Evaluación del estado nutricional en pacientes con VIH/SIDA del Hospital General Enrique Garcés. Quito 2013.

Abstract

The objective of this research is to evaluate the nutritional status in patients with HIV/AIDS in the General Hospital “Enrique Garcés” of the city of Quito. It is a transversal non experimental study applied to 7 female patients and 18 masculine ones. Revision of the each one of the medical records was carried out in order to collect biochemistry data, measure and register anthropometrics data and food consumption by the means of a 24 hours reminder. Patients with diagnostic time between 17 years old and 1 month presented: 28% has some level of thinness, low percentage of fat mass (36%) and malnutrition at the level of brachial muscular circumference (72%). Chemical parameters were depleted in 16% according to the diagnosis of total proteins; decreased albumin presented 64% of patients with different types of malnutrition; 68% and 72% with inappropriate levels of hematocrit and hemoglobin respectively. Low levels of total cholesterol (56%) seems to have relation with the decreasing in its synthesis and secretion produced for the action of some cytokines. In dietary intake it was observed that the average of calories, proteins, fats and carbohydrates is very low (70,02 – 78,60%) and it does not reach the nutritional requirements because of dietary intake deficient and the evident catabolism that these patients present. It is concluded that patients with HIV/AIDS because of their physiopathological and metabolic condition present a decreasing of fatty deposits, losing of weight and biochemical alterations.