Document 2401 DOCN M94A2401 TI Nutritional abnormalities in HIV-1 infected female drug users (IDUs). DT 9412 AU Baum M; Carcamo C; Quesada J; Page BJ; Fletcher MA; Shor-Posner G; Department of Epidemiology, University of Miami School of; Medicine, FL. SO Int Conf AIDS. 1994 Aug 7-12;10(1):312 (abstract no. PC0178). Unique Identifier : AIDSLINE ICA10/94370174 AB OBJECTIVE: To characterize nutritional status, which may be an important cofactor in determining the course of HIV-1 disease progression, in HIV-1 seropositive and seronegative female IDUs. METHODS: Standard methodology was used to determine plasma zinc, prealbumin and vitamins A, E, B6 and B12 in 29 females. Ten were HIV-1+ with a mean CD4 cell count of 390 +/- 190 cumm, and 19 were HIV-1 seronegative female control IDUs (mean CD4 cell count of 1077 +/- 305 cumm). RESULTS: Eighty percent of the HIV-1 infected females and 74% of the seronegative controls exhibited at least one nutritional biochemical deficiency. Whereas inadequate vitamin B12 status (< 240 pg/ml) was demonstrated in 40% of the seropositive females, none of the seronegative women exhibited inadequate vitamin B12 levels. In addition, a higher proportion (80%) of low plasma zinc levels (< 0.85 mg/ml) was observed in the seropositive, as compared to 47% of the seronegatives with marginal/deficient levels of zinc. The mean values for prealbumin were similar and within the normal range for the HIV-1 seropositive and seronegative females. Biochemical deficiencies of vitamin A (< or = 0.3 mg/ml) and vitamin E (< or = 5 mg/ml) were particularly widespread, occurring in 60% of the seropositive and and 58% of the seronegative IDUs. DISCUSSION AND CONCLUSIONS: Nutrient abnormalities, which are prevalent in seropositive and seronegative female IDUs, may reflect poor dietary intake and be related to drug-nutrient interactions. Low levels of vitamin B12 and zinc appear to be affected by HIV-1 status, and may influence HIV-1 disease progression and HIV-1 viral activity. DE Female Human HIV Infections/*COMPLICATIONS HIV Seropositivity *HIV-1 Nutrition Disorders/*COMPLICATIONS/DIAGNOSIS Prealbumin/ANALYSIS Substance Abuse, Intravenous/*COMPLICATIONS Vitamins/BLOOD Zinc/BLOOD MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).