Self-reported lipodystrophy, nutritional, lipemic profile and its impact on the body image of HIV-1-infected persons, with and without antiretroviral therapy

• Published in: AIDS care Vol. 32; no. 10; pp. 1317 - 1322
• Main Authors: Soares, Lismeia Raimundo, Casseb, Jorge Simão do Rosário, Chaba, Daniela Cardeal da Silva, Batista, Leandro Oliveira, Sousa, Luis Vinicius de Alcantara, Fonseca, Fernando Luiz Affonso
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 02-10-2020; Taylor & Francis Ltd
• Subjects: Adult; Anthropometry; Antiretroviral agents; Antiretroviral drugs; Antiretroviral therapy; Antiretroviral Therapy, Highly Active - adverse effects; Body Image; Body mass index; Body measurements; Cross-Sectional Studies; Dermatology; Drug therapy; dyslipidemia; Female; Females; HIV; HIV Infections - drug therapy; HIV-1; HIV-Associated Lipodystrophy Syndrome - chemically induced; Human immunodeficiency virus; Humans; Hypertriglyceridemia; Immunodeficiency; Limbs; Lipoatrophy; Lipodystrophy; Lipodystrophy - chemically induced; Lower limbs; Male; Males; Metabolic disorders; Perceptions; Self image; Self Report; Sex differences; Sexually transmitted diseases; STD; Waist; Weight loss; body image; HIV; dyslipidemia; anthropometry; lipodystrophy
• ISSN: 0954-0121; 1360-0451
• DOI: 10.1080/09540121.2019.1687832

A cross-sectional study was conducted with 227 adults, 162 using antiretroviral therapy (ART), both sexes, in Secondary Immunodeficiency Outpatient Clinic of the Department of Dermatology of the Hospital das Clínicas of the Faculty of Medicine of University of São Paulo. The patients were grouped into 92 under ART and self-reported lipodystrophy (G1); 70 under ART and without self-reported lipodystrophy (G2); 65 without ART (G3). We evaluated: (1) self-reported lipodystrophy, self-perception and feeling about body image; (2) Anthropometric and lipemic profile. We included 67% (n = 152) male; 33% (n = 77) female. There was a negative impact of self-reported lipodystrophy on body image, where female was more critical, although it was significant for male (p = 0.014). BMI revealed excess weight in female (p = 0.058). Hip waist ratio was shown to be a better parameter than abdominal perimeter when measuring fat in central region of male and lipohypertrophy was characterized in both sexes. There was lipoatrophy in upper and lower limbs for individuals of the (G1) and the male of this group presented hypertriglyceridemia, (p = 0.012). There was a difference in sex, pattern of self - perceived morphologic alterations and feeling in relation to body image when associated with self - reported lipodystrophy, ART use, anthropometric and lipemic profile.