Evaluation of nutritional status and adherence to dietary monitoring among patients with human T-cell leukemia virus type 1 infection.

Torres Paloma, Cople-Rodrigues Claudia, Rocha Naise, Brito Patricia, Fonseca Clevio, Quintana Marcel, Brasil Pedro, Araújo Abelardo, Bacelo Adriana

Journal: Clinical nutrition ESPEN 2022;52():198-207

PMID: 36513454

Full Text on Elsevier Science View on PubMed

Abstract

BACKGROUND & AIMS

The nutritional status of people infected with Human T-Cell Leukemia Virus type 1 (HTLV-1) is rarely studied. Malnutrition affects the immune system, but the consequences of this remain unknown in HTLV-1 infection. This study aimed to analyze the nutritional status, food intake, and ability to adhere to dietary counseling in people with symptomatic HTLV-1 infection.

METHODS

This was a longitudinal, prospective, observational study in which the nutritional status of people with symptomatic HTLV-1 was monitored between June 2016 and August 2019 at a referral center. At the baseline (day 0) and last stage (day 90) anthropometric, bioimpedance, and dietary assessments were performed.

RESULTS

In total, 71 participants with symptomatic HTLV-1 infection were enrolled, the majority (43, 60.6%) of whom were female. The mean age was 59.2 (±11.1) years. Participants were often overweight or obese (40, 56.3%) had a BMI above 25 kg/m. The average consumption of recommended fibers and liquids was positively associated with percent lean body mass (%LM). Most participants who were overweight (36.6%) or obese (19.70%) and their nutritional status and eating behavior did not change during the follow-up period. Dietary counseling was unable to promote a change in the monotony of the existing eating habits. Participants with good adherence to nutritional guidelines had higher dietary diversity scores.

CONCLUSION

A high proportion of participants were overweight or obese. Adherence to dietary counseling was low, and its success was limited in improving dietary diversity/nutritional status. Loss to follow-up was a limitation of this study.

Address: Nutrition Service, Evandro Chagas National Institute of Infectious Diseases, Fiocruz Av. Brasil 4365, Rio de Janeiro, RJ 21040-900, Brazil. Electronic address: [email protected].; Nutrition Institute, State University of Rio de Janeiro, Rua São Francisco Xavier 524, 12th Floor, Rio de Janeiro, RJ 20550-900, Brazil.; Nutrition Service, Evandro Chagas National Institute of Infectious Diseases, Fiocruz Av. Brasil 4365, Rio de Janeiro, RJ 21040-900, Brazil.; COVID-19 Hospital Center to Combat Pandemic, Evandro Chagas National Institute of Infectious Diseases, Fiocruz Av. Brasil 4365, Rio de Janeiro, RJ 21040-900, Brazil.; Clinical Research Platform, Evandro Chagas National Institute of Infectious Diseases, Fiocruz Av. Brasil 4365, Rio de Janeiro, RJ 21040-900, Brazil.; Research Laboratory on Immunization and Health Surveillance, Evandro Chagas National Institute of Infectious Diseases, Fiocruz Av. Brasil 4365, Rio de Janeiro, RJ 21040-900, Brazil.; Clinical Research Laboratory in Neuroinfections, Evandro Chagas National Institute of Infectious Diseases, Fiocruz Av. Brasil 4365, Rio de Janeiro, RJ 21040-900, Brazil.

DOI: 10.1016/j.clnesp.2022.11.004

Link outs

Subscription / membership required

Full Text Sources:

MeSH Terms: Humans, Female, Male, Middle Aged, Nutritional Status, Overweight, Human T-lymphotropic virus 1, Prospective Studies, Obesity, Leukemia, T-Cell