Effects of haart in the nutritional status of children and adolescents infected by HIV in Brazil: A systematic review

Abstract

The verification of factors associated with growth, body composition and nutritional and nutritional aspects after HIV infection in children or adolescents in Brazil is fundamen-tal for progress in this area. We selected articles published until 2018, available on the platfor-ms PubMed and Lilacs, using the keywords The following descriptors and their associations were used, extracted from MeSH: “Children”, “Ado-lescent”, “Anthropometry”, “Nutritional Asses-sment”, “HIV”, “Brazil” adding the filter “and” for advanced searches. A total of 1,450 articles were found, and after selection and full reading, 19 were selected. The studies agreed that children and adolescents living with HIV present or may present alterations in bone metabolism, lipid metabolism and body composition due to infection or associated with therapy. Significant differences were observed in weight and height in infected infants compared to uninfected infants. The evaluation and monitoring of diet quality, as well as serum micronutrient monitoring, are funda-mental to guarantee the clinical and treatment conditions of these patients, as well as to prevent disorders due to low nutrient intakes.