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Nutritional Indices and Cardiovascular Risk Factors in HIV Infection in Southern Nigeria

Augusta Chinyere Nsonwu-Anyanwu; Edmund Richard Egbe; Chidozie Elochukwu Agu; Sunday Jeremiah Offor; Chinyere Adanna Opara Usoro; Isaac Asuquo Essien; Clementina Arit Okon.

Abstract
Introduction: Viral load and specific drug related toxicities have been implicated in nutritional and metabolic disturbances in HIV infection. This study evaluated some micro, macro nutrients and cardiovascular risk factors in HIV infection with or without highly active antiretroviral therapy (HAART).
Materials and Methods: Ninety subjects (18-65 years) comprising of 30 sero-positive HIV on HAART, 30 sero-positive HAART naïve and 30 HIV sero-negative subjects were recruited into the study. Fasting plasma glucose (FPG), total proteins (TP), albumin, vitamin C, total cholesterol (TC), triglycerides (TG), high density lipoprotein cholesterol (HDL-C) were estimated using colorimetric methods, zinc (Zn), copper (Cu) by atomic absorption spectrophotometry, CD4+ T cell count by flow cytometry while body mass index (BMI), globulin, atherogenic index of plasma (AIP), albumin/globulin ratio (A/G), very low density lipoprotein cholesterol (VLDL-C), low density lipoprotein cholesterol (LDL-C) were calculated. Data were analyzed using ANOVA, LSD post hoc at p< 0.05.
Results: HIV sero-negative subjects had higher BMI, CD4-T cell count, albumin, vitamin C, Zn, LDL-C, A/G ratio and lower FPG, globulin, Cu compared to HAART naïve; and higher BMI, CD4+T cell count, albumin, vitamin C, Zn with lower FPG, globulin, Cu, TG, and VLDLC compared to HIV on HAART respectively (p

Key words: HAART;HIV;lipid profile;micronutrients;proteins


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