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

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  • 1 Frances Stern Nutrition Center, Tufts-New England Medical Center, Boston, Massachusetts; Division of Nutrition and Infection, Tufts University School of Medicine, Boston, Massachusetts; Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts; Department of Medicine, Division of Infectious Diseases, Khon Kaen University Medical Center, Khon Kaen, Thailand; School of Medicine, Stanford Cancer Center, Stanford, California

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.

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