A nutrition education programme improves quality of life but not anthropometric status of adults living with HIV in Abeokuta, Nigeria

Abstract

Objective:The focus of interventions for adults living with HIV (ALH) in Nigeria has been mostly on prevention and provision of antiretroviral therapy (ART) with little consideration to nutrition-related matters. Therefore, the present study aimed to improve the quality of life (QoL) and anthropometric status of ALH in Abeokuta, Nigeria.Design:A quasi-experimental design where 200 conveniently selected participants were stratified by gender and duration on ART. The intervention group (n 100) received the nutrition education programme (NEP) for 12 weeks. The control group received a brochure on nutrition guidelines for ALH. Socio-biographical information, QoL and anthropometric status were assessed using previously validated questionnaires and standard techniques at baseline, week 12 and week 24. Generalised least squares (GLS) regression analysis was used for group comparisons. Anthropometric status was summarised by gender.Setting:Two tertiary hospitals in Abeokuta, Nigeria.Participants:ALH.Results:The NEP led to significant improvement in the physical functioning (week 12 and 24: P < 0·01), role limitation due to physical health (week 12: P = 0·01; week 24: P = 0·002) and pain (week 12: P = 0·01) constructs of the QoL of the intervention group compared with the control group. There was no significant difference (P = 0·07) between the mean weights of the two groups at baseline.Conclusions:There was a significant improvement at week 12 and week 24 in the QoL of the intervention participants. The results indicated that a tailored NEP could make a positive contribution to the management of ALH.

Impact of Nutrition Education on Various Health-Related Components of Hemodialysis Patients: A Systematic Review

“…Furthermore, nutritional education has kept the level of inflammatory malnutrition stable and has increased patients’ quality of life. This finding aligns with results indicating that a nutrition education program significantly improved the quality of life of adults living with HIV [ 61 ].…”

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“…Lastly, we also identified a home based rehabilitation program with therapist assisted physical exercises and a nutrition education program. Both effectively improved physical health [32,36]. Figure 3 describes HrQoL interventions according to the domains positively affected and level offered (micro for individual, meso for community and macro for structural).…”

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