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
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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, Science Journal of Public Health. Vol. 6, No. 1, 2018, pp. 26-34. doi: 10.11648/j.sjph.20180601.15
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