Avaliação do Risco de Sarcopenia em Pessoas Vivendo com a Síndrome da Imunodeficiência Humana

Víctor Almir Leão Fortunato; Phablo Guilherme de Assis Alves; Jeremias Estevam Lopes; Maria Clara de Castro Coqueiro da Silva; João Victor Machado Cristo; Juliana Aires Matos; Rosana Maria Feio Libonati

doi:10.36489/saudecoletiva.2015v15i95p15496-15507

Authors

Víctor Almir Leão Fortunato Bacharelado em Medicina - Universidade Federal do Pará. https://orcid.org/0000-0002-3597-7634
Phablo Guilherme de Assis Alves Bacharelado em Medicina - Universidade Federal do Pará. https://orcid.org/0009-0005-9859-2271
Jeremias Estevam Lopes Graduando em Medicina - Universidade Federal do Pará. https://orcid.org/0009-0003-8283-8500
Maria Clara de Castro Coqueiro da Silva Graduanda em Medicina - Universidade Federal do Pará. https://orcid.org/0000-0002-0532-5045
João Victor Machado Cristo Graduando em Medicina - Universidade Federal do Pará. https://orcid.org/0000-0001-7784-8892
Juliana Aires Matos Graduanda em Medicina - Universidade Federal do Pará. https://orcid.org/0009-0003-0123-5602
Rosana Maria Feio Libonati Doutora em Ciências Biológicas - Universidade Federal do Pará. https://orcid.org/0000-0002-1425-7806

DOI:

https://doi.org/10.36489/saudecoletiva.2015v15i95p15496-15507

Keywords:

HIV, Lipodystrophy, Sarcopenia, Risk, Acquired Immunodeficiency Syndrome (AIDS)

Abstract

Objective: Evaluate the risk of sarcopenia in patients with lipodystrophy associated with the human immunodeficiency virus undergoing antiretroviral treatment, attended at an outpatient clinic in Belém - Pará. Method: This is a cross-sectional observational study conducted with 66 patients between May and June 2023. The SARC-F and SARC-Calf protocols were used, with calculations of 95% confidence intervals, odds ratio, Student’s t-test, and the Kappa index to assess agreement between scales. Result: The sample was predominantly male (54.5%) and mostly aged 40 to 59 years (56.1%). Mixed lipodystrophy prevailed (83.3%), and the risk of sarcopenia was identified in 34.8% of cases, being more frequent in females, with a chance 6.54 times higher (p=0.002) and a tendency in older ages (p=0.051). Conclusion: Female sex and advanced age are independent risk factors. These findings underscore the necessity for systematic sarcopenia screening to enhance public health programs and improve patient outcomes, and further studies.

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