The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases | 2021

Predictors of sarcopenia in young hospitalized patients living with HIV.

 
 
 
 

Abstract


The prevalence of sarcopenia in hospitalized people living with HIV is underdiagnosed, as assessment instruments are not always available. This study aimed to identify factors related to sarcopenia, correlating their anthropometric and clinical markers in hospitalized people living with HIV. This was an observational cross-sectional clinical study, carried out from September 2018 through October 2019. Handgrip strength, muscle mass index, calf circumference and gait speed test were evaluated in recruited patients within three days of hospital admission. The sample consisted in 44 patients, mostly men (66%), black (68%), young adults (41.65\u202f±\u202f12.18 years) and immunodeficient (CD4 cell count 165 cells/mm3 [34.25-295.5]). Sarcopenia was present in 25% of the sample. Calf circumference showed a significant correlation with CD4 cell count and viral load (p\u202f<\u202f0.05) while handgrip strength and gait speed test did not. Calf circumference\u202f>\u202f31\u202fcm and gait speed test\u202f>\u202f0.8\u202fm/s reduced the chance of sarcopenia by 60% (OR\u202f=\u202f0.396 [-1.67 to -0.18]; p\u202f<\u202f0.05) and 98% (OR\u202f=\u202f0.02 [-8.16 to 0.13]; p\u202f<\u202f0.05) respectively. Calf circumference\u202f>\u202f31\u202fcm and gait speed test\u202f>\u202f0.8\u202fm/s are associated with a reduced chance of sarcopenia in hospitalized HIV patients.

Volume None
Pages \n 101574\n
DOI 10.1016/j.bjid.2021.101574
Language English
Journal The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

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