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. 2021 Sep 17;13(9):3237.
doi: 10.3390/nu13093237.

Influence of Healthy Habits Counseling on Biochemical and Metabolic Parameters in Children and Adolescents with HIV: Longitudinal Study

Rafaela Catherine da Silva Cunha de Medeiros  1   2 , Tatiane Andreza Lima da Silva  1 , Anna Luiza Vasconcelos de Oliveira  3 , Paulo Francisco de Almeida-Neto  4 , Jason Azevedo de Medeiros  1 , Alexandre Bulhões-Correia  4 , Francisco Americo Micussi  5 , Marcela Abbott Galvao Ururahy  6 , Breno Guilherme de Araújo Tinoco Cabral  1   4 , Paulo Moreira Silva Dantas  1   4
Affiliations

Influence of Healthy Habits Counseling on Biochemical and Metabolic Parameters in Children and Adolescents with HIV: Longitudinal Study

Rafaela Catherine da Silva Cunha de Medeiros et al. Nutrients. .

Abstract

We analyze the influence of dietary counseling and physical activity on biochemical and metabolic parameters in children and adolescents with HIV. A longitudinal experimental study, including three analyses: At the beginning, 4th month, and 8th month. A sample of 18 subjects with HIV of both sexes, mean age 10.4 ± 4.50 years. Usual food intake (24 h recall and food intake marker), level of habitual physical activity, biochemical parameters, resting metabolic rate, as well as body composition (dual-energy X-ray absorptiometry), biological maturation, and anamnesis with clinical data and socioeconomic were evaluated. There was an effect of time on the reduction of blood glucose and triglycerides and the resting metabolic rate. There was a significant increase in fruit consumption throughout the study. The consumption of soft drinks decreased when comparing analysis periods 1 and 2, however, it increased again in analysis period 3. There was no significant effect of time on the set of variables related to a food recall. Counseling healthy habits and regular clinical follow-up were relevant for improving biochemical parameters (glucose, triglyceride, HDL cholesterol), maintaining the resting metabolic rate, increasing fruit consumption, and decreasing the consumption of soft drinks, in part of the time, of children and adolescents with HIV. Finally, we emphasize that counseling positively influenced healthy habits, and these, in turn, improved health-related parameters.

Keywords: HIV; nutrition; physical activity; young.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Study flowchart.
Figure 2
Figure 2
Order of assessments and guidelines for healthy habits. 1°—Anamnesis. 2°—Resting metabolic rate. 3°—Venipuncture. 4°—Analysis of body composition by dual-energy X-ray absorptiometry. 5°—Anthropometric analyses. 6°—Analysis of biological maturation. 7°—Application of the questionnaires of habitual food consumption and level of habitual physical activity. 8°—Guidance on healthy eating habits and the benefits of increasing the level of habitual physical activity.
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