Too little, too late: Comparison of nutritional status and quality of life of nutrition care and support recipient and non-recipients among HIV-positive adults in KwaZulu-Natal, South Africa

Oketch, Jecinter Akinyi; Paterson, Marie; Maunder, Eleni Winfred; Rollins, Nigel

doi:10.1016/j.healthpol.2010.08.018

Cited by 30 publications

(40 citation statements)

References 26 publications

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“…(18), who studied the waist-to-hip ratio (and found it increased in 28.9% of their patients), or the study by Oketch and cols. (25), who also found an increase in this ratio. However, Pao and cols.…”

Section: Discussionmentioning

confidence: 79%

Prevalence of obesity and cardiovascular risk in patients with HIV/AIDS in Porto Alegre, Brazil

Kroll

Sprinz

Leal

et al. 2012

Arq Bras Endocrinol Metab

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Objective: The aim of this study was to discover the prevalence of overweight, obesity and cardiovascular risk in our HIV/AIDS outpatients according to sex, antiretroviral therapy and other variables. Subjects and methods: Patients underwent an anthropometric assessment. Body mass index and waist circumference were used to classify their nutritional status and their cardiovascular risk. Results: The majority of the 345 patients (58.8%) were males. Obesity was detected in 8.3% of them; 34.2% were overweight, and 5.2% malnourished. Near half of them (51.3%) had some cardiovascular risk, with increased risk in 24.6% of them, and substantially increased risk in 26.7% of them. Conclusions: Overweight and obesity were highly prevalent. Women were more frequently obese (OR = 3.53; IC 95%, 1.47 < OR < 8.69), and their cardiovascular risk was often higher (OR = 6.97; IC 95%, 4.16 < OR < 11.76). The prevalence of obesity and cardiovascular risk did not change according to antiretroviral therapy or other variables. Arq Bras Endocrinol Metab. 2012;56(2):137-41 Keywords Overweight; obesity; body mass index; HIV; acquired immunodeficiency syndrome RESUMO Objetivo: Conhecer a prevalência de sobrepeso, obesidade e risco cardiovascular em nossos pacientes ambulatoriais com HIV/AIDS de acordo com o sexo, tratamento antirretroviral e outras variáveis. Sujeitos e métodos: Os pacientes foram submetidos à avaliação antropométri-ca. O índice de massa corporal e a medida da circunferência da cintura foram utilizados para classificar o estado nutricional e o risco cardiovascular. Resultados: A maior parte dos 345 pacientes (58,8%) era do sexo masculino. A obesidade foi detectada em 8,3% deles; 34,2% tinham sobrepeso e 5,2%, desnutrição. Quase a metade (51,3%) apresentou algum risco cardiovascular, com risco elevado em 24,6% e muito elevado em 26,7%. Conclusões: O sobrepeso e a obesidade têm elevada prevalência. As mulheres são mais frequentemente obesas (OR = 3,53; IC 95%, 1,47 < OR < 8,69) e seu risco cardiovascular é frequentemente mais alto (OR = 6,97; IC 95%, 4,16 < OR < 11,76). A prevalência de obesidade e de risco cardiovascular não se alterou conforme o tratamento antirretroviral ou outras variáveis. Arq Bras Endocrinol Metab. 2012;56(2):137-41 Descritores

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Section: Discussionmentioning

confidence: 79%

Prevalence of obesity and cardiovascular risk in patients with HIV/AIDS in Porto Alegre, Brazil

Kroll

Sprinz

Leal

et al. 2012

Arq Bras Endocrinol Metab

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“…But in South Africa and Malawi, Vitamin A did not have significant effect on mother-to-child transmission of HIV [53,54]. We direct the reader to two recent comprehensive reviews [42,50] on the outcome of single and multiple micronutrient trials.…”

Section: Nutrition Supplementation Interventions Targeted To Plhivmentioning

confidence: 99%

“…The authors reported better treatment adherence outcomes among the supplemented group versus the historical control. Oketch et al [42], in a cross-sectional comparison of the recipients and non-recipients of nutrition care and support program in South Africa, indicate that the benefits of the program on nutritional status and quality of life were rather small.…”

Section: Nutrition Supplementation Interventions Targeted To Plhivmentioning

confidence: 99%

Food Security and Nutrition Interventions in Response to the Aids Epidemic: Assessing Global Action and Evidence

et al. 2014

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The number of people receiving antiretroviral therapy in developing countries has increased dramatically. The last decade has brought an increased understanding of the interconnectedness between HIV/AIDS, food insecurity, and undernutrition and a surge of evidence on how to address the food security and nutrition dimensions of the epidemic. We review this evidence as well as the corresponding evolution of policy support for incorporating food security and nutrition concerns into HIV programming. The available evidence, although varied in scope and methodologies, shows that nutrition supplementation and safety nets in the form of food assistance and livelihood interventions have potential in certain contexts to improve food security and nutrition outcomes in an HIV/AIDS context. In the face of funding uncertainties and competing priorities, we must maintain momentum towards effective and sustainable solutions to the epidemic through continued systematic research to inform policy and through the strengthening of monitoring systems to dynamically inform intervention development.

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“…Diet quality, to meet nutrient adequacy, is a central notion in the definition of food security. Diverse measures of diet quality have been associated with nutrient adequacy (18,19) and several health and nutrition outcomes, including all-cause mortality, in developed and developing countries (20)(21)(22) . Therefore, we also investigated whether diet quality predicts anthropometric status of PLWHIV.…”

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confidence: 99%

Food access and diet quality independently predict nutritional status among people living with HIV in Uganda

Kadiyala

Raj

2012

Public Health Nutr.

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Objective: Although undernutrition is recognized as a risk factor for mortality among people living with HIV (PLWHIV), even among those initiating antiretroviral therapy, few studies have explored the underlying determinants of undernutrition. The objectives of the present study were to: (i) examine the independent association between household food security, individual diet quality and nutritional status; and (ii) determine if any association between food security and nutritional status is mediated through diet quality. Design: Cross-sectional baseline survey. Setting: Gulu and Soroti districts, Uganda. Subjects: Nine hundred and two PLWHIV recruited into a study evaluating the impact of a food assistance programme supported by the World Food Programme. Results: Food security and diet quality were measured using the Household Food Insecurity Access Scale (HFIAS) and the Individual Dietary Diversity Score (IDDS), respectively. Multivariate regression results demonstrated that HFIAS and IDDS independently predict BMI (P , 0?01) and mid upper-arm circumference (P , 0?05). The adjusted odds ratio of being underweight (BMI , 18?5 kg/m 2 ) among individuals living in severely food-insecure households was 1?92 (P , 0?0 0 1); individuals consuming a highly diverse diet had an adjusted odds ratio of being underweight of 0?56 (P , 0?05) compared with those consuming a diet of low diversity. Similar results were observed when mid upper-arm circumference and wasting were modelled as outcomes. Using path analysis, we observed that the indirect effect of food insecurity on BMI mediated through dietary diversity is negligible, and mostly a result of the direct effect of food insecurity on BMI. Conclusions: Our results provide an empirical basis for focused efforts on improving food access and diet quality among PLWHIV. Addressing the broader structural determinants of food security of people infected and affected by HIV is crucial.

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Too little, too late: Comparison of nutritional status and quality of life of nutrition care and support recipient and non-recipients among HIV-positive adults in KwaZulu-Natal, South Africa

Cited by 30 publications

References 26 publications

Prevalence of obesity and cardiovascular risk in patients with HIV/AIDS in Porto Alegre, Brazil

Prevalence of obesity and cardiovascular risk in patients with HIV/AIDS in Porto Alegre, Brazil

Food Security and Nutrition Interventions in Response to the Aids Epidemic: Assessing Global Action and Evidence

Food access and diet quality independently predict nutritional status among people living with HIV in Uganda

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