HIV-infected US youth are at high risk of obesity and poor diet quality: a challenge for improving short- and long-term health outcomes

Journal of the American Dietetic Association
Laurie A KruzichCharles B Stephensen

Abstract

To examine the relationships among dietary quality, weight status, and human immunodeficiency virus (HIV) infection in US adolescents and young adults. This cross-sectional study was embedded in the Reaching for Excellence in Adolescent Care and Health cohort study of HIV-infected and HIV-uninfected, at-risk youth. Biochemical, clinical, and sociodemographic data were available. Dietary intake was collected using the Block Food Frequency Questionnaire and a modified Healthy Eating Index was calculated to measure diet quality. Participants included 264 HIV-infected and 127 HIV-uninfected youth 13 to 23 years old (75.2% women, 67.3% African American/non-Hispanic, 20.5% Hispanic, 12.3% other) at 14 clinic sites. Determinants of obesity and the modified Healthy Eating Index were tested using logistic and generalized linear regression. About half (51.7%) of participants were overweight or obese. Obesity was positively associated with being a woman, living independently, watching television >or=3 hours per day, previous dieting, and being from the northeastern or southern United States. Youth who were HIV uninfected or HIV infected with CD4 + T cells >or=500 cells/microL had similar obesity rates; overweight (25%) and obesity (20%) w...Continue Reading

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Citations

Jun 14, 2006·AIDS and Behavior·C J Segal-IsaacsonGail Ironson
Dec 2, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kathleen MulliganUNKNOWN Adolescent Trials Network 021 Protocol Team
Dec 17, 2008·AIDS Patient Care and STDs·Nancy Crum-CianfloneAnuradha Ganesan
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