Diet quality, food insecurity and risk of cardiovascular diseases among adults living with HIV/AIDS: a scoping review protocol

Iyanuoluwa Oyedeji Oyetunji; Alastair Duncan; Sharmilah Booley; Janetta Harbron

doi:10.1136/bmjopen-2020-047314

Diet quality, food insecurity and risk of cardiovascular diseases among adults living with HIV/AIDS: a scoping review protocol

BMJ Open. 2021 Oct 12;11(10):e047314. doi: 10.1136/bmjopen-2020-047314.

Authors

Iyanuoluwa Oyedeji Oyetunji¹, Alastair Duncan², Sharmilah Booley³, Janetta Harbron⁴

Affiliations

¹ Research Centre for Health through Physical Activity, Lifestyle & Sport, Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa iyanujesu95@gmail.com.
² Department of Nutrition and Dietetics, King's College London, London, UK.
³ Division of Physiological Sciences, Department of Human Biology, University of Cape Town, Cape Town, South Africa.
⁴ Research Centre for Health through Physical Activity, Lifestyle & Sport, Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

Abstract

Introduction: Cardiovascular diseases (CVDs) are the single greatest contributor to global mortality. The successful introduction and scale-up of antiretroviral therapy (ART) delivered a reduction in HIV mortality. Consequently, an association was found between the scale-up of ART and an increased prevalence of comorbidities among people living with HIV (PLWH) such as hypertension and dyslipidaemia. A higher quality diet can delay the onset of comorbidities related to HIV infection. Diet quality and its methods of assessment are not fully established among PLWH. This review will identify the diet quality and food insecurity indices that have been used among PLWH and how these constructs are associated with risk of developing CVD.

Methods and analysis: The frameworks recommended by Arksey and O'Malley and the Joanna Briggs Institute's manual for conducting scoping reviews will be adopted. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines will be used for reporting. A search strategy was developed using keywords related to the topic. A preliminary MEDLINE (via PubMed) search was conducted on 11 November 2020 to develop a comprehensive search strategy. The final search will be conducted on PubMed, EbscoHost, Scopus, Web of Science and Cochrane Library databases. Titles and abstracts of retrieved records will be screened independently by two reviewers. Data will be extracted from records that meet the inclusion criteria using a predesigned charting tool. Discrepancies in decisions made by reviewers will be resolved by consensus or the decision of a third reviewer. Extracted data will be presented in tables or charts. A descriptive summary of the charts or tables will follow.

Ethics and dissemination: Ethical approval is not required for a scoping review. Findings will inform other studies currently underway and will be presented at conferences and published in peer-reviewed journals. REGISTRATION NUMBER: https://osf.io/7k3ja.

Keywords: HIV & AIDS; nutrition & dietetics; public health.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Cardiovascular Diseases* / epidemiology
Diet
Food Insecurity
HIV Infections* / drug therapy
HIV Infections* / epidemiology
Humans
Research Design
Review Literature as Topic
Systematic Reviews as Topic