Impact of malnutrition and social determinants on survival of HIV-infected adults starting antiretroviral therapy in resource-limited settings

Argemi, Xavier; Dara, Som; You, Seng Chan; Mattei, Jean F.; Courpotin, C; Simon, Bernard; Hansmann, Yves; Christmann, D.; Lefèbvre, Nicolas

doi:10.1097/qad.0b013e328353f363

Cited by 45 publications

(42 citation statements)

References 25 publications

(25 reference statements)

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“…According to study performed by Grzeszczuk et al, no association was found between HCV seropositive and survival, and this result was in agreement with our findings [27]. Based on conducted studies in HIV patients, low CD4+ T-cell count at the time of tuberculosis treatment initiation was associated with early mortality and increased risk of death [28][29][30][31]. Also another study showed that history of tuberculosis and not using antiretroviral drugs was significantly associated with higher mortality in HIV patients [32].…”

Section: Discussionsupporting

confidence: 82%

Impact of HIV risk factors on survival in Iranian HIV-infected patients: A Bayesian approach to retrospective cohort

Maracy¹,

Mostafaei²,

Moghoofei³

et al. 2017

HIV & AIDS Review

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Section: Discussionsupporting

confidence: 82%

Impact of HIV risk factors on survival in Iranian HIV-infected patients: A Bayesian approach to retrospective cohort

Maracy¹,

Mostafaei²,

Moghoofei³

et al. 2017

HIV & AIDS Review

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“…While this is good news, there are certain factors associated with poor outcomes. For example, in subSaharan Africa, malnutrition in the form of low body mass index (BMI) is common at ART initiation ranging from 10% to 33% [12][13][14][15] and this is associated with poor treatment outcomes and increased mortality [13,16].…”

Section: Introductionmentioning

confidence: 99%

Malnutrition status and associated factors among HIV-positive patients enrolled in ART clinics in Zimbabwe

et al. 2017

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Background: Sub-Saharan Africa suffers from a high burden of undernutrition, affecting 23.2% of its population, and in 2015 constituted 69% of the estimated people living with Human Immunodeficiency Virus (HIV) globally. Zimbabwe, in Southern African has a HIV prevalence of 14.7%, but malnutrition (under-and over-nutrition) in this population has not been characterized. A nationally representative survey was therefore conducted to determine malnutrition prevalence and associated factors among HIV-positive adults (≥15 years) enrolled at antiretroviral therapy (ART) clinics in Zimbabwe. Methods: Height and weight measurements were taken for all enrolled participants who had attended their scheduled clinic review visits. Malnutrition was determined using body mass index (BMI) calculations and classified as undernutrition (<18.5 kg/m

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“…A major contributing factor is that over 800 million people remain chronically undernourished globally, and the HIV epidemic largely overlaps with populations already experiencing low diet quality and quantity. Malnutrition, and more specific under nutrition, is generally associated with increased mortality among HIV infected individuals initiating Antiretroviral Therapy (ART) [1,2]. …”

mentioning

confidence: 99%

Food insecurity and undernutrition in treated HIV patients a (post-) conflict setting: A cross sectional study from Goma, Eastern Democratic Republic of Congo

Akilimali¹

2016

JNHFS

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Objective: To assess the prevalence of food insecurity and its impact on nutritional status among HIV infected patients on antiretroviral therapy in a conflict and post conflict setting.Design: Cross-sectional study.Setting: This Goma multicenter cross-sectional study was carried out from February 1 st to March 3 rd , 2016.Subjects: Data on nutritional status among 583 HIV-infected patients on ART were measured using Body Mass Index as a proxy. Food insecurity was the primary independent variable and was measured using the Household Food Insecurity Access Scale. The prevalence of under nutrition and food insecurity was also estimated. A logistic regression model was used to identify the relationship between under nutrition and food insecurity, adjusted for other covariates. Results:The prevalence of food insecurity in the study group was 91.3% (95% CI: 89.0 -93.6%). The prevalence of undernutrition was 24.1% (95% CI: 20.6-27.6%).Nineteen percent of respondents were non-adherent (95% CI: 15.9% -22.3%). Only two percent have received a nutritional support during the previous month. Being household food insecure (AOR = 4.47, 95% CI: 1.35 -14.78) and living in a household with low socio-economic status (AOR = 2.02, 95% CI: 1.10 -3.69) were significantly associated with under nutrition. Conclusion:This study measured a high prevalence of food insecurity in Goma. The study highlight the negative impact of food insecurity on undernutrition and how the situation is exacerbated by the presence of HIV.Further studies are suggested to assess nutritional status with a high validity (sensitivity & specificity) way in HIV-infected patient on ART in this setting. Congo, remains unacceptably high. A major contributing factor is that over 800 million people remain chronically undernourished globally, and the HIV epidemic largely overlaps with populations already experiencing low diet quality and quantity. Malnutrition, and more specific under nutrition, is generally associated with increased mortality among HIV infected individuals initiating Antiretroviral Therapy (ART) [1,2].

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Impact of malnutrition and social determinants on survival of HIV-infected adults starting antiretroviral therapy in resource-limited settings

Abstract: Malnutrition and anaemia are strong and independent prognostic factors at the time of starting ART. Nutritional cares are essential for the clinical success of HIV programs started in developing countries.

Cited by 45 publications

References 25 publications

Impact of HIV risk factors on survival in Iranian HIV-infected patients: A Bayesian approach to retrospective cohort

Impact of HIV risk factors on survival in Iranian HIV-infected patients: A Bayesian approach to retrospective cohort

Malnutrition status and associated factors among HIV-positive patients enrolled in ART clinics in Zimbabwe

Food insecurity and undernutrition in treated HIV patients a (post-) conflict setting: A cross sectional study from Goma, Eastern Democratic Republic of Congo

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