The effects of nutritional supplementation on body mass index and CD4 count among adult people living with HIV AIDS on antiretroviral treatment in Conakry, Guinea

Sidibé, Sidikiba; Délamou, Alexandre; Kaba, Mohamed Lamine; Magassouba, Aboubacar Sidiki; Samake, Amara Tabaouo; Dongo, Yao Serge Arthur; Kadio, Kadio Jean Jacques Olivier; Dimio, Sandouno Sah; Camara, Lansana Mady; Babalola, Stella

doi:10.4081/jphia.2018.708

Cited by 7 publications

(8 citation statements)

References 22 publications

(39 reference statements)

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“…This finding is similar to a study conducted in Conakry, Guinea, where an increase in the CD4 count and mean BMI of PLHIV on ART was observed after six months of supplementation with Corn- Soy, and oil [ 48 ]. In Nigeria, Amlogu et al.…”

Section: Discussionsupporting

confidence: 90%

Dietary diversity and impact of Moringa oleifera Lam. leaves supplemented – Diet on the nutritional status and CD4 cell counts of patients receiving antiretroviral therapy in Nigeria: A double - Blind randomized trial

Gambo

Gqaleni

Babalola

2022

Heliyon

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Section: Discussionsupporting

confidence: 90%

Dietary diversity and impact of Moringa oleifera Lam. leaves supplemented – Diet on the nutritional status and CD4 cell counts of patients receiving antiretroviral therapy in Nigeria: A double - Blind randomized trial

Gambo

Gqaleni

Babalola

2022

Heliyon

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“…This was contrary to Palar et al ’s (2017) study whose findings stated that comprehensive and medically appropriate food support is associated with improved health status of people living with HIV/AIDS by assessing paired outcomes at baseline and six months of a community-based food support intervention programme. Studies have also reported improvement in weight conditions, BMI, CD4, ART adherence, quality of life and overall health status, and reduction in loss to follow-up of people living with HIV/AIDS on NSPs (Audain et al , 2015; Booysen et al , 2016; Botros et al , 2013; Hong et al , 2018; Koethe et al , 2018; McCoy et al , 2017; Mensah et al , 2015; Odong et al , 2015; Sidibé et al , 2018).…”

Section: Discussionmentioning

confidence: 99%

Nutritional and health status of people living with HIV/AIDS in the eastern region of Ghana

Apungu

Apprey

Amewu

et al. 2019

NFS

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Purpose The purpose of the study is to assess the nutritional and health status of people living with HIV/AIDS (18-60 years) in selected health facilities in the eastern region of Ghana and to determine the influence nutrition support programmes (NSP) have on the nutritional and health status of people living with HIV/AIDS. Design/methodology/approach A retrospective study design was used. Purposive and convenience sampling was used to select four hospitals and 200 beneficiaries and non-beneficiaries of the NSP. A structured questionnaire was used to collect the sociodemographic, anthropometric, biochemical and clinical history of the participants. Dietary intake was assessed with food frequency and 24-h dietary intake questionnaires. Previous data from the medical record within three to six months before the research was collected and compared with current data. Findings The prevalence of underweight (using body mass index) was 17 per cent and overweight/obesity was 37 per cent. Most respondents had adequate consumption of phosphorus (70.5 per cent); inadequate intake of calcium (95 per cent), vitamin E (77.5 per cent) and vitamin A (94 per cent); and excess intakes of sodium (93 per cent), selenium (77 per cent), copper (83.5 per cent) and manganese (76 per cent). There was no significant difference in nutrient intake of beneficiaries and non-beneficiaries of the NSP, although there were significant differences in the frequency of consumption of fruits (p < 0.001), vegetables (p < 0.001), legumes (p = 0.002), animal foods (p < 0.001) and cereals, grains and starch (p < 0.001) between beneficiaries and non-beneficiaries of NSP. About 38 and 20 per cent of respondents, respectively, had low haemoglobin (Hb < 11 g/dL) and high viral load (1,000 cp/mL). Comparing the current and previous (three to six months before the study) health and nutritional status of beneficiaries and non-beneficiaries of NSP, among the beneficiaries of NSP, monocytes increased by 40.6 per cent (p = 0.028) and mean weight decreased by 2.4 per cent (p = 0.007), Hb decreased by 7.1 per cent (p = 0.27) and viral load decreased by 4.2 per cent (p = 0.49), whereas among the non-beneficiaries, mean weight decreased by 0.05 per cent (p = 0.95) and Hb increased by 9.6 per cent (p = 0.06) and monocytes increased (p = 0.28) and viral load increased by 98.2 per cent (p = 0.34). Research limitations/implications A significant proportion of people living with HIV/AIDS had a high prevalence of underweight and overweight/obesity, inadequate nutrients intake and high viral load. The NSP for people living with HIV/AIDS in the eastern region of Ghana did not significantly influence the nutritional and health status of these people. Practical implications Knowing the nutritional status will help health institutions plan activities towards improving the health and nutritional status of people living with HIV/AIDS. This research is aimed at not only contributing to the existing body of knowledge but also making recommendations of action towards improving NSPs of people living with HIV/AIDS. Social implications Improvement in nutritional and health status of people living with HIV/AIDS will help reduce morbidity and mortality and its related cost to families, communities and the nation. Originality/value This study is first to determine the influence of NSPs on nutritional and health status of people living with HIV/AIDS in the eastern region of Ghana.

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“…The results of the observations at the hospital showed that most patients with HIV and AIDS had normal and low BMIs. This followed the respondents' CD4 counts, which showed <200 µ/l in as much as 40%; even the patients' minimum CD4 count was very low, at 3 µ/l (Sidibé et al, 2018).…”

Section: Functional Statusmentioning

confidence: 64%

“…Other studies have suggested that there is a significant and positive correlation between the CD4 cell count and weight gain so that the QoL of patients is also better. Direct or indirect damage to CD4+ T cells is very influential because CD4+ T cells are needed for the immune system to function properly (Sidibé et al, 2018). If HIV has killed CD4+ T cells so that the number of cells has shrunk to <200 µ/l blood, then immunity will be lost and, as a result, AIDS will occur.…”

Section: Relationship Of Characteristics and Clinical Status With Quamentioning

confidence: 99%

The Relationship of Basic Clinical Status With the Quality of Life of Hiv and Aids Patients

Masyfufah

Triyono

2020

JBE

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Background: The success of individual antiretroviral drug (ARV) treatment in patients with human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) was determined by conducting a routine evaluation of the patients’ Cluster of Differentiation 4 (CD4) count. The indicators used to measure the success of the HIV and AIDS treatment were mortality, mobility, and quality of life (QoL). Purpose: The purpose of this research was to analyze the relationship between clinical status (smoking status, duration of ARV therapy, the CD4 count, and body mass index [BMI]) and the QoL of patients with HIV and AIDS who were stable during treatment. Methods: This type of research was quantitative analytical research with a cross-sectional design. This research was conducted at Dr. Soetomo Hospital, Surabaya, from September to November 2017. The study population was patients with HIV and AIDS in Dr. Soetomo Hospital, Surabaya. The research sample was taken by purposive sampling with the inclusion criteria being patients with HIV and AIDS who had been treated for ≥6 months with adherence ≥95% and who came directly to the hospital. Results: The majority of respondents were female (53.36%), junior/senior high school graduates (66.67%), married (62.22%), non-smoking (75.56%), had undergone ARV therapy for ±10 years (77.78%), and had a QoL in the adequate category (62.22%). The basic clinical status with a significant relationship with the respondents’ QoL were the CD4 count (p = 0.00) and BMI (p = 0.00). Conclusion: There was a relationship of the CD4 count and BMI with the QoL of the patients with HIV and AIDS.

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The effects of nutritional supplementation on body mass index and CD4 count among adult people living with HIV AIDS on antiretroviral treatment in Conakry, Guinea

Cited by 7 publications

References 22 publications

Dietary diversity and impact of Moringa oleifera Lam. leaves supplemented – Diet on the nutritional status and CD4 cell counts of patients receiving antiretroviral therapy in Nigeria: A double - Blind randomized trial

Dietary diversity and impact of Moringa oleifera Lam. leaves supplemented – Diet on the nutritional status and CD4 cell counts of patients receiving antiretroviral therapy in Nigeria: A double - Blind randomized trial

Nutritional and health status of people living with HIV/AIDS in the eastern region of Ghana

The Relationship of Basic Clinical Status With the Quality of Life of Hiv and Aids Patients

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