Iron intake is positively associated with viral load in antiretroviral naïve Brazilian men living with HIV

BACKGROUND Iron homeostasis contribute for the human immunodeficiency virus (HIV) pathogenesis. OBJECTIVES We assessed the iron intake pattern in antiretroviral naïve Brazilian men living with HIV correlating with clinical and nutritional parameters. METHODS The iron consumption mean was estimat...

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Main Authors: Juliana Lauar Gonçalves, Maria Clara Amorim Silva, Eric Henrique Roma, Beatriz Grinsztejn, Alberto dos Santos de Lemos, Nathalia Gorni, Adele Moura Cruz, Cristiane Fonseca de Almeida, Marcel de Souza Borges Quintana, Maria da Gloria Bonecini-Almeida, Patrícia Dias de Brito
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2020-01-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762019000100356&tlng=en
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author Juliana Lauar Gonçalves
Maria Clara Amorim Silva
Eric Henrique Roma
Beatriz Grinsztejn
Alberto dos Santos de Lemos
Nathalia Gorni
Adele Moura Cruz
Cristiane Fonseca de Almeida
Marcel de Souza Borges Quintana
Maria da Gloria Bonecini-Almeida
Patrícia Dias de Brito
author_facet Juliana Lauar Gonçalves
Maria Clara Amorim Silva
Eric Henrique Roma
Beatriz Grinsztejn
Alberto dos Santos de Lemos
Nathalia Gorni
Adele Moura Cruz
Cristiane Fonseca de Almeida
Marcel de Souza Borges Quintana
Maria da Gloria Bonecini-Almeida
Patrícia Dias de Brito
author_sort Juliana Lauar Gonçalves
collection DOAJ
description BACKGROUND Iron homeostasis contribute for the human immunodeficiency virus (HIV) pathogenesis. OBJECTIVES We assessed the iron intake pattern in antiretroviral naïve Brazilian men living with HIV correlating with clinical and nutritional parameters. METHODS The iron consumption mean was estimated according to a food frequency questionnaire (FFQ), and a 3-day food record (3dFR) submitted to the patients. HIV viral load, CD4+ T cell counts, serum iron, haematological and anthropometrics parameters were recorded. FINDINGS Fifty-one HIV-infected adult men naïve for antiretroviral therapy (ART) were enrolled. The mean age of participants was 35 (SEM ± 1.28) years old, with mean time of HIV-1 infection of 1.78 (0-16.36, min-max) years. Majority (41.18%) had complete secondary, and 21.57% had tertiary educational level. The income was around 1x (54.90%) to 2x (41.18%) minimum wage. Fifty-four percent showed normal weight, while 40% were overweight. The patients showed normal mean values of haematological parameters, and mean serum iron was 14.40 µM (SEM ± 0.83). The FFQ showed moderate correlation with the 3dFR (ρ = 0.5436, p = 0.0009), and the mean values of iron intake were 10.55(± 0.92) mg/day, recorded by FFQ, and 15.75(± 1.51) mg/day, recorded by 3dFR. The iron intake, recorded by FFQ, negatively correlated with serum iron (ρ = -0.3448, p = 0.0132), and did not have influence in the CD4+ T cell counts [e.B 0.99 (0.97-1.01, 95% confidence interval (CI), p = 0.2]. However, the iron intake showed a positive effect in HIV viral load [e.B 1.12 (1.02-1.25, 95%CI), p < 0.01]. MAIN CONCLUSIONS This study draws attention for the importance of iron intake nutritional counseling in people living with HIV. However, more studies are required to clarify the association between high iron intake and HIV infection and outcome.
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spelling doaj.art-3fbbf5f2e2bd425d95437d360b42c86c2023-08-02T09:14:06ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz1678-80602020-01-0111410.1590/0074-02760190350Iron intake is positively associated with viral load in antiretroviral naïve Brazilian men living with HIVJuliana Lauar GonçalvesMaria Clara Amorim SilvaEric Henrique Romahttps://orcid.org/0000-0001-5265-5277Beatriz GrinsztejnAlberto dos Santos de LemosNathalia GorniAdele Moura CruzCristiane Fonseca de AlmeidaMarcel de Souza Borges QuintanaMaria da Gloria Bonecini-AlmeidaPatrícia Dias de BritoBACKGROUND Iron homeostasis contribute for the human immunodeficiency virus (HIV) pathogenesis. OBJECTIVES We assessed the iron intake pattern in antiretroviral naïve Brazilian men living with HIV correlating with clinical and nutritional parameters. METHODS The iron consumption mean was estimated according to a food frequency questionnaire (FFQ), and a 3-day food record (3dFR) submitted to the patients. HIV viral load, CD4+ T cell counts, serum iron, haematological and anthropometrics parameters were recorded. FINDINGS Fifty-one HIV-infected adult men naïve for antiretroviral therapy (ART) were enrolled. The mean age of participants was 35 (SEM ± 1.28) years old, with mean time of HIV-1 infection of 1.78 (0-16.36, min-max) years. Majority (41.18%) had complete secondary, and 21.57% had tertiary educational level. The income was around 1x (54.90%) to 2x (41.18%) minimum wage. Fifty-four percent showed normal weight, while 40% were overweight. The patients showed normal mean values of haematological parameters, and mean serum iron was 14.40 µM (SEM ± 0.83). The FFQ showed moderate correlation with the 3dFR (ρ = 0.5436, p = 0.0009), and the mean values of iron intake were 10.55(± 0.92) mg/day, recorded by FFQ, and 15.75(± 1.51) mg/day, recorded by 3dFR. The iron intake, recorded by FFQ, negatively correlated with serum iron (ρ = -0.3448, p = 0.0132), and did not have influence in the CD4+ T cell counts [e.B 0.99 (0.97-1.01, 95% confidence interval (CI), p = 0.2]. However, the iron intake showed a positive effect in HIV viral load [e.B 1.12 (1.02-1.25, 95%CI), p < 0.01]. MAIN CONCLUSIONS This study draws attention for the importance of iron intake nutritional counseling in people living with HIV. However, more studies are required to clarify the association between high iron intake and HIV infection and outcome.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762019000100356&tlng=enHIViron intakenutritionART naïve
spellingShingle Juliana Lauar Gonçalves
Maria Clara Amorim Silva
Eric Henrique Roma
Beatriz Grinsztejn
Alberto dos Santos de Lemos
Nathalia Gorni
Adele Moura Cruz
Cristiane Fonseca de Almeida
Marcel de Souza Borges Quintana
Maria da Gloria Bonecini-Almeida
Patrícia Dias de Brito
Iron intake is positively associated with viral load in antiretroviral naïve Brazilian men living with HIV
Memorias do Instituto Oswaldo Cruz
HIV
iron intake
nutrition
ART naïve
title Iron intake is positively associated with viral load in antiretroviral naïve Brazilian men living with HIV
title_full Iron intake is positively associated with viral load in antiretroviral naïve Brazilian men living with HIV
title_fullStr Iron intake is positively associated with viral load in antiretroviral naïve Brazilian men living with HIV
title_full_unstemmed Iron intake is positively associated with viral load in antiretroviral naïve Brazilian men living with HIV
title_short Iron intake is positively associated with viral load in antiretroviral naïve Brazilian men living with HIV
title_sort iron intake is positively associated with viral load in antiretroviral naive brazilian men living with hiv
topic HIV
iron intake
nutrition
ART naïve
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762019000100356&tlng=en
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