Assessing Nutrient Intake and Nutrient Status of HIV Seropositive Patients Attending Clinic at Chulaimbo Sub-District Hospital, Kenya

Onyango, Agatha Christine; Walingo, Mary Khakoni; Mbagaya, Grace M.; Kakai, Rose

doi:10.1155/2012/306530

Cited by 20 publications

(19 citation statements)

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“…Studies have indicated lower nutrient intakes for Zinc, Calcium and Iron among women than males and this may be attributed to consumption of low intakes which are deficient of nutrients. 36 , 37 On the other hand, Uganda’s household diet is predominantly vegetable and tubers. 4 , 37 The fact that males have a higher chance of consuming foods away from home, may increase chances of consuming a variety of foods than women who mostly depend on home prepared meals.…”

Section: Discussionmentioning

confidence: 99%

Dietary Micronutrients and Gender, Body Mass Index and Viral Suppression Among HIV-Infected Patients in Kampala, Uganda

et al. 2020

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Background: HIV/AIDS is a hallmark of immune suppression. Micronutrient deficiencies in diet and recurrent opportunistic infections play major roles in the lives of people living with HIV. Although benefits of providing adequate diet to HIV positive persons are well documented, the demand for key elements still remain unclear in particular settings, especially in low and middle-income countries. Methods: This was a cross sectional analysis of baseline data collected from HIV-infected adults initiating antiretroviral therapy, and who were enrolled in a multivitamin supplementation trial. A food frequency questionnaire was used and intake were obtained as a product of quantities consumed. Adequacy was calculated as the proportion of Recommended Dietary Allowances (RDA). A chi square test and logistic regression analysis were used at p-value 0.05 to show significant associations. Results: Mean intakes were above minimum requirements for analyzed micronutrients with the exception of Calcium and Iron. Participants who met RDA intakes were as follows: highest (? 80%) for Magnesium, Selenium, Zinc and Vitamins B2, B6, B9, C and E; moderate (50% to <80%) for Vitamins B3, and A; and lowest (?50%) for Iron (30%), Calcium (14.9%), Vitamins B12 and B1. Gender differences in met RDA were observed for Iron, Selenium, Zinc, Vitamins A, B1, B3 and E. In multivariable analyses, nutritional status and CD4 count had no influence on meeting RDA for majority of micronutrients such as magnesium, Selenium, B class vitamins (B1, B2, B3, B6, B9, B12), vitamin (A, C, and E), Zinc and Calcium, but not including iron. Conclusion and Global Health Implications: Diets consumed by the study participants were low in most protective nutrients (Iron, Calcium, Zinc, Vitamin A, B1, B3, and B12). This deficiency was more common among females than males, and irrespective of BMI or CD 4 count. Findings warrant further investigation on the impact and cost implications for suplementation interventions that target the elements lacking in the diets of people living with HIV in similar low-resourced settings. Key words: • Recommended Dietary Allowances • Micronutrients • Dietary intakes • Body Mass Index • CD4 cell count • HIV/AIDS • Uganda Copyright © 2020 Isabirye et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

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Section: Discussionmentioning

confidence: 99%

Dietary Micronutrients and Gender, Body Mass Index and Viral Suppression Among HIV-Infected Patients in Kampala, Uganda

et al. 2020

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“…The effects are interrelated and exacerbate one another in a vicious cycle [5]. Both HIV and malnutrition can independently cause progressive damage to the immune system and increased susceptibility to infection, morbidity, and mortality through opportunistic infections, fever, diarrhea, loss of appetite, nutrient absorption, and weight loss.…”

Section: Advances In Public Healthmentioning

confidence: 99%

Dietary Diversity and Associated Factors among HIV Positive Adult Patients Attending Public Health Facilities in Motta Town, East Gojjam Zone, Northwest Ethiopia, 2017

Tesfaw¹,

Jara

Temesgen

2018

Advances in Public Health

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Introduction. Dietary diversity is defined as the amount of different food groups or foods that are consumed over a specific reference time. The human immune deficiency virus problem remains one of the main public health challenges, especially in low and middle income countries. Nutrition has been linked to both the transmission of human immune deficiency virus and poor outcomes related to human immune deficiency virus. Objective. To assess dietary diversity and associated factors among human immune deficiency virus positive adult patients in Motta administrative town, Northwest Ethiopia, 2017. Methods. A facility based cross-sectional study design was conducted on 410 study participants selected using a stratified sampling technique with proportional allocation. The data were collected using semi-structured and pretested questionnaire. Data were entered into Epi-Data version 3.1 and analysis was performed using SPSS version 20. Descriptive statistics were used to describe the number and percentage of the study variables. The bivariate and multivariable logistic regression analyses were done to identify the independent factors associated with dietary diversity among adult human immune virus (HIV) positive patients. Result. A total of 410 study participants were included in the analysis. Of the total, 121 (29.5%) of adult HIV positive respondents consumed diversified diet with the mean dietary diversity score of 3.2 (SD±1.88). The predominant food item consumed during the study periods was starchy staples (96.1%) and legumes (81.7%). Having means of communication cell phone (mobile phone) [(AOR= 2.13 (1.16, 3.60)], media exposure status in the household [(AOR =1.95 (1.22, 3.11)] and nutrition counselling [(AOR =2.17 (1.09, 4.67)] were significant factors associated with dietary diversified feeding at 95% CI. Conclusion. The study revealed that low dietary diversity score was significant nutritional problem among HIV positive adults in Motta town health facilities. Having mobile cell phone, media exposure status and nutritional counseling were significantly associated with dietary diversity score. Therefore efforts should be strengthened to improve the counseling service at each health institution and encourage the patients to use media for the source of information.

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“…The selection of participants was random as they came to the Laboratory of the hospital to carry out other Laboratory investigations, and it is after the selection that the participants were separated into two groups. Diet variety was assessed using a food frequency checklist and nutrient intake using 24-hours dietary recall 9 . We also recorded the amount of physical activity/week and this is because of the correlation between physical exercise and diabetes mellitus.…”

Section: Methodsmentioning

confidence: 99%

Food profile and its effect on the occurrence of diabetes in patients living with HIV: A cross-sectional study at the Nylon district hospital, Cameroon

Etoundi

Youmsi

Mbock

et al. 2021

Nor. Afr. J. Food Nutr. Res.

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Background: The increased nutritional needs associated with the initiation of antiretroviral therapy exposes HIV-positive patients to an uncontrolled diet. This places them at an increased risk for diabetes mellitus and highlights the role of nutritional habits in the development of diabetes mellitus amongst HIV patients. Aim: In this study, we sought to investigate the feeding habits and their effect on the occurrence of diabetes amongst HIV-positive patients at the Nylon District hospital. Materials and Methods: A hospital-based cross-sectional study was carried out over eight months. A total of 182 participants were randomly selected of which 134 were HIV-positive and 48 HIV-negative. Blood samples were collected after at least an eight-hour fast. Results: The prevalence of diabetes in the HIV-positive group was 19 % compared to 10 % in the HIV-negative group. The total cholesterol and triglyceride levels were higher in HIV-negative participants compared to HIV-positive participants. Consumption of dairy products more than once per day (OR= 0.71, 95 % CI: 0.27-1.89), vegetable consumption more than once per day (OR= 0.79, 95 % CI: 0.25-2.56), more than one meal per day (OR= 0.13 95% CI: 0.02-1.04), breakfast more than twice per week (OR= 0.91 95 % CI: 0.2-4.11), and practicing physical exercise (OR= 0.7 95 % CI: 0.28-1.78), reduced the odds of having diabetes in HIV positive participants. Conclusion: The HIV status has an impact on the occurrence of diabetes mellitus in these patients, and it is highly associated with the feeding habits and the lifestyle of these patients. Keywords: HIV, diabetes mellitus, feeding habits, lifestyle, lipid profile.

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Assessing Nutrient Intake and Nutrient Status of HIV Seropositive Patients Attending Clinic at Chulaimbo Sub-District Hospital, Kenya

Cited by 20 publications

References 14 publications

Dietary Micronutrients and Gender, Body Mass Index and Viral Suppression Among HIV-Infected Patients in Kampala, Uganda

Dietary Micronutrients and Gender, Body Mass Index and Viral Suppression Among HIV-Infected Patients in Kampala, Uganda

Dietary Diversity and Associated Factors among HIV Positive Adult Patients Attending Public Health Facilities in Motta Town, East Gojjam Zone, Northwest Ethiopia, 2017

Food profile and its effect on the occurrence of diabetes in patients living with HIV: A cross-sectional study at the Nylon district hospital, Cameroon

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