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97 - O CONSTRUTO DA IMAGEM CORPORAL E O PERFIL DIETÉTICO-METABÓLICO NO HIV: UMA ABORDAGEM EM NEURONUTRIÇÃO

Doi: 10.47094/978-65-284-0452-0/985-994

PALAVRAS CHAVE: Imagem Corporal. Fenômenos Fisiológicos Nutricionais do Sistema Nervoso. Síndrome Metabólica.

KEYWORDS: Body Image. Physiological and Nutritional Phenomena of the Nervous System. Metabolic Syndrome.

ABSTRACT:
This study investigates the dietary intake profile and its correlations with body image, anthropometric parameters, and metabolic risk markers in 165 adults living with HIV undergoing antiretroviral therapy (ART) in Macaé-RJ. Documentary and cross-sectional analysis revealed critical nutritional deviations and sex-specific vulnerabilities in light of neuronutrition. While men presented adequate energy balance, but associated with a markedly hyperlipidemic and hyperproteinic consumption, women exhibited severe restriction of calories and carbohydrates, suggesting impairments in cerebral glucose homeostasis and neurotransmitter modulation. At the neurobehavioral interface, the construct of body image correlated positively with protein intake in both nutritional states (eutrophy and overweight), reflecting a deliberate pursuit of lean mass to counteract the stigma of lipodystrophy. However, the isolated association between self-image and total cholesterol observed in the eutrophic group raises a clinical alert about silent cardiovascular risks motivated by idealized aesthetic standards. It is concluded that outpatient nutritional management of people living with HIV should transcend the traditional caloric approach, integrating neurobehavioral strategies that harmonize the demands of body perception with neurobiological axes, aiming to reduce systemic metabolic risk and restore psychophysiological homeostasis.

Autores

  • Aina Innocencio da Silva Gomes

  • Bruna Mothé dos Reis

  • Clara Nascimento de Azevedo

  • Jorge Casseb

  • Lismeia Raimundo Soares

  • Mônica de Souza Lima Sant’Anna

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