Nutritional status and its association with quality of life among people living with HIV attending public anti-retroviral therapy sites of Kathmandu Valley, Nepal

Thapa, Rajshree; Amatya, Archana; Pahari, Durga Prasad; Bam, Kiran; Newman, Molly

doi:10.1186/s12981-015-0056-9

Cited by 64 publications

(81 citation statements)

References 29 publications

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“…Educational status, WHO clinical stage and having diarrhea in the last two weeks were significantly associated with chronic energy deficiency. The overall prevalence of chronic energy deficiency in this study was similar with the studies done in Nepal and Singapore [34,35], Tanzania [17] and Ethiopian studies done in Butajira, Dilla, Addis Abeba and Dembia [19][20][21]36]. But it was lower than the findings from Iran, China, Brazil, Botswana, Bahirdar, Humera and Gondar [14,18,31,[37][38][39][40].…”

Section: Discussionsupporting

confidence: 86%

“…Studies from Nepal (AOR = 2.09), Hosanna (AOR = 5.23) and Dilla (AOR = 12.9) also showed similar findings [34,36,41]. When the disease stage advances over time, the occurrence of CED is inevitable due to the occurrence and synergetic effect of different opportunity infections which increases their catabolic state, energy demand and loss of both macro and micronutrients by decreasing the intake and absorption of nutrients.…”

Section: Discussionmentioning

confidence: 71%

“…Similarly, a study conducted in Nepal and Dilla revealed that Illiterate people were 2.3 and 3.5 times more likely to be chronic energy deficient as compared to people who can read and write respectively [34,36]. A meta-analysis done among women living with HIV in SSA also supports this finding [13].…”

Section: Discussionmentioning

confidence: 76%

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Chronic energy deficiency and associated factors among adults living with HIV in Gondar University Referral Hospital northwest Ethiopia

Fentie¹,

Wassie²,

Tesfahun³

et al. 2017

BMC Nutr

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Background: Human Immunodeficiency Virus (HIV) infection and chronic energy deficiency are bidirectional and multifaceted. HIV can cause or worsen chronic energy deficiency by increasing energy requirements, reducing food intake and nutrient absorption. Chronic energy deficiency weakens the immune system, increase the susceptibility to infections and worsening the disease impact. Studies on the magnitude and factors associated with chronic energy deficiency among adults living with HIV are limited. The aim of this study was to assess the prevalence of chronic energy deficiency and associated factors among adults living with HIV in Gondar University Referral Hospital, northwest Ethiopia. Methods: An institution based cross-sectional study was conducted and systematic random sampling was used to select study subjects. A total of 317 study subjects were enrolled in the study. Structured and pretested questionnaire was used to collect socio-demographic, economic and diet related variables. Weight and height measurement were taken and medical charts were reviewed. Laboratory analysis for CD4 count and anemia was done. Bi-variable and multi-variable logistic regression analyses were used to assess the effect of different factors on chronic energy deficiency. Results: A total of 317 patients provide complete information with response rate of 99.4%. The overall prevalence of chronic energy deficiency was 18.3% (95%CI: 14.5%-22.7%). The prevalence of mild, moderate and severe chronic energy deficiency was 11.4, 3.5 and 3.5% respectively. No formal education (AOR = 2.05,95%CI:1.01,4.21), being in the WHO clinical stage three and four (AOR = 3.84,95%CI:1.39,10.61) and history of diarrhea in the last two weeks prior to the survey (AOR = 4.43,95%CI:1.83,10.72) were significantly associated with chronic energy deficiency. Conclusion: The prevalence of chronic energy deficiency among adults living with HIV was medium public health problem. Educational status, WHO clinical stage, and history of diarrhea in the last two weeks prior to the survey were risks for chronic energy deficiency. Integration of nutritional management with HAART, early diagnosis and treatment of diarrheal disease would be supreme important.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 71%

See 1 more Smart Citation

Chronic energy deficiency and associated factors among adults living with HIV in Gondar University Referral Hospital northwest Ethiopia

Fentie¹,

Wassie²,

Tesfahun³

et al. 2017

BMC Nutr

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“…Malnutrition on the other hand, contributes to immune system impairment, making the body vulnerable to frequent illness, there by accelerating disease progression [5]. Additionally, appropriate nutrition can improve ART absorption and tolerance as well as improve quality of life of PLWHIV/AIDS [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Nutritional Status and Associated Factors among Prisoners Living with HIV/AIDS in Kality Prison, Addis Ababa, Ethiopia

Kassa¹,

Alle²,

Tesfu³

2017

J AIDS Clin Res

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Introduction: In the case Human Immune Deficiency virus/Acquired Immune Deficiency Syndrome (HIV/AIDS), prison conditions not only contribute to the risk of transmission, it also hastens the progression of HIV and deterioration in the health of prisoners living with HIV/AIDS. Prisons typically comprise marginalized sections of society and at high nutritional risk due to lack of diet diversity, as these prisoners depend on few kinds of food for a long time and in a situation, adequacy of nutritional requirement is a great issue of concern.Objective: To assess nutritional status and associated factors among prisoners living with HIV/AIDS in Kality prison, Addis Ababa, Ethiopia, 2016.Method: Institution based cross sectional study design was conducted among randomly selected 412 prisoners on pre Anti-Retroviral Therapy and Anti-Retroviral Therapy in Kality prison, Addis Ababa, Ethiopia from February to March, 2016. The data entered to Epi-info version 7.0 and export to Statistical Package for Social Science version 20.0 for further analysis. Descriptive statistics, binary and multivariable logistic regression analysis were employed to identify nutritional status and associated factors that affect nutritional status of prisoners living with HIV/AIDS. Results:The overall magnitude of malnutrition was found to be 43% among prisoners living with HIV/AIDS. Female respondents were 92% times less likely to develop malnutrition than male respondents (AOR 0.08 [95% CI 0.02, 0.42) and those who were in the age range of ≥ 50 were eight times more likely to be malnourished with (AOR 8.68 [95% CI 1.59, 47.28]) than other age groups.

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“…O estado nutricional debilitado é um dos fatores que elevam o risco do PVHA desenvolver doenças crônicas (3,6) . Embora o ganho de peso beneficie o sistema imune e atenue o impacto de doenças oportunistas destes indivíduos, o aumento de gordura corporal, especialmente abdominal, pode ser fonte crônica de proteínas pró-inflamatórias que influenciam o curso da doença e o envelhecimento precoce (7,8) .…”

Section: Introductionunclassified

Prevalência de excesso de peso, obesidade central e risco de comorbidades metabólicas em adultos com HIV/AIDS sem terapia antirretroviral

Guimarães

Fausto

Tupinambás

2016

RBPS

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Prevalence of overweight, central obesity and metabolic comorbidities risk in adults living with HIV/AIDS Prevalencia del exceso de peso, obesidad central y riesgo de comorbidades metabólicas en adultos con VIH/AIDS sin terapia antirretroviral RESUMO Objetivo: Descrever a prevalência de excesso de peso, obesidade central e risco de comorbidades metabólicas em adultos com HIV/AIDS, sem terapia antirretroviral (ARV). Métodos: Estudo observacional, transversal, descritivo realizado em um Centro de Tratamento e Referência em Doenças Infecto-Parasitarias de Belo Horizonte, MG, com adultos com HIV/AIDS que não iniciaram o tratamento antirretroviral. Foram coletadas informações sobre o peso, altura, Índice de Massa Corporal (IMC) e circunferência abdominal (CA). A ingestão alimentar foi investigada por meio da aplicação de recordatório alimentar de 24 horas. Além disso, um questionário foi usado para coleta dos dados socioeconômicos. Resultados: Dos 100 voluntários, 76% eram homens com idade média igual a 37,1 anos. Aproximadamente um terço apresentou CD4 ≤ 200 e 64% denominaram-se como sedentários. Homens apresentaram maiores médias de peso (71,6 Kg versus 59,9 Kg) e altura (1,72 m versus 1,60 m) em comparação às mulheres. As prevalências de excesso de peso e obesidade central foram iguais a 4,1% e 35,7%, respectivamente. Risco de comorbidades metabólicas aumentado substancialmente esteve presente em 20,4% dos indivíduos. Metade da amostra consumia grande quantidade de alimentos industrializados e baixo consumo de frutas, verduras e legumes. Conclusão: Antes de iniciar a terapia ARV, os indivíduos com HIV/AIDS já apresentavam excesso de peso, obesidade central e consequente risco de comorbidades metabólicas. Portanto, são necessárias intervenções de educação em saúde pregressa à terapia com ARV, para prevenção primária de problemas metabólicos futuros. Descritores

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Nutritional status and its association with quality of life among people living with HIV attending public anti-retroviral therapy sites of Kathmandu Valley, Nepal

Cited by 64 publications

References 29 publications

Chronic energy deficiency and associated factors among adults living with HIV in Gondar University Referral Hospital northwest Ethiopia

Chronic energy deficiency and associated factors among adults living with HIV in Gondar University Referral Hospital northwest Ethiopia

Assessment of Nutritional Status and Associated Factors among Prisoners Living with HIV/AIDS in Kality Prison, Addis Ababa, Ethiopia

Prevalência de excesso de peso, obesidade central e risco de comorbidades metabólicas em adultos com HIV/AIDS sem terapia antirretroviral

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