Document Detail


Dietary patterns and health and nutrition outcomes in men living with HIV infection.
MedLine Citation:
PMID:  19064519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Nutritional status is an important determinant of HIV outcomes.
OBJECTIVE: We assessed the association between dietary patterns identified by cluster analysis and change in body mass index (BMI; in kg/m(2)), CD4 count, and viral load (VL).
DESIGN: HIV-positive adult male subjects (n = 348) with a BMI >or= 20.5 were evaluated by biochemical, body composition, and dietary data. Cluster analysis was performed on 41 designated food groups derived from 3-d food records. Dietary clusters were compared for sociodemographic, nutrient intake, and clinical outcomes. Multivariate linear regression assessed associations between dietary clusters and change in BMI, CD4 count, and VL.
RESULTS: We observed 3 dietary patterns: juice and soda; fast food and fruit drinks; and fruit, vegetable, and low-fat dairy. Subjects in the fast food and fruit drinks pattern had the lowest fiber intake, highest VL, and lowest CD4 count and had a lower income than did subjects in the other 2 clusters. Subjects in the fruit, vegetable, and low-fat dairy diet pattern had higher intakes of protein, fiber, and micronutrients and the highest BMI and CD4 count. Subjects in the juice and soda pattern had higher energy intakes and lowest BMI. On average, the fast food and fruit drinks cluster and fruit, vegetable, and low-fat dairy cluster gained 0.33 (P = 0.06) and 0.42 (P = 0.02), respectively, more in BMI than the juice and soda cluster across the study interval in a multivariate model.
CONCLUSIONS: In a cohort of HIV-positive men, we identified 3 distinct dietary patterns; each pattern was associated with specific nutrition, demographic, and HIV-related variables.
Authors:
Kristy M Hendricks; D Mkaya Mwamburi; P K Newby; Christine A Wanke
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The American journal of clinical nutrition     Volume:  88     ISSN:  1938-3207     ISO Abbreviation:  Am. J. Clin. Nutr.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-09     Completed Date:  2009-01-13     Revised Date:  2014-09-18    
Medline Journal Info:
Nlm Unique ID:  0376027     Medline TA:  Am J Clin Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1584-92     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Antiretroviral Therapy, Highly Active
Body Mass Index*
CD4 Lymphocyte Count
Cluster Analysis
Cohort Studies
Dairy Products
Diet / psychology,  statistics & numerical data*,  trends
Dietary Fats / administration & dosage
Fruit
HIV Infections / drug therapy,  immunology,  mortality*,  pathology
Humans
Longitudinal Studies
Male
Middle Aged
Multivariate Analysis
Nutritional Status*
Prognosis
Vegetables
Viral Load*
Grant Support
ID/Acronym/Agency:
M01RR00054/RR/NCRR NIH HHS; P01DK45734-S1/DK/NIDDK NIH HHS; P30 DA013868/DA/NIDA NIH HHS; P30 DA013868-059003/DA/NIDA NIH HHS; R01 HL065947/HL/NHLBI NIH HHS; R01 HL065947-05/HL/NHLBI NIH HHS; R01HL65947/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Dietary Fats
Comments/Corrections

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