Pesquisa e Prática Pedagógica na região da Amazônia

Neto, Juracy Nogueiras Dias; Guimarães, L. P.; Braga, Raquel; Júnior, Francisco Elton Barbosa e Silva; Silva, Pablo Souza da; Lameira, Maria Goretti Sousa; Marques, Héliton Brendo De Oliveira; Pinto, Jéssica Nogueira; Barroso, Rilary de Fátima Rodrigues; Neto, José Benedito dos Santos Batista; Gonçalves, Rayane Klecilma Viana; Bugarim, Mikaeli Da Silva; Barros, Savick Evellyn Silva; Rodrigues, Américo Edward Lacerda; Ferreira, Henrique Louan Silva; Rocha, Marcelo Henrique Mires da; Silva, Thiago Sousa Da; Silva, Gabriellen Andrade Da; Alves, Neylane Gabriely De Morais; Sousa, João Anderson Freitas De; Mota, Janderson Carvalho; Quaresma, Richard Dias; Vilhena, Rodrigo Lima; Gomes, Cristiane Alves; Lima, Kelly Mendes; Silva, Derivaldo Machado Da

doi:10.29327/545908

Cited by 1 publication

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“…The assessment of cardiovascular risk in PLWH continues to be a challenge in clinical practice, since there are several methods for screening it, such as Pooled Cohort Equations (PCE), Systematic Coronary Risk Assessment (SCORE), the American College of Cardiology/American Heart Association (ACC/AHA), the Framingham risk score, among others 23,24 . However, they are not validated in populations with HIV.…”

Section: Introductionmentioning

confidence: 99%

Anthropometric Indicators Are Associated With Cardiovascular Risk Measured by Framingham Risk Score in Men Living With Hiv, but Not in Women.

Pessoa,

Melo,

Moura

et al. 2024

Preprint

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Introduction: People living with HIV (PLHIV) present metabolic and morphological changes that increase cardiovascular risk due to infection and antiretroviral therapy (ART). Early detection of cardiovascular risk using anthropometric indicators is crucial, given the low cost and feasibility of this technique. Objective: To analyze the association between anthropometric indicators and cardiovascular risk in PLHIV. Methods: Cross-sectional study with cis-gender PLHIV, ≥18 years old of both sexes. Sociodemographic, clinical, personal information and anthropometric measurements (body mass, height and neck, waist and hip circumferences) were collected and 11 anthropometric indicators were calculated. Cardiovascular risk was determined by the Framingham risk score. Multivariable regression analyses adjusted for confounding factors and stratified by sex were conducted using STATA® v. 13.0, p<0.05. Results: 354 PLHIV participated, 41.2% (n=146) female, with a mean age of 42.7 ± 13.0 years. Among the participants, 70.1% (n=248), 16.7% (n=59) and 13.3% (n=47) have low, moderate, and high cardiovascular risk, respectively. Among the indicators analyzed, conicity index (CI), waist-to-hip ratio (WHR), body shape index (BSI), waist-to-height ratio (WHtR) and body roundness index (BRI) present significant association with cardiovascular risk, only in men (β*=0.4985; β*=0.4861; β*=0.4645; β*=0.4320; β*=0.4204 [β*=standardized betas]), adjusted for education, level of physical activity, T-CD4+ lymphocytes, income and ART. The analyzes did not demonstrate significant associations for women. Conclusion: The anthropometric indicators, notedly CI and WHR, are associated with cardiovascular risk independent of clinical factors in men living with HIV.

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Section: Introductionmentioning

confidence: 99%