Prevalência de síndrome metabólica em indivíduos com HIV/AIDS atendidos no ambulatório do Hospital Eduardo de Menezes-Sus-Belo Horizonte - MG

Abstract

The metabolic and anthropometric changes found in HIV infection are similar the set of risk factors for cardiovascular disease in non-infected population that, currently, it is called metabolic syndrome. It is characterized by a set of risk factors for cardiovascular disease, including central obesity, high blood pressure, elevated triglycerides, low high density lipoprotein cholesterol and high blood glucose. The aims of this cross-sectional study were to determine the prevalence and investigate risk factors associated with metabolic syndrome in outpatients adults living with HIV/AIDS at Hospital Eduardo de Menezes, Belo Horizonte, MG, using anthropometric, biochemical and clinical evaluations. The sample size was 253 adults HIV-infected (168 males and 85 females), selected at random. Anthropometric measurements, demographic and socioeconomic data were obtained by a single interviewer, between July 2006 and August 2008. Information on clinical history and blood tests were obtained from medical charts. The definition of metabolic syndrome was based on standardized criteria in 2009. The prevalence of metabolic syndrome was 28.25%. Risk factors for this syndrome in outpatients adults HIV-infected were age 40 years (OR=4.55; IC=2.08; 9.95) and subscapular skinfold >12 mm (OR=3.86; IC=1.65; 9.02). The identification of anthropometric markers that identify risk for metabolic syndrome in adults HIV-infected is relevant to clinical practice since they are noninvasive, inexpensive, simple, easy to use and can be employed in regular monitoring of these individuals.