OBJECTIVES: To relate nutritional status and viral load in patients living with HIV / AIDS.
MATERIALS AND METHOD: This is an observational, descriptive, cross-sectional study.
Patients of both sexes with age equal to or greater than 20 years, from September to
November of 2018 were included. Data were collected: current/estimated weight, estimated
height/height, thumb adductor muscle thickness (TAMT) viral load and CD4+ T lymphocyte
count. To determine the nutritional status, the calculations of the Body Mass Index (BMI) and
the adequacy classification of the TAMT were performed. RESULTS: Of the 55 patients who
participated in the study, 54.5% (n=30) were males and 45.5% (n = 25) females, with a mean
age of 39 (SD+12.7) years , with a minimum of 21 years and maximum age of 66 years. As to
the determination of nutritional status by the IMC indicator, 47.3% (n=26) were
malnourished, 38.2% (n=21) with adequate weight, 9.1% (n=5) were overweight and 5,4%
(n=3) presented obesity. The classification of TAMT adequacy was characterized by the
majority with 76.4% (n=42) presenting some degree of depletion and 23.6% (n=13) not being
classified with depletion. Of the 50 subjects who participated in the laboratory analysis, 60%
(n=30) presented values above 10,000 copies/ml for viral load, and 64% (n=32) had CD50
lymphocyte counts of ≤ 200 cells/mm³, 32% (n=16) CD4 values from 201 to 499 cells / mm³,
and only two patients had CD4 values ≥ 500 cells/mm³. CONCLUSIONS: It was observed
that the majority of the participants were male, in relation to nutritional status, there was a
predominance of depletion and malnutrition, mainly associated with high viral load and CD4
+ T lymphocyte levels below 200 cells / mm³. While individuals with adequate weight,
overweight and obesity presented better levels of CD4 + T lymphocytes and lower viral load,
when compared to the group with malnutrition.
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