Assessment of Adult Nutritional Status and Associated Factors Among ART Users in Nekemte Referral Hospital and Health Center, East Wollega Zone, Ethiopia
Journal of Food and Nutrition Sciences
Volume 3, Issue 2, March 2015, Pages: 56-63
Received: Feb. 19, 2015;
Accepted: Mar. 10, 2015;
Published: Mar. 21, 2015
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Meskerem Alemayehu Kenea, Gatema Secondary High School, Nekemte, Ethiopia
Sileshi Garoma, Nutrition and Food Science program, Wollega University, Nekemte, Ethiopia
Habtamu Fekadu Gemede, Nutrition and Food Science program, Wollega University, Nekemte, Ethiopia; Center for Food Science and Nutrition, Addis Ababa University, Nekemte, Ethiopia
The aim of this study was to assess nutritional status and associated risk factors of patients living with HIV/AIDS following Anti Retro viral Therapy at Nekemte Referral Hospital and Nekemte health center, Ethiopia. A cross-sectional descriptive study was conducted from January 15, 2013 to March, 2013 in Nekemte Referral Hospital and health center. A total of 423 ART users are selected by systematic random sampling technique from all adult ART clients will be included in the study area. The data will be collected by one physician, three nurses, two Health Officers and three data clerks. Clinical assessments, measurements of height and weight and structured questionnaire based interview will be used for data collection after the proper consent and ethical clearance. In this study the prevalence of malnutrition in HIV/AIDS clients who attend ART was (27%). Both HIV/AIDS and malnutrition independently cause progressive damage to the immune system and increased susceptibility to infection. ART interruption and presence of opportunistic infection (tuberculosis) were significantly associated with nutritional statuses of the adults on the ART in Nekemte referral hospital and Nekemte health center. In Nekemte Referral Hospital and Nekemte Health center clients are malnourished due to the associated factors such as presence of opportunistic infection that is tuberculosis. From 19 clients that have TB (75.9%) of them are mal nourished and interrupting treatment was seen to contribute to malnutrition for the respondents. Awareness creation should be made for not to interrupt ART since effective treatment with ART reduces the chance of progression to active TB.
Meskerem Alemayehu Kenea,
Habtamu Fekadu Gemede,
Assessment of Adult Nutritional Status and Associated Factors Among ART Users in Nekemte Referral Hospital and Health Center, East Wollega Zone, Ethiopia, Journal of Food and Nutrition Sciences.
Vol. 3, No. 2,
2015, pp. 56-63.
Aluísio J D Barros and Cesar G Victora. A nationwide wealth score based on the 2000 Brazilian demographic census. Rev SAude Publica 2005; 39(4).
Amadi B, Kelly P, Mwiya M, Mulwazi E, Sianongo S, Changwe F, et al. Intestinal and systemic infection, HIV, and Journal of Postgraduate Medicine L. M. Houtzager 72 mortality in Zambian children with persistent diarrhoea and malnutrition. J Pediatr Gastroenterol Nutr 2001; 32(5):550-4.
CSA and ORC Macro. 2006. Ethiopia Demographic and Health Survey 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: CSA and ORC Macro.
CSA. Ethiopian Demographic and Health Survey; 2005.
Disease Prevention and Control Department - Federal Ministry of Health, Ethiopia. Aids inEthiopia:5thReport,2004.
FAO of United Nations. Health and agricultural report. 2000
Godfrey C. Xuereb. Healthy Eating for Better Living: A Manual on Nutrition and HIV/AIDS for Healthcare Workers in the Caribbean. Vol. 37, No.4, 2004.
Judith Nerad,et’al. General Nutrition Management in HIV • Clinical Infectious Diseases 2003:36 (Suppl 2) : S53
Kelly, P.; Summerbell, C.; Ngwenya, B.; Mandanda, B.; Hosp, M.; Fuchs, D.; Wachter, H.; Luo, N. P.; Pobee, J.O.M.; Farthing, M.J.G.Systemic immune activation as a potential determinant of wasting in Zambians with HIV-related diarrhea. Qjm. 89(11):831-837, November 199625
Mangili A, Murman DH, Zampini AM, Wanke CA. Nutrition and HIV infection: review of weight loss and wasting in the era of highly active antiretroviral therapy from the nutrition for healthy living cohort. Journal of Clinical Infectious Diseases. 2006 Mar 15; 42(6): 836-42.
Megazzini KS, Washington M, Sinkala M, Lawson-Marriot S, Stringer E, Krebs D, et al . A pilot randomised trial of nutritional supplements in food insecure patients receiving antiretroviral therapy in Zambia. In: Sixteenth International AIDS Conference; 2006; Toronto, Canada; 2006.
MOH and HAPCO. 2008. Effectiveness of ART Program in Ethiopia. Addis Ababa: unpublished
MOH. 2006. AIDS in Ethiopia 6th Report. Addis Ababa: MOH/HAPCO
MOH. 2008b. National Nutrition and HIV/AIDS Implementation Reference Manual. Addis Ababa: MOH
Molla Daniel, Fekadu Mazengia, Dereje Birhanu. Nutritional Status and Associated Factors Among Adult HIV/AIDS Clients in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia. Science Journal of Public Health. Vol. 1, No. 1, 2013, pp. 24-31.
Olalekan A Uthman. Prevalence and pattern of HIV-related malnutrition among women in sub-Saharan Africa: meta- analysis of demographic health surveys, July, 2008
R.Zacharia, M.P.Spiemann, A.D.Harries and F.M.L.salanponi moderate to severe malnutrition in a patient with tuberculosis is a risk factor associated with early death;National Tuberculosis control program of Malawi community health science unit private; 2002, page 65,
Raiten D, Grinspoon S, Arpadi S. Nutritional considerations in the use of ART in resourcelimited settings. Geneva: World Health Organization; 2005.
Reniers, G., T. Araya, and G. Davey. 2009. ―Steep Decline in Population-level AIDS Mortality Following the Introduction of Antiretroviral Therapy in Addis Ababa, Ethiopia.‖ AIDS 23: 511–518
Reynolds SJ et al. Antiretroviral therapy where resources are limited. New England Journal of Medicine, 2003, 348:1806-1809
Sanchez Alvarez MC, et’al. Evolution of the nutritional status of patients with HIV-AIDS. Effects of socioeconomic situation and dietetic counseling. Annale de Medicina Interna. 1998 Dec;15(12):627-32.
Sati B, Garg DK, Purohit SD, Rathore R, Haag A, Mora C; Prevalence of malnutrition among HIV infected individualsin Rajasthan, India. Jul: 2004 abstract no. MoPeB3267.
Thanker, H.K., and M.H. Snow. "HIV Viral Suppression in the Era of Antiretroviral Therapy." Postgraduate Medical Journal (January 2003): 36.
Thommessen M,Rundberget J. Nutritional counseling to patients with HIV infection. Can nutritional intervention prevent, expose or relieve symptoms in HIV-positive persons?Tidsskr Norwegian Laegeforen.1993 Jan 30; 113(3):324-6.
Tony Castleman, Eleonore Seumo-Fosso, and Bruce Cogill. Food and Nutrition Implications of Antiretroviral Therapy in Resource Limited Settings. Report on HIV/AIDS. May 2004.
WHO, Interim WHO Clinical Staging Of Hiv/Aids And Hiv/Aids Case Definitions For Surveillance, African Region. World Health Organization 2005.
WHO, Nutrient requirements for people living with HIV/AIDS : report of a technical consultation, World Health Organization, Geneva, 13–15 May 2003.
World Health Organization (WHO). Treat 3 million by 2005 ("3 by 5").