Valoración de composición corporal , perfil lipídico y riesgo cardiovascular en pacientes VIH/SIDA con terapia antirretroviral de 5 o más años de tratamiento en el Hospital “Dr. José Rodríguez Maridueña” de la ciudad de Guayaquil en el periodo de mayo-agosto del año 2017.

Abstract

HIV / AIDS is a global health emergency being the leading cause of infectious death. The highly active antiretroviral therapy (HAART) is the only pharmacological treatment able to reduce viral load, increasing the quality of life in patients, however, it has an impact on lipoprotein metabolism, body composition and body aesthetics of the patient, increasing the cost of treatment. The study had a quantitative approach, non - experimental, cross -sectional, prospective descriptive design. The sample analyzed was 103 patients at the Hospital of Infectology "Dr. José Rodríguez Maridueña " in the city of Guayaquil, considering criteria of inclusion and exclusion. 39.81% were female and 60.19% were male, where the predominant sexual orientation was heterosexual with 82.52%. The average time for HAART was 9 years. In addition, 53.39% of the patients were diagnosed between overweight and different degrees of obesity, values directly proportional to body composition and altered biochemistry: 66.99% (body fat), 40.77% (visceral fat) were in excess in patients and only 28.16% of individuals with low muscle mass. On the other hand, the lipid profile showed that total cholester ol, LDL cholesterol and triglycerides were high in the sample with percentages of: 49.52%, 55.34% and 73.79%, respectively; On the contrary, the HDL cholesterol of 43.69% of the individuals was in low levels. All of this is directly proportional to the fact that most of the study sample (68.14%) has a high cardiovascular risk.