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

Takarinda, Kudakwashe C; Mutasa‐Apollo, Tsitsi; Madzima, Bernard; Nkomo, Brilliant; Chigumira, Ancikaria; Banda, Mirriam; Muti, Monica; Harries, Anthony; Mugurungi, Owen

doi:10.1186/s40795-017-0132-8

Cited by 59 publications

(102 citation statements)

References 43 publications

(62 reference statements)

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“…The nding of this study was higher than the study done in Zimbabwe [19] and Dilla university referral hospital (15) which was 10% and 12.3% respectively. The might be due to study area and the difference intervention given the study area on dietary practice.…”

Section: Resultscontrasting

confidence: 76%

Under nutrition and Associated Factors Among Adult People Attending Highly Active Anti-Retroviral Therapy in Health Facilities of Bench Maji Zone, South West Ethiopia, 2018.

Regassa

Abera

2020

Preprint

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Background - Malnutrition is a condition in which a nutrition deficiency, excess or imbalance of energy, protein, and other nutrients causes adverse effects on tissue/body form. Nutritional issues are common in HIV disease. At some point, almost everyone living with HIV will face challenges in maintaining good nutrition. Objective - To assess under nutrition and associated factors among Adult Clients on Highly Active Antiretroviral Therapy in Health Facilities of Bench Maji Zone, South West Ethiopia,2018. Methods - Institutional based cross sectional study design with quantitative data collection was employed from May 01 – June 30/2018 . A total sample size was 1007 and the participants were selected by using consecutive sampling technique from selected health facilities. EpiData Statistical software version 3.1 and Statistical Package for Social Sciences (SPSS) software version 21.0 were used for data entry and analysis. Logistic regression analysis was used to identify factors associated to under nutrition in adults attending ART. Odds ratios with 95 % confidence intervals were used to examine associations between dependent & independent variables. P. value less than 0.05 was considered significant. Result: The magnitude of under nutrition among peoples on ART in this study was 154 (16.0%). In multivariable logistic regression analysis, factors contributing to under nutrition were identified; Age [AOR 2.4, 95% CI (1.1-5.4)], marital status[AOR 2.2, 95% CI (1.3-3.7)], occupational status[AOR 0.4,95% (0.2-0.9)], developing GI symptoms [AOR 2.6, 95% CI (1.5-4.5)] and WHO clinical stage [AOR 3.1, 95% CI (1.4-6.8)].were found to have statistically significant association with among peoples on ART. Conclusion: Significant numbers of peoples on ART drugs in the study area were under nutrition .Age, marital status, occupational status, WHO clinical stage of disease and developing gastro intestinal symptoms were identified factors of under nutrition among adult people on ART. The health care workers and experts work on the ART clinic should focuses on patient counseling about early prevention, detection and treatment of opportunistic infection, early health seeking behaviors before AIDs stage.

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Section: Resultscontrasting

confidence: 76%

Under nutrition and Associated Factors Among Adult People Attending Highly Active Anti-Retroviral Therapy in Health Facilities of Bench Maji Zone, South West Ethiopia, 2018.

Regassa

Abera

2020

Preprint

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“…But this finding is in contrary with study conducted in southern Ethiopia. 16 Relative to patients aged greater than 50, patients aged between 18 and 30, are 60% times less likely to develop the risk of being overweight (AOR=0.4, 95% CI (0.2,0.9). This is in line with the finding that observed in Tanzania and brazil that showed overweight and obesity were more prevalent in older patients, with the oldest age-group (>50 years) having the highest burden.…”

Section: Discussionmentioning

confidence: 99%

<p>Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study</p>

Yitbarek¹,

Engidaw²,

Ayele³

et al. 2020

DMSO

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Purpose: Obesity is on the rise worldwide, not only in the general population but also in PLWHA. Being overweight and obese are themselves risk factors for cardiovascular and other diseases. Despite this, few studies have been conducted to determine the magnitude of obesity/overweight and its associated factors among HIV/AIDS patients in Ethiopia, which necessitates this study. Methods: Hospital-based cross-sectional study was conducted from December to January 2019 at selected Jimma zone hospitals. WHO STEP-wise approach to chronic disease risk factor surveillance (STEPS) questionnaire and document review for HIV-related clinical factors was applied. Weight, height and waist circumference and hip circumference were measured. Data were analyzed using SPSS version 20. Results: A total of 252 participants with a response rate of 95.8% were included. The prevalence of obesity/overweight was 21%. After adjusting for these variables, age category of greater than 50 years [AOR = 0.4, 95% CI (0.2, 0.9), p = 0.03], WHO clinical stage III and above [AOR = 0.04, 95% CI (0.002, 0.6), p = 0.02], presence of mild to moderate physical activity [AOR = 1.3, 95% CI (5.5, 33.3), p ≤ 0.001)], plasma CD4 count between 351 and 500 copies/mL [AOR=0.15, 95% CI (0.04, 0.6) p=0.024], and female sex [AOR = 2.6, 95% CI (1.25, 10) p=0.03)] were significantly associated with obesity/overweight. Conclusion: There was a high prevalence of obesity/overweight among HIV/AIDS patients. It was found that older age, female sex, early stage of the disease, lower CD4 count and presence of mild to moderate physical activity were significant predictors of obesity/overweight. Clinicians should be aware of the health consequence of obesity and consider instituting targeted weight management programs as a part of routine HIV care.

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“…The above disparities could be due to the difference in the study area since our study conducted at the national level and gender, which would be highly suggestive of the need for a similar review within the Ethiopian context. Similarly, a nationwide study conducted among HIV-positive patients in Zimbabwe yielded a 10% proportion [22], which may reflects differences in socio-economic, cultural, and feeding pattern-related characteristics within the 2 study areas. The socio-cultural factors profoundly affect the clients' perceived health status, response to disease, and treatment outcome [41].…”

Section: Discussionmentioning

confidence: 94%

“…Concerning the reasons for excluding full articles, two articles were excluded due to our outcome of interest was not reported [17,18]. The remaining five articles were excluded due to study location; one study each from Nigeria [19], Iran [20], Tanzania [21], Zimbabwe [22], and Botswana [23]. Finally, 15 studies met the inclusion criteria and included in the meta-analysis ( Fig.…”

Section: Resultsmentioning

confidence: 99%

Undernutrition among Ethiopian adults living with HIV: a meta-analysis

Alebel¹,

Kibret²,

Petrucka³

et al. 2020

BMC Nutr

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Background: Malnutrition and human immunodeficiency virus (HIV) are interlaced in a vicious cycle and worsened in low and middle-income countries. In Ethiopia, even though individuals are dually affected by both malnutrition and HIV, there is no a nationwide study showing the proportion of malnutrition among HIV-positive adults. Consequently, this review addressed the pooled burden of undernutrition among HIV-positive adults in Ethiopia. Methods: We searched for potentially relevant studies through manual and electronic searches. An electronic search was carried out using the database of PubMed, Google Scholar, and Google for gray literature and reference lists of previous studies. A standardized data extraction checklist was used to extract the data from each original study. STATA Version 13 statistical software was used for our analysis. Descriptive summaries were presented in tables, and the quantitative result was presented in a forest plot. Heterogeneity within the included studies was examined using the Cochrane Q test statistics and I 2 test. Finally, a random-effects meta-analysis model was computed to estimate the pooled proportion of undernutrition among HIV-positive adults.

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

Cited by 59 publications

References 43 publications

Under nutrition and Associated Factors Among Adult People Attending Highly Active Anti-Retroviral Therapy in Health Facilities of Bench Maji Zone, South West Ethiopia, 2018.

Under nutrition and Associated Factors Among Adult People Attending Highly Active Anti-Retroviral Therapy in Health Facilities of Bench Maji Zone, South West Ethiopia, 2018.

<p>Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study</p>

Undernutrition among Ethiopian adults living with HIV: a meta-analysis

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