞计数无关。蛋白质、碳水化合物和脂肪摄入量分别为59克/24小时（52 - 66克）、266克/24小时（240 - 292克）和59克/24小时（51 - 66克）。平均能量摄入量为7.6兆焦耳/24小时（6.9 - 8.4兆焦耳），低于世界卫生组织推荐摄入量。
在阿比让，临床情况使艾滋病毒感染患者的人体测量参数和饮食摄入量恶化。营养摄入量总体低于推荐水平。需要进一步研究以确定在非洲背景下，艾滋病毒感染患者的饮食摄入量与营养状况之间是否可能存在因果关系。
