Nutritional Supplementation in HIV‐Infected Individuals in South India: A Prospective Interventional Study

Swaminathan, Soumya; Padmapriyadarsini, Chandrasekaran; Yoojin, L.; Sukumar, B.; Iliayas, Sheikh; Karthipriya, J.; Sakthivel, R.; Gomathy, P.; Thomas, Beena; Mathew, Minnie; Wanke, Christine; Narayanan, P. Ramesh

doi:10.1086/653111

Cited by 41 publications

(43 citation statements)

References 22 publications

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“…Poor absorption of nutrients that may be the result recurrent/chronic diarrhea and HIV-caused intestinal cell damage. And then the will develop malnutrition again it contributes to immune impairment, making the body vulnerable to frequent illnesses [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Under Nutrition Status and Its Determinants among Adult HIV and AIDS Clients Enrolled on Antiretroviral Therapy at Nigest Elleni Mohammed Memorial Hospital, Southern Ethiopia

Shiferaw¹,

Jegora²,

Lema³

et al. 2017

J AIDS Clin Res

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Background: HIV/AIDS and malnutrition effects are interrelated and exacerbate one another in a vicious cycle. HIV specifically affects nutritional status by increasing energy requirements, reducing food intake and adversely affecting nutrient absorption and metabolism. In spite of the number of People Living with HIV ever enrolled on ART increases significantly in Ethiopia. Nutritional care and other supports which help for the success of treatment received insufficient attention. The aim of this study was to assess the prevalence of undernutrition status and its determinants among adult HIV/AIDS Clients enrolled on ART at Nigest Elleni Mohammed Memorial Hospital in Hosanna Town, Southern Ethiopia.Method: Institution based cross-sectional quantitative study was conducted using systematic random sampling technique with sample size of 234. From each sampled patient, interview and anthropometric data were collected. Bivariate and multivariate logistic regression analysis was used and the variables which had significant association were identified on the basis of p-value ≤ 0.05 and AOR, with 95% CI.Results: Among adult HIV/AIDS Clients in rolled in ART, 32.5% of them were under nourished (BMI<18.5 Kg/m 2 ). ART patients had no nutritional supports (AOR=2.22), patients who feed less than 3times in a day (AOR=3.29) and had smoking habit (AOR=6.06) were more likely to be under nourished and those patients in WHO Clinical stage 3 (AOR=0.12) were less likely to be under nourished. Conclusion:This study revealed that under nutrition among adult HIV/AIDS Clients in rolled in ART was high prevalent problem in the study area. WHO clinical stage, daily food intake, nutritional support, smoking status was identified as the determinants of under nutrition. Current study identified that there is a need to design and implement nutritional interventions including nutritional support in items or financially together with healthy habit counselling as part of integrated ART service for effective patient treatment outcome.

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Section: Introductionmentioning

confidence: 99%

Under Nutrition Status and Its Determinants among Adult HIV and AIDS Clients Enrolled on Antiretroviral Therapy at Nigest Elleni Mohammed Memorial Hospital, Southern Ethiopia

Shiferaw¹,

Jegora²,

Lema³

et al. 2017

J AIDS Clin Res

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“…In another observational study in Zambia, a monthly WFP individual or household food ration was not associated with weight gain or BMI increases (after adjusting for a small set of baseline characteristics) at 6 and 12 months among PLHIV on ART, compared to the control group [41]. A third observational cohort study in India found a small daily WFP individual supplement provided to adult PLHIV on ART was not associated with improvements in weight, BMI, MUAC or hemoglobin concentrations at 6 months, compared to those in two comparison clinics after adjusting for baseline CD4 count, age, and sex [43]. Lastly, in a retrospective observational cohort study from Uganda using a large program administrative database, individuals receiving food assistance for a period of 12 months had a higher mean weight gain compared to their matched control, and had statistically significant, but biologically insignificant slower disease progression ( [30]).…”

Section: Discussionmentioning

confidence: 97%

“…First, it is one of only a handful of studies investigating the impact of food assistance to adult PLHIV in a developing country context [30,[41][42][43];…”

Section: Discussionmentioning

confidence: 99%

The impact of a food assistance program on nutritional status, disease progression and food security among people living with HIV in Uganda

Raj¹,

Faust²,

Maluccio³

et al. 2014

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“…Several investigators have shown that adequate nutrition and modified lifestyle associated with or without education and counseling can improve nutritional status both during stable treatment free period and during severe episodes of the infection [2,12,27,28]. In this study, the authors also investigated the effects of nutritional education and lifestyle modification on the nutritional status of treatment naïve HIV patients in Yaoundé, Cameroon.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have confirmed the beneficial effects of these factors in improving nutritional status, though mostly short termed and based on the use of nutritional supplements, which are expensive for HIV patients in resource limitted settings [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Effects of nutritional education and lifestyle modification on the nutritional status of HIV positive patients: results of a cluster randomized intervention over a period of six months

Nkengfack¹,

Torimiro²,

Ngogang³

et al. 2013

Glob Epidemi Obes

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Background: Effective strategies to improve nutritional status exist, though short-termed and less sustainable for HIV patients in resource limited settings. The aim of this study was to describe the BMI of treatment naïve HIV patients in Yaoundé, Cameroon, and investigate the effects of nutritional education and lifestyle modification on the nutritional status of these patients. Method: A cluster randomized trial was conducted between 2010 and 2012, and included 5 health facilities, randomized either to the intervention (HIV-Care-Program) or control group (usual care). The HIV-Care-Program consisted of counselling lessons for 6 months on: nutrition, hygiene and coping with stigma and discrimination, complemented by practical activities. Primary outcome variable were change in BMI and serum albumin after 6 months, using analysis of covariance. BMI was calculated from weight (kg) and height (m

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Nutritional Supplementation in HIV‐Infected Individuals in South India: A Prospective Interventional Study

Cited by 41 publications

References 22 publications

Under Nutrition Status and Its Determinants among Adult HIV and AIDS Clients Enrolled on Antiretroviral Therapy at Nigest Elleni Mohammed Memorial Hospital, Southern Ethiopia

Under Nutrition Status and Its Determinants among Adult HIV and AIDS Clients Enrolled on Antiretroviral Therapy at Nigest Elleni Mohammed Memorial Hospital, Southern Ethiopia

The impact of a food assistance program on nutritional status, disease progression and food security among people living with HIV in Uganda

Effects of nutritional education and lifestyle modification on the nutritional status of HIV positive patients: results of a cluster randomized intervention over a period of six months

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