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Prevalence and Factors Associated with Under Nutrition Among Newly Enrolled HIV Infected Adults Attending Ampath Ambulatory Clinic in Eldoret, Kenya

Received: 3 March 2016    Accepted: 4 December 2017    Published: 17 January 2018
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Abstract

Background: Nutrition is the main foundation for health and development of the human being. HIV infection increases nutrient requirements and at the same time impairs nutrient intake and absorption. Poor nutrition increases the risk of opportunistic infections, further increasing energy and nutrient needs, thus accelerating the progression of HIV to AIDS. Study Population: Newly enrolled HIV- infected adult patients. Objectives: To investigate the prevalence of under nutrition among newly enrolled HIV-infected adults attending the Academic Model for Providing Access to Healthcare clinic (AMPATH). Methodology: A cross-sectional survey was carried out on 288 consecutively enrolled subjects. The prevalence of under nutrition was determined based on the World Health Organization recommended BMI cut- off points. The contents of 24-hour recalls were entered into a nutrient calculator to determine the nutrient content and compared to the Recommended Dietary Allowance in order to determine adequacy of food. Results: Of the 288 respondents in the study, 153 (54.4%) were female. For males and females the mean± (SD) daily energy and protein intakes were 1856± (536.8) Kcal/day, 1680± (517.3) kcal/day, 62.4± (20.7) g/day and 53.1± (17) g/day respectively. Folate, zinc, iron and vitamin A were significantly below the Recommended Dietary Allowances (RDA). Adjusting for energy and protein intake, those with adequate Folate intake had 88.9% lower chances of being-nourished (OR=.111, 95%CI 0.013, 0.973). Conclusion: Prevalence of under nutrition in the study population shows that 31.6% of subjects had inadequate Folate and Zinc intakes. Folate intake was a significant predictor of under-nutrition. It was recommended that patient health education on the need to consume foods rich in Folate and Zinc should be intensified in all the ambulatory clinics.

Published in Science Journal of Public Health (Volume 6, Issue 1)
DOI 10.11648/j.sjph.20180601.15
Page(s) 26-34
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Under Nutrition, House Hold Food Security, House Hold Dietary Diversity, HIV and AIDS

References
[1] Benhura M. A. and Chitsiku I (1988): Food consumption patterns of the people in the Mutambara District of Zimbabwe. Proceedings of the Third Africa Food and Nutrition Congres.
[2] FANTA. AED: HIV/ AIDS (2004) Washington D. C: A guide for Nutrition, care and support. Washington D. C.
[3] FANTA Project (2007): New Approaches for Measuring Household Food Insecurity and Poverty: the Household Food Insecurity Access Scale (V. 3).
[4] FANTA Project (2006): Household Dietary Diversity Score (HDDS) for Measurement of Household Food Access: Indicator Guide (V. 2).
[5] Gorbach SL (1993): Interactions between nutrition and infection with human immunodeficiency virus.
[6] Joint United Nations Program on HIV/AIDS (2009): AIDS Epidemic Update.
[7] Kenya National Bureau of Statistics (KNBS) and ICF macro (2010): Kenya Demographic and Health Survey (2008-2009).
[8] Kotler DP (1989): Malnutrition in HIV infection and AIDS. AIDS 3 (Suppl 1): S175-S180.
[9] Mary-John L et al (2005): Body Composition in adults infected with HIV. Khon Kaen, Thailand.
[10] Mutimura E et al (2010): Effect of HIV infection on Body Composition and Fat Distribution in Rwandan women.
[11] National Aids and STI Control Program (NASCOP) (2005): Aids in Kenya. Trends, Interventions and Impact. NASCOP-Nairobi, Kenya.
[12] National AIDS and STI Control Programme (NASCOP), Kenya. Kenya AIDS Indicator Survey 2012: Final Report. Nairobi, NASCOP. (June 2014).
[13] Olelakan A. (2008): Prevalence and pattern of HIV- related Malnutrition among women in Sub- Saharan Africa.
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    Peris Kebenei, Robert Too, Taratisio Ndwiga. (2018). Prevalence and Factors Associated with Under Nutrition Among Newly Enrolled HIV Infected Adults Attending Ampath Ambulatory Clinic in Eldoret, Kenya. Science Journal of Public Health, 6(1), 26-34. https://doi.org/10.11648/j.sjph.20180601.15

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    ACS Style

    Peris Kebenei; Robert Too; Taratisio Ndwiga. Prevalence and Factors Associated with Under Nutrition Among Newly Enrolled HIV Infected Adults Attending Ampath Ambulatory Clinic in Eldoret, Kenya. Sci. J. Public Health 2018, 6(1), 26-34. doi: 10.11648/j.sjph.20180601.15

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    AMA Style

    Peris Kebenei, Robert Too, Taratisio Ndwiga. Prevalence and Factors Associated with Under Nutrition Among Newly Enrolled HIV Infected Adults Attending Ampath Ambulatory Clinic in Eldoret, Kenya. Sci J Public Health. 2018;6(1):26-34. doi: 10.11648/j.sjph.20180601.15

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  • @article{10.11648/j.sjph.20180601.15,
      author = {Peris Kebenei and Robert Too and Taratisio Ndwiga},
      title = {Prevalence and Factors Associated with Under Nutrition Among Newly Enrolled HIV Infected Adults Attending Ampath Ambulatory Clinic in Eldoret, Kenya},
      journal = {Science Journal of Public Health},
      volume = {6},
      number = {1},
      pages = {26-34},
      doi = {10.11648/j.sjph.20180601.15},
      url = {https://doi.org/10.11648/j.sjph.20180601.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20180601.15},
      abstract = {Background: Nutrition is the main foundation for health and development of the human being. HIV infection increases nutrient requirements and at the same time impairs nutrient intake and absorption. Poor nutrition increases the risk of opportunistic infections, further increasing energy and nutrient needs, thus accelerating the progression of HIV to AIDS. Study Population: Newly enrolled HIV- infected adult patients. Objectives: To investigate the prevalence of under nutrition among newly enrolled HIV-infected adults attending the Academic Model for Providing Access to Healthcare clinic (AMPATH). Methodology: A cross-sectional survey was carried out on 288 consecutively enrolled subjects. The prevalence of under nutrition was determined based on the World Health Organization recommended BMI cut- off points. The contents of 24-hour recalls were entered into a nutrient calculator to determine the nutrient content and compared to the Recommended Dietary Allowance in order to determine adequacy of food. Results: Of the 288 respondents in the study, 153 (54.4%) were female. For males and females the mean± (SD) daily energy and protein intakes were 1856± (536.8) Kcal/day, 1680± (517.3) kcal/day, 62.4± (20.7) g/day and 53.1± (17) g/day respectively. Folate, zinc, iron and vitamin A were significantly below the Recommended Dietary Allowances (RDA). Adjusting for energy and protein intake, those with adequate Folate intake had 88.9% lower chances of being-nourished (OR=.111, 95%CI 0.013, 0.973). Conclusion: Prevalence of under nutrition in the study population shows that 31.6% of subjects had inadequate Folate and Zinc intakes. Folate intake was a significant predictor of under-nutrition. It was recommended that patient health education on the need to consume foods rich in Folate and Zinc should be intensified in all the ambulatory clinics.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Prevalence and Factors Associated with Under Nutrition Among Newly Enrolled HIV Infected Adults Attending Ampath Ambulatory Clinic in Eldoret, Kenya
    AU  - Peris Kebenei
    AU  - Robert Too
    AU  - Taratisio Ndwiga
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    DO  - 10.11648/j.sjph.20180601.15
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.sjph.20180601.15
    AB  - Background: Nutrition is the main foundation for health and development of the human being. HIV infection increases nutrient requirements and at the same time impairs nutrient intake and absorption. Poor nutrition increases the risk of opportunistic infections, further increasing energy and nutrient needs, thus accelerating the progression of HIV to AIDS. Study Population: Newly enrolled HIV- infected adult patients. Objectives: To investigate the prevalence of under nutrition among newly enrolled HIV-infected adults attending the Academic Model for Providing Access to Healthcare clinic (AMPATH). Methodology: A cross-sectional survey was carried out on 288 consecutively enrolled subjects. The prevalence of under nutrition was determined based on the World Health Organization recommended BMI cut- off points. The contents of 24-hour recalls were entered into a nutrient calculator to determine the nutrient content and compared to the Recommended Dietary Allowance in order to determine adequacy of food. Results: Of the 288 respondents in the study, 153 (54.4%) were female. For males and females the mean± (SD) daily energy and protein intakes were 1856± (536.8) Kcal/day, 1680± (517.3) kcal/day, 62.4± (20.7) g/day and 53.1± (17) g/day respectively. Folate, zinc, iron and vitamin A were significantly below the Recommended Dietary Allowances (RDA). Adjusting for energy and protein intake, those with adequate Folate intake had 88.9% lower chances of being-nourished (OR=.111, 95%CI 0.013, 0.973). Conclusion: Prevalence of under nutrition in the study population shows that 31.6% of subjects had inadequate Folate and Zinc intakes. Folate intake was a significant predictor of under-nutrition. It was recommended that patient health education on the need to consume foods rich in Folate and Zinc should be intensified in all the ambulatory clinics.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • Department of Nutrition, Moi Teaching and Referral Hospital, Eldoret, Kenya

  • Department of Epidemiology and Nutrition, School of Public Health, Moi University, Eldoret, Kenya

  • Department of Environmental Health, School of Public Health, Moi University, Eldoret, Kenya

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