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Abstract
Background: The nutritional status of people living with HIV/AIDS is related to morbidity and mortality and may predict the course of HIV infection and the management of these helps in recovery and maintenance of health status.Aims & objectives: The main aim of the current study toassess the nutritional status and nutritional supplementation in children with HIV at ART center.Subjects and Methods:A prospective observational study was conducted between May 2017 and May 2018 in a total of 100 children aged 1 to 18 years with proven HIV status attending ART centre. Each child included in the study was examined clinically and their anthropometric data was recorded. They were provided with a fixed nutrition supplementation of 2 scoops of protein powder and one serving of peanut chikki per day and they were followed up regularly. At the end of one year, they were examined clinically and their anthropometric data was recorded again. Result:In the present study, about 44% of subjects were males and 56% were females. Majority of the children (55%) fell in the age group of 11-15 years. 36% were on pre-ART and 64% were on ART.At the beginning of the study, 59% of children were stunted and 64% of the children had < 2 SD of BMI for age. According to WHO, Z scores could be calculated only for children less than 10 years of age. In this study, 34 children fell in this age group and 24 among them were underweight at the beginning of the study. Conclusion:After giving the nutritional supplementation for a period of one year, there was a statistically significant improvement in height-for-age, weight-for-age and the Z scores of height-for-age, weight-for-age and BMI-for-age. Though there was an improvement in the mean values of BMI for age, this was not considered to be statistically significant. Finally, nutritional interventions should be tailored and assessed to improve growth, especially at time of ART initiation that could lead to an optimisation of their clinical response and survival of ART-treated children.
Highlights
Since the first cases of human immunodeficiency virus (HIV) infection were identified, the number of children infected with HIV has risen dramatically in developing countries, the result of an increased number of HIV-infected women of childbearing age in these areas
The nutritional status of people living with HIV/AIDS is related to morbidity and mortality and may predict the course of HIV infection and the management of these helps in recovery and maintenance of health status.[7]
The anthropometric parameters taken into consideration in this study are height for age (HFA), weight for age (WFA) and Body Mass Index (BMI) for age
Summary
Since the first cases of human immunodeficiency virus (HIV) infection were identified, the number of children infected with HIV has risen dramatically in developing countries, the result of an increased number of HIV-infected women of childbearing age in these areas. Under-nutrition childhood is estimated to cause 3.1 million child deaths annually through a common potentiating effect on common infections like pneumonia and diarrhea.[6] Assessment of nutritional status by anthropometric measurements like weight, height has been widely used in epidemiological studies as it is easy to estimate, affordable and easy to carry out.[7] Malnutrition is common in HIV infected children due to a complex interplay of recurrent infections, decreased intake due to illness, lesions like candidiasis and decreased availability due to social problems like ill or deceased caretaker and increased metabolic rate.[8] The nutritional status of people living with HIV/AIDS is related to morbidity and mortality and may predict the course of HIV infection and the management of these helps in recovery and maintenance of health status.[7] Malnutrition is both a manifestation as well as an independent risk factor for death in HIV.[9] Multiple strategies to improve nutritional outcomes exist, including antiretroviral therapy (ART), treatment of coinfections, nutritional counseling, and medications affecting. The anthropometric parameters taken into consideration in this study are height for age (HFA), weight for age (WFA) and BMI for age. Inclusion criteria Children aged 1-18 years with proven HIV positive status. Paired t test was used to determine whether there are any significant differences between the anthropometric parameters at the baseline (beginning of study) and at the end of one year
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