Changes in macronutrient intake among HIV-infected children between 1995 and 2004

Tanvi S. Sharma, Daniel D. Kinnamon, Christopher Duggan, Geoffrey A. Weinberg, Lauren Furuta, Lori Bechard, Jeanne Nicchitta, Sherwood L. Gorbach, Tracie L Miller

Research output: Contribution to journalArticle

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Abstract

Background: Nutritional concerns in HIV-infected children have evolved, from wasting to obesity and insulin resistance. However, little is known about the diet of these children during this evolution. Objective: We analyzed dietary macronutrient intake in HIV-infected children over nearly 10 y. Design: HIV-infected children underwent periodic longitudinal nutritional assessments between 1995 and 2004. Sex-specific initial and final means or proportions and time trends in macronutrient intakes were estimated with regression analyses. Results: Three hundred thirty nutritional records from 49 males and 411 from 67 females were analyzed. Caloric intake exceeded the estimated energy requirement (EER) for ideal body weight in 1995 by 62% for males and 39% for females and decreased by 3% of the EER per year in males (P = 0.02) and by 2% in females (P = 0.004). In 2004, caloric intake still remained >19% above the EER in both groups. Protein intake was nearly 400% of the recommended dietary allowance (RDA) for ideal body weight in 1995 among both males and females and decreased by 13% of the RDA per year for males (P = 0.001) and by 21% per year for females (P < 0.001). However, daily protein intake still exceeded the RDA by >60% in both groups in 2004. Females consumed more energy from carbohydrates (P = 0.05) and sugar (P = 0.10) and less from monounsaturated (P = 0.04), polyunsaturated (P = 0.05), saturated (P = 0.03), and total (P = 0.10) fat in 2004 than in 1995. Conclusion: Excessive caloric intake and a shift in dietary composition toward carbohydrates in females suggest that continued monitoring of diet in HIV-infected children is important to avoid increased nutritional risk.

Original languageEnglish
Pages (from-to)384-391
Number of pages8
JournalAmerican Journal of Clinical Nutrition
Volume88
Issue number2
StatePublished - Aug 1 2008

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HIV
Energy Intake
energy requirements
ideal body weight
Recommended Dietary Allowances
Ideal Body Weight
energy intake
Carbohydrates
Diet
carbohydrate composition
Nutrition Assessment
nutrition assessment
protein intake
insulin resistance
diet
Insulin Resistance
obesity
Obesity
Fats
Regression Analysis

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science

Cite this

Sharma, T. S., Kinnamon, D. D., Duggan, C., Weinberg, G. A., Furuta, L., Bechard, L., ... Miller, T. L. (2008). Changes in macronutrient intake among HIV-infected children between 1995 and 2004. American Journal of Clinical Nutrition, 88(2), 384-391.

Changes in macronutrient intake among HIV-infected children between 1995 and 2004. / Sharma, Tanvi S.; Kinnamon, Daniel D.; Duggan, Christopher; Weinberg, Geoffrey A.; Furuta, Lauren; Bechard, Lori; Nicchitta, Jeanne; Gorbach, Sherwood L.; Miller, Tracie L.

In: American Journal of Clinical Nutrition, Vol. 88, No. 2, 01.08.2008, p. 384-391.

Research output: Contribution to journalArticle

Sharma, TS, Kinnamon, DD, Duggan, C, Weinberg, GA, Furuta, L, Bechard, L, Nicchitta, J, Gorbach, SL & Miller, TL 2008, 'Changes in macronutrient intake among HIV-infected children between 1995 and 2004', American Journal of Clinical Nutrition, vol. 88, no. 2, pp. 384-391.
Sharma TS, Kinnamon DD, Duggan C, Weinberg GA, Furuta L, Bechard L et al. Changes in macronutrient intake among HIV-infected children between 1995 and 2004. American Journal of Clinical Nutrition. 2008 Aug 1;88(2):384-391.
Sharma, Tanvi S. ; Kinnamon, Daniel D. ; Duggan, Christopher ; Weinberg, Geoffrey A. ; Furuta, Lauren ; Bechard, Lori ; Nicchitta, Jeanne ; Gorbach, Sherwood L. ; Miller, Tracie L. / Changes in macronutrient intake among HIV-infected children between 1995 and 2004. In: American Journal of Clinical Nutrition. 2008 ; Vol. 88, No. 2. pp. 384-391.
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abstract = "Background: Nutritional concerns in HIV-infected children have evolved, from wasting to obesity and insulin resistance. However, little is known about the diet of these children during this evolution. Objective: We analyzed dietary macronutrient intake in HIV-infected children over nearly 10 y. Design: HIV-infected children underwent periodic longitudinal nutritional assessments between 1995 and 2004. Sex-specific initial and final means or proportions and time trends in macronutrient intakes were estimated with regression analyses. Results: Three hundred thirty nutritional records from 49 males and 411 from 67 females were analyzed. Caloric intake exceeded the estimated energy requirement (EER) for ideal body weight in 1995 by 62{\%} for males and 39{\%} for females and decreased by 3{\%} of the EER per year in males (P = 0.02) and by 2{\%} in females (P = 0.004). In 2004, caloric intake still remained >19{\%} above the EER in both groups. Protein intake was nearly 400{\%} of the recommended dietary allowance (RDA) for ideal body weight in 1995 among both males and females and decreased by 13{\%} of the RDA per year for males (P = 0.001) and by 21{\%} per year for females (P < 0.001). However, daily protein intake still exceeded the RDA by >60{\%} in both groups in 2004. Females consumed more energy from carbohydrates (P = 0.05) and sugar (P = 0.10) and less from monounsaturated (P = 0.04), polyunsaturated (P = 0.05), saturated (P = 0.03), and total (P = 0.10) fat in 2004 than in 1995. Conclusion: Excessive caloric intake and a shift in dietary composition toward carbohydrates in females suggest that continued monitoring of diet in HIV-infected children is important to avoid increased nutritional risk.",
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AU - Furuta, Lauren

AU - Bechard, Lori

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AU - Miller, Tracie L

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N2 - Background: Nutritional concerns in HIV-infected children have evolved, from wasting to obesity and insulin resistance. However, little is known about the diet of these children during this evolution. Objective: We analyzed dietary macronutrient intake in HIV-infected children over nearly 10 y. Design: HIV-infected children underwent periodic longitudinal nutritional assessments between 1995 and 2004. Sex-specific initial and final means or proportions and time trends in macronutrient intakes were estimated with regression analyses. Results: Three hundred thirty nutritional records from 49 males and 411 from 67 females were analyzed. Caloric intake exceeded the estimated energy requirement (EER) for ideal body weight in 1995 by 62% for males and 39% for females and decreased by 3% of the EER per year in males (P = 0.02) and by 2% in females (P = 0.004). In 2004, caloric intake still remained >19% above the EER in both groups. Protein intake was nearly 400% of the recommended dietary allowance (RDA) for ideal body weight in 1995 among both males and females and decreased by 13% of the RDA per year for males (P = 0.001) and by 21% per year for females (P < 0.001). However, daily protein intake still exceeded the RDA by >60% in both groups in 2004. Females consumed more energy from carbohydrates (P = 0.05) and sugar (P = 0.10) and less from monounsaturated (P = 0.04), polyunsaturated (P = 0.05), saturated (P = 0.03), and total (P = 0.10) fat in 2004 than in 1995. Conclusion: Excessive caloric intake and a shift in dietary composition toward carbohydrates in females suggest that continued monitoring of diet in HIV-infected children is important to avoid increased nutritional risk.

AB - Background: Nutritional concerns in HIV-infected children have evolved, from wasting to obesity and insulin resistance. However, little is known about the diet of these children during this evolution. Objective: We analyzed dietary macronutrient intake in HIV-infected children over nearly 10 y. Design: HIV-infected children underwent periodic longitudinal nutritional assessments between 1995 and 2004. Sex-specific initial and final means or proportions and time trends in macronutrient intakes were estimated with regression analyses. Results: Three hundred thirty nutritional records from 49 males and 411 from 67 females were analyzed. Caloric intake exceeded the estimated energy requirement (EER) for ideal body weight in 1995 by 62% for males and 39% for females and decreased by 3% of the EER per year in males (P = 0.02) and by 2% in females (P = 0.004). In 2004, caloric intake still remained >19% above the EER in both groups. Protein intake was nearly 400% of the recommended dietary allowance (RDA) for ideal body weight in 1995 among both males and females and decreased by 13% of the RDA per year for males (P = 0.001) and by 21% per year for females (P < 0.001). However, daily protein intake still exceeded the RDA by >60% in both groups in 2004. Females consumed more energy from carbohydrates (P = 0.05) and sugar (P = 0.10) and less from monounsaturated (P = 0.04), polyunsaturated (P = 0.05), saturated (P = 0.03), and total (P = 0.10) fat in 2004 than in 1995. Conclusion: Excessive caloric intake and a shift in dietary composition toward carbohydrates in females suggest that continued monitoring of diet in HIV-infected children is important to avoid increased nutritional risk.

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