<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942020000100004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores relacionados con los cambios longitudinales de la adiposidad corporal en personas con VIH/SIDA]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors related to longitudinal changes in body fat in people with HIV/AIDS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Linares Guerra]]></surname>
<given-names><![CDATA[Elisa Maritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Sánchez]]></surname>
<given-names><![CDATA[María Amparo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santana Porbén]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Gutiérrez]]></surname>
<given-names><![CDATA[Tamara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Pinar del Río Hermanos Saiz Montes de Oca  ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Hospital Pediátrico Docente Juan Manuel Márquez ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Dirección Municipal de Salud  ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>4</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942020000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942020000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942020000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  a pesar del tratamiento antirretroviral y su amplia cobertura actual, el VIH/SIDA representa un problema de salud en aumento, y con él, las alteraciones de la composición corporal.  Objetivo:  evaluar la influencia de factores propios del individuo, del VIH y el tratamiento antirretroviral, sobre los cambios longitudinales de la adiposidad corporal, en personas con VIH/SIDA.  Métodos:  estudio longitudinal-retrospectivo con datos de 159 personas VIH/SIDA de Pinar del Río, Cuba, (72,3 % hombres) con al menos tres determinaciones: índice de masa corporal, pliegue cutáneo tricipital, circunferencia de la cintura y cadera, en un período de 1,3 años. Se estimaron modelos longitudinales con dos niveles, mediante regresión multinivel para medidas repetidas.  Resultados: solo la circunferencia de la cintura e índice cintura/cadera mostraron cambios longitudinales significativos (p&lt;0,001). El sexo, el tiempo con terapia y el índice cintura/cadera inicial, fueron las variables predictoras que aportaron de manera significativa (p&lt;0,1) al incremento del índice cintura/cadera en los modelos de regresión. El sexo masculino aportó un incremento de 4,2 % al índice cintura/cadera. Por cada año con antirretrovirales el índice cintura/cadera aumentó en 0,63 % y el índice cintura/cadera que tenían los individuos al finalizar el estudio representó el 78,1 % del índice cintura/cadera inicial más un valor constante de 20 %.  Conclusiones:  los indicadores de adiposidad central fueron los de mayor utilidad para estimar los cambios longitudinales de la adiposidad corporal en individuos VIH/SIDA, el ICC inicial fue el mejor predictor de dicho indicador al finalizar el período de seguimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  despite antiretroviral treatment and its current wide coverage, HIV/AIDS continues as an increasing health problem, and with it, alterations in body composition.  Objective:  to assess the influence of individual factors, HIV and ART, on the longitudinal changes in body fat in people with HIV/AIDS.  Methods: longitudinal-retrospective study that included the data of 159 HIV/AIDS people from Pinar del Río, Cuba, (72,3 % men) with at least three determinations of body mass index, tricipital skin-fold thickness, waist and hip circumference, over a period of 1,3 years. Longitudinal models with two levels were estimated using multilevel regression for repeated measurements.  Results: only waist circumference and waist-to-hip ratio showed significant longitudinal changes (p&lt;0,001). Sex, time with antiretroviral treatment and the initial waist-to-hip ratio were the predictor variables that contributed significantly (p&lt;0,1) to the increase of the waist-to-hip ratio in the regression models. Male sex contributed with an increase of 4,2 % to the waist-to-hip ratio. For each year with antiretroviral treatment the WHR increased by 0,6 % and the waist-to-hip ratio that the individuals had at the end of the study represented 78,1 % of the initial WHR plus a constant value of 20 %.  Conclusions:  the indicators of the central abdominal fat were the most useful to estimate the longitudinal changes of body fat index in HIV/AIDS individuals, the initial WHR was the best predictor of this indicator at the end of the follow-up period.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ÍNDICE DE MASA CORPORAL]]></kwd>
<kwd lng="es"><![CDATA[ANTIRRETROVIRALES]]></kwd>
<kwd lng="es"><![CDATA[ADIPOSIDAD]]></kwd>
<kwd lng="es"><![CDATA[SÍNDROME DE INMUNODEFICIENCIA ADQUIRIDA]]></kwd>
<kwd lng="es"><![CDATA[PACIENTE]]></kwd>
<kwd lng="en"><![CDATA[BODY MASS INDEX]]></kwd>
<kwd lng="en"><![CDATA[ANTI-RETROVIRAL AGENTS]]></kwd>
<kwd lng="en"><![CDATA[ADIPOSITY]]></kwd>
<kwd lng="en"><![CDATA[ACQUIRED IMMUNODEFICIENCY SYNDROME]]></kwd>
<kwd lng="en"><![CDATA[PATIENT]]></kwd>
</kwd-group>
</article-meta>
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