Changes provoked by antiretroviral therapy over some biochemical indicators of the nutritional status in people suffering from HIV/AIDS
Keywords:
HIV/drug effects, ALBUMIN/analysis, TRANSFERRIN/analysis.Abstract
Aimed at determining the changes provoked by antiretroviral therapy (ARVT) over some biochemical indicators of the nutritional status in people suffering from HIV/AIDS an observational, analytic and cross-sectional study was carried out in Pinar de Rio Province. The study was comprised of 142 individuals, out of them 89 before receiving the ARVT (24 women and 65 men), and 53 undergoing ARVT. Serum of the patients was used to determine the concentrations of albumin, transferrin, glucose, creatinine, triglycerides, and total cholesterol using the computerized chemical analyzer HITACHI 902. Means of both groups of patients were compared through the Mann Whitney U Test. No differences were found in means obtained for serum albumin levels (p=0.141), transferrin (p=0.196) and glucose (p=0.59) when both groups were compared. Triglyceride levels and cholesterol significantly increased in the group of patients (HIV/AIDS) using antiretroviral therapy (1.29±0.82 vs. 1.98±1.49 [p=0.0004] for triglycerides and 3.95±1.03 vs. 4.55±1.15 [p=0.003] for cholesterol). It is concluded that ARVT diminishes the risk of malnutrition according to the biochemical indicators under study, but increases the risk of hyperlipemia.Downloads
References
1. Chu C, Selwyn PA. Complications of HIV Infection: A Systems-Based Approach. Am Fam Physician. [Internet]. 2011 [Citado enero 2011]; 83(4): [Aprox. 11p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21322514
2. Samaras K. Metabolic consequences and therapeutic options in highly active antiretroviral therapy in human immunodeficiency virus-1 infection. J Antimicrob Chemother. [Internet]. 2008 [Citado enero 2011]; 61(2): [Aprox. 7p.]. Available from: http://jac.oxfordjournals.org/content/61/2/238.abstract
3. Patrick W, Mallon G. Antiretroviral Therapy and Dyslipidemia: Unlocking the Code. PLoS Med. [Internet]. 2006 March [Citado diciembre 2010]; 3(3): [Aprox. 1p.]. Available from: http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.0030085
4. Butt AA, McGinnis K, Rodriguez-Barradas MC, Crystal S, Michael Simberkoff M, Bidwell M, et al. HIV Infection and the Risk of Diabetes Mellitus. AIDS. [Internet]. 2009 [Citado marzo 2011]; 23(10): [Aprox. 7p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19444074+
5. De Lorenzo F, Boffito M, Collot-Teixeira S, Gazzard B, McGregor JL, Kevin Shotliff K, et al. Prevention of atherosclerosis in patients living with HIV. Vasc Health Risk Manag. [Internet]. 2009 [Citado enero 2011]; 2009(5): [Aprox. 13p.]. Available from: http://www.dovepress.com/prevention-of-atherosclerosis-in-patients-living-with-hiv-a2995
6. Adeyemi O. Cardiovascular risk and risk management in HIV-infected patients. Top HIV Med. [Internet]. 2007 [Citado enero 2011]; 15(5): [Aprox. 3p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18073451
7. Ospina S, Estrada S. Medidas de Bioseguridad y SIDA. In: Fundamentos de Medicina. SIDA. Enfoque Integral. 2da Edición. Medellín. Colombia; 1996. p. 377-83.
8. Santana Porbén S, Barreto Penié J, Martínez González C, Espinosa Borrás A, Morales Hernández L. Evaluación nutricional. ACTA MÉDICA. [Internet]. 2003 [Citado octubre 2010]; 11(1): [Aprox. 15p.]. Disponible en: http://www.imbiomed.com.mx/1/1/articulos.php?id_revista=52
9. Woods MN, A Wanke CH, Ling PR, Hendricks KM, Tang AM, Andersson ChE, et al. Metabolic syndrome and serum fatty acid patterns in serum phospholipids in hypertriglyceridemic persons with human immunodeficiency virus. Am J Clin Nutr. [Internet]. 2009 [Citado marzo 2011]; 89(4): [Aprox. 7p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2667461/
10. Rasheed S, Yan JS, Lau A, Chan AS. HIV Replication Enhances Production of Free Fatty Acids, Low Density Lipoproteins and Many Key Proteins Involved in Lipid Metabolism: A Proteomics Study. PLoS ONE. [Internet]. 2008 [Citado marzo 2011]; 3(8): [Aprox. 1p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18714345
11. Currier J, Scherzer R, Bacchetti P, Heymsfield S, Lee D, Sidney A S, et al. Regional Adipose Tissue and Lipid and Lipoprotein Levels in HIVInfected Women. J Acquir Immune Defic Syndr. [Internet]. 2008 [Citado abril 2011]; 48(1): [Aprox. 8p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18197118
12 Triant V A, Lee H, Hadigan C, Grinspoon S K. Increased Acute Myocardial Infarction Rates and Cardiovascular Risk Factors among Patients with Human Immunodeficiency Virus Disease. J Clin Endocrinol Metab. [Internet]. 2007 July [Citado marzo 2011]; 92(7): [Aprox. 6p.]. Available from: http://jcem.endojournals.org/content/92/7/2506.short
13. Linares Guerra EM, Bencomo Gómez F, Pérez Hernández LE, Omar Torres Crespo O, Barrera Romero O. Influencia de la infección por VIH/SIDA sobre algunos indicadores bioquímicos del estado nutricional. Revista Cubana Aliment Nutr. [Internet]. 2002 [Citado enero 2011]; 16(2): [Aprox. 7p.]. Disponible en: http://www.imbiomed.com.mx/1/1/articulos.php?method=showDetail&id_articulo=6896&id_seccion=719&id_ejemplar=733&id_revista=54
14. Butt AA, McGinnis K, Rodriguez-Barradas M C, Crystal S, Simberkoff M, Bidwell Goetz M B, et al. HIV Infection and the Risk of Diabetes Mellitus. AIDS. [Internet]. 2009 June 19 [Citado marzo 2011]; 23(10): [Aprox. 7p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19444074
15. Rojas J, Bermúdez Valmore LE, Bermúdez F, Cano R, Acosta L, Finol F, et al. Insulinoresistencia e hiperinsulinemia como factores de riesgo para enfermedad Cardiovascular. AVFT [Internet]. jun 2008 [citado febrero 2011]; 27(1): [Aprox. 10p.]. Available from: http://www.scielo.org.ve/scielo.php?pid=S0798-02642008000100008&script=sci_arttext
6. Ferrari SE, Bassichetto KC, Lewi DS. Perfil lipídico, factores de riesgo cardiovascular y síndrome metabólico en un grupo de pacientes con SIDA. Arq. Bras. Cardiol. [Internet]. 2009 Aug [Cited 2011 Apr 04]; 93(2): [Aprox. 5p.]. Disponible en: http://www.scielo.br/scielo.php?pid=S0066-782X2009000800008&script=sci_arttext&tlng=es
16. Santos Corraliza E, Fuertes Martín A. Efectos adversos de los fármacos antirretrovirales. Fisiopatología, manifestaciones clínicas y tratamiento. An. Med. Interna. [Internet]. 2006 [Citado noviembre 2010]; 23 (7): [Aprox. 15p.]. Disponible en: http://scielo.isciii.es/scielo.php?pid=s0212-71992006000700010&script=sci_arttext
17. Sinicco A, Biglino A, Sciandra M. Cytokine network and acute primary HIV-1 infection. AIDS. [Internet]. 1993 [Citado diciembre 2010]; 7(9): [Aprox. 5p.]. Available from: http://www.hopkinsguides.com/hopkins/ub/citation/8216972/Cytokine_network_and_acute_primary_HIV_1_infection_
18. USA. National Institutes of Health. The Effect of Low-Dose Human Growth Hormone Therapy in HIV Infected Patients [monografía en internet]. August 26, 2008. [Citado enero 2011]. Available from: http://clinicaltrials.gov/ct2/show/NCT00119769
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/