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BODY COMPOSITION IN ADULTS INFECTED WITH HUMAN IMMUNODEFICIENCY VIRUS IN KHON KAEN, THAILAND

A cross-sectional study of 77 patients infected with human immunodeficiency virus (HIV) in Khon Kaen, Thailand examined association of nutritional status with active opportunistic infections (AOIs)/HIV status and assessed degree of correlation between bioelectrical impedance analysis (BIA) and anthropometry. Many patients (41.3%) were malnourished using World Health Organization criteria for underweight, and malnutrition was associated with AOI status. Unconditional odds ratios (P < 0.05) for AOI as opposed to no AOI were 4.57 for underweight, 9.87 for severe underweight, 2.55 for triceps < 10th percentile, and 5.22 for mid-arm circumference < 10th percentile. Body fat composition from BIA, anthropometry, and body mass index were moderate to highly correlated (P < 0.001), with the highest correlation between BIA and subscapular skinfold (r = 0.86) and the lowest between BIA and triceps skinfold (r = 0.54). Insights were gained about relative value of using various measurements to assess nutritional status of HIV-infected populations.

Received January 20, 2005. Accepted for publication May 20, 2005.

Acknowledgments: We thank the patients at Srinagarind Hospital, Khon Kaen University Medical Center (Khon Kaen, Thailand) for participating in the study and anonymous reviewers for their support.

Financial support: This study was supported by the Englehardt Foundation. The American Committee on Clinical Tropical Medicine and Travellers’ Health (ACCTMTH) assisted with publication expense.

^* Address correspondence to Christine A. Wanke, Division of Nutrition and Infection, Tufts University School of Medicine, 150 Harrison Avenue, Boston, MA 02111. E-mail: christine.wanke{at}tufts.edu

Authors’ addresses: Mary-Jon Ludy, Frances Stern Nutrition Center, Tufts-New England Medical Center, 750 Washington Street, Box 783, Boston, MA 02111, Telephone: 617-724-0906, Fax: 617-726-4277, E-mail: mludy{at}partners.org. Kristy Hendricks and Christine A. Wanke, Division of Nutrition and Infection, Tufts University School of Medicine, 150 Harrison Avenue, Boston, MA 02111, Telephone: 617-636-0921, Fax: 617-636-3810, E-mails: kristy.hendricks{at}tufts.edu and christine.wanke{at}tufts.edu. Robert Houser, Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA 02111, Telephone: 617-636-3782, Fax: 617-636-3781, E-mail: robert.houser{at}tufts.edu. Ploenchan Chetchotisakd, Piroon Mootsikapun, and Siriluck Anunnatsiri, Division of Infectious Diseases, Department of Medicine, Khon Kaen University Medical Center, Khon Kaen, Thailand 40002, Telephone: 66-43-348399, E-mails: ploencha{at}kku.ac.th and asiril{at}kku.ac.th Elizabeth Price, School of Medicine, Stanford Cancer Center, 875 Blake Wilbur Drive, Stanford, CA 94305, E-mail: eaprice{at}stanford.edu.