The Effects of Nutritional Knowledge on the Dietary Practices of People Living with HIV in Kayole Division, Nairobi-Kenya
International Journal of Nutrition and Food Sciences
Volume 3, Issue 6, November 2014, Pages: 597-601
Received: Dec. 9, 2014;
Accepted: Dec. 29, 2014;
Published: Jan. 12, 2015
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Olive Gaceri Muthamia, Department of Nutrition and Dietetics, School of Health Sciences, Mount Kenya University, Thika, Kenya
Alice Mboganie Mwangi, Department of Food Science and Technology, Faculty of Agriculture, University of Nairobi, Nairobi, Kenya
Samuel Kuria Mbugua, Department of Food Science and Technology, Faculty of Agriculture, University of Nairobi, Nairobi, Kenya
Introduction and background: Appropriate nutrition knowledge influences the dietary intake in all income setups. This further influences the dietary adequacy and nutrition status. Nutritional knowledge is very important to People Living with HIV (PLHIV). It must be meaningful to influence their dietary practices. This is through the adaption of optimal dietary practices. Dietary practices also influence the nutrition status, enhance drug metabolism and efficacy. Information on the influence of nutrition knowledge on dietary practices of PLHIV is scarce. Objective: Thus, this study sought to establish the association between nutrition knowledge and individual dietary practices components of HIV patients in low income settings. Methods: A cross-sectional analytical study was conducted among149 persons with Human immunodeficiency virus (HIV) and attached to Women Fighting HIV/AIDS in Kenya (WOFAK) centre in Kayole division. The researcher administered questionnaires which had been pretested and assessed for validity and reliability in data collection on 149 PLHIV. Spearman’s rho was used to establish the relationship between nutrition knowledge and dietary practices. Results: The relationship between nutrition knowledge and the number of meals consumed in a day (0.001), the frequency at which fruits (0.001), vegetables (0.003), legumes (0.003), animal products (0.001) and were-delete cereals (0.020) consumed was positive and significant (p<0.05) respectively. Nutrition knowledge influences the dietary practices of HIV patients. This is by increasing the choice and intake of foods that are nutrient dense; that boost the immunity while preventing loss of muscle and also restricting on foods that would impact their nutrition status negatively. Conclusions and recommendations: Dietary practices were more optimal as the nutrition knowledge increased. Appropriate nutrition information should be communicated to PLHIV at the point of contact with care centres. PLHIV in low income settings should be guided in the choice of nutritious affordable foods within their economic capacity. Follow up should be provided to ensure that nutritional knowledge impacted on PLHIV is translated to dietary practices for better health outcome.
Olive Gaceri Muthamia,
Alice Mboganie Mwangi,
Samuel Kuria Mbugua,
The Effects of Nutritional Knowledge on the Dietary Practices of People Living with HIV in Kayole Division, Nairobi-Kenya, International Journal of Nutrition and Food Sciences.
Vol. 3, No. 6,
2014, pp. 597-601.
United Stated Agency for International Development (UNAIDS). Global Report. UNAIDS Report on Global AIDS Epidemic 2012. http://www.avert.org/impact-hiv-and-aids-sub-saharan-africa.html
Steinhart CR. HIV–associated wasting in the era of Highly Active Antiretroviral Therapy (HAART): A Practice – based approach to diagnosis and treatment. AIDS Read, vol.11, pp. 557-567, 2011.
Joint United Nations Programme on HIV/AIDS (UNAIDS). Report on the global AIDS epidemic. Geneva: UNAIDS and the World Health Organization, 2008
Joint United Nations Programme on HIV/AIDS (UNAIDS). AIDS epidemic update. Geneva: UNAIDS and the World Health Organization, 2007
Gulick R, Ribaudo H, Shikuma C, et al. Triple-nucleoside regimens versus efavirenz-containing regimens for the initial treatment of HIV-1 infection. Engl Journal of Medicine, vol.350, pp. 1850–1861, 2004.
Moore R, Keruly J, Gebo K, Lucas G. An improvement in virologic response to highly active antiretroviral therapy in clinical practice from 1996 through 2002. Journal of Acquired Immune Deficiency Syndrome, vol.39, pp.195–198, 2005.
Panagides D, Graciano R, Atekyereza P, Gerberg L, Chopra M. Discussion paper 48: a review of nutrition and food security approaches in HIV and AIDS programmes in eastern and southern Africa. Regional Network for Equity in Health in East and Southern Africa, 2007
Au J, Kayitenkore K, Shutes E, et al. Access to adequate nutrition is a major potential obstacle to antiretroviral adherence among HIV- infected individuals in Rwanda. AIDS, vol. 20, pp. 2116–2118, 2006.
Castleman T, Seumo-Fosso E, Cogill B. Food and nutrition implications of antiretroviral therapy in resource limited settings. Report7. Washington, DC: Food and Nutrition Technical Assistance Project, Academy for Educational Development, 2004
Unge C, Johansson A, Zachariah R, Some D, Van Engelgem I, Ekstrom AM. Reasons for unsatisfactory acceptance of antiretroviral treatment in the urban Kibera slum, Kenya. AIDS Care, vol.20, pp. 146–149, 2008.
McDermott AY, Shevitz A, Must A, Harris S, Roubenoff R, GorbachS. Nutrition treatment for HIV wasting: a prescription for food as medicine. Nutr Clin Pract, vol.18, pp. 86–94, 2003.
Raiten D, Grinspoon S, Arpadi S. Nutritional considerations in the use of ART in resource limited settings. Durban, South Africa: Department of Nutrition for Health and Development, World Health Organization, 2005.
Kim JH, Spiegelman D, Rimm E, Gorbach SL. The correlates of dietary intake among HIV-positive adults. American Journal of Clinical Nutrition, vol74, pp. 852–861, 2001.
Tang AM, Graham NM, Semba RD, Saah AJ. Association between serum vitamin A and E levels and HIV-1 disease progression. AIDS, vol. 11(5), pp. 613–620,1997.
Baum MK, and Shor-Posner G. Micronutrient status in relationship to mortality in HIV-1 disease. Nutrition Reviews, vol 56 (1 Part 2), pp. S135–S139, 1998.
Walsh CM, Dannhauser A, Joubert G. Impact of a nutrition education programme on nutrition knowledge and dietary practices of lower socioeconomic communities in the Free State and Northern Cape. SAJCN. vol16, pp. 89–95, 2003.
HIV/AIDS: A Guide for Nutrition, Care and Support. Food and Nutrition Technical Assistance Project, Academy for Educational Development, Washington DC, 2001.
Dallongeville J, Marecaux N, Cottel1 D, Bingham A, Amouyel P. Association between nutrition knowledge and nutritional intake in middle-aged men from Northern France. Public Health Nutr, vol. 4, pp. 27–-33, 2001.
Erica C. Barriers to equitable access to quality health information. Journal of Medicine, vol. 5, pp.117-123, 2008.
Bukusuba J, Kikafunda JK, Whitehead RG. Nutritional Knowledge, Attitudes, and Practices of Women Living with HIV. Journal Health Popul Nutr, vol.28(2), pp.182-188, 2010.
Piwoz E. Nutrition and HIV/AIDS: Evidence, gaps and priority actions. Washington, D.C.: Academy for Educational Development. 2004.
Gillespie S, Kadiyala S. HIV & AIDS and food and nutrition security; from evidence to action. Washington, DC: International Food Policy Research Institute. Food policy review no. 7, pp. 81, 2005.
Yoon H, Yang H, Her E. Effect of nutrition education program on nutrition knowledge, dietary diversity of elementary school children. Korean Journal of Community Nutrition, vol.5 (3), pp. 513-521, 2000.
MoH (Ministry of Health). Kenya National Guidelines on Nutrition and HIV/AIDS.NASCOP/ Ministry of Health, pp. 85-86, 2007.
Dammann KW, Smith C. Factors Affecting Low-income Women's Food Choices and the Perceived Impact of Dietary Intake and Socioeconomic Status on Their Health and Weight. Journal of Nutrition Education & Behavior, vol.41 (4), pp.242, 2009.