Adherence to Mediterranean diet in HIV infected patients: Relation with nutritional status and cardiovascular risk. (April 2017)

• Record Type: Journal Article
• Authors: Policarpo, Sara; Rodrigues, Teresa; Moreira, Ana Catarina; Valadas, Emília
• Is Part Of: Clinical nutrition ESPEN. Volume 18(2017)
• Page Start: 31
• Page End: 36
• Publication Date: 2017-04
• Subjects: HIV -- Mediterranean diet -- Nutritional status -- Obesity -- Cardiovascular risk; Nutritionally induced diseases -- Periodicals; Metabolism -- Disorders -- Periodicals; 616.39005
• DOI: 10.1016/j.clnesp.2017.01.008
• Languages: English
• ISSNs: 2405-4577

Abstract

Abstract: Background & aims: The Mediterranean diet (MedDiet) has been associated to a lower prevalence of metabolic syndrome (MS) and a lower cardiovascular risk (CVR). Our aim was to assess HIV infected individual's adherence to the MedDiet and its relationship with nutritional status and CVR. Methods: Clinical and anthropometric data were collected and a nutritional assessment was performed. Adherence to the MedDiet was assessed using the questionnaire MedDietScore, ranging from 0 to 55, where higher scores indicated a higher adherence. CVR was estimated for each patient using the Framingham Risk Score (FRSs-CVD). Results: We included 571 individuals, mostly males (67.1%; n = 383). MedDiet adherence score was 27.5 ± 5.5 points. The proportion of overweight/obese individuals was 40.3% ( n = 230) and MS 33.9% ( n = 179); CVD estimation showed that 53.2% ( n = 304), 30.1% ( n = 172) and 16.6% ( n = 95) of patients had a low, moderate and very high CVR, respectively. The group with BMI below 25 kg/m 2 presented lower adherence to MedDiet and patients within moderate CVR category and with MS presented a higher adherence to MedDiet. Conclusions: Overall we found a moderate adherence to the Mediterranean diet. A higher adherence was associated to individuals with a BMI ≥ 25 kg/m 2, those with MS and to patients with moderate to high cardiovascular risk, suggesting the adoption of this food pattern in the presence of comorbidities.