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
Volume 6, Issue 1, January 2018, Pages: 26-34
Received: Mar. 3, 2016;
Accepted: Dec. 4, 2017;
Published: Jan. 17, 2018
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Peris Kebenei, Department of Nutrition, Moi Teaching and Referral Hospital, Eldoret, Kenya
Robert Too, Department of Epidemiology and Nutrition, School of Public Health, Moi University, Eldoret, Kenya
Taratisio Ndwiga, Department of Environmental Health, School of Public Health, Moi University, Eldoret, Kenya
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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.
Under Nutrition, House Hold Food Security, House Hold Dietary Diversity, HIV and AIDS
To cite this article
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.
Vol. 6, No. 1,
2018, pp. 26-34.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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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.
FANTA. AED: HIV/ AIDS (2004) Washington D. C: A guide for Nutrition, care and support. Washington D. C.
FANTA Project (2007): New Approaches for Measuring Household Food Insecurity and Poverty: the Household Food Insecurity Access Scale (V. 3).
FANTA Project (2006): Household Dietary Diversity Score (HDDS) for Measurement of Household Food Access: Indicator Guide (V. 2).
Gorbach SL (1993): Interactions between nutrition and infection with human immunodeficiency virus.
Joint United Nations Program on HIV/AIDS (2009): AIDS Epidemic Update.
Kenya National Bureau of Statistics (KNBS) and ICF macro (2010): Kenya Demographic and Health Survey (2008-2009).
Kotler DP (1989): Malnutrition in HIV infection and AIDS. AIDS 3 (Suppl 1): S175-S180.
Mary-John L et al (2005): Body Composition in adults infected with HIV. Khon Kaen, Thailand.
Mutimura E et al (2010): Effect of HIV infection on Body Composition and Fat Distribution in Rwandan women.
National Aids and STI Control Program (NASCOP) (2005): Aids in Kenya. Trends, Interventions and Impact. NASCOP-Nairobi, Kenya.
National AIDS and STI Control Programme (NASCOP), Kenya. Kenya AIDS Indicator Survey 2012: Final Report. Nairobi, NASCOP. (June 2014).
Olelakan A. (2008): Prevalence and pattern of HIV- related Malnutrition among women in Sub- Saharan Africa.