Abstract
Background & Aims: The study investigated the relationship between objective and subjective nutritional status parameters and quality of life in HIV seropositive patients. Methods: Retrospective review of clinic records of 150 HIV seropositive patients at a teaching hospital in Nigeria. Nutritional status was evaluated objectively with anthropometry including body mass index (BMI), subjectively with malnutrition universal screening tool (MUST) and subjective global assessment (SGA) tool. Data on quality of life (QOL) assessed with WHOQOL (Bref), and CD4 count were extracted. Correlation analysis and linear regression were done to investigate the relationship between variables, level of significance set at p < 0.05 respectively. The CD4 count correlated with percentage body fat (r = 0.224), MUST (r = -0.186) and SGA (r = -0.192), p < 0.05 respectively, but not with any of the QOL domains. Weight, MUST, SGA, percentage body fat were significant predictors of the percentage weight change in 6 months. Conclusions: BMI has significant positive association with psychological domain of QOL. MUST and SGA have significant negative association with certain domains. QOL did not predict short-term weight changes, as did the current weight, MUST, and SGA.
Highlights
In chronic diseases like HIVAIDS, routine monitoring of nutritional status is paramount, as it delays the progression of the disease and gives better treatment outcome
Measurement of weight, body fat, body mass index (BMI) and other anthropometric or body composition variables to assess nutritional status are objective because exact measurement is against a specified standard
Retrieved data were used for nutritional status evaluation by the BMI, malnutrition universal screening tool (MUST), and subjective global assessment (SGA)
Summary
In chronic diseases like HIVAIDS, routine monitoring of nutritional status is paramount, as it delays the progression of the disease and gives better treatment outcome. Some other nutrition evaluation of patients’ is subjectively based on observer’s perception of dietary intakes and functionality Such measures have both objective and subjective components, such as the Malnutrition Universal Screening Tool (MUST) and the Subjective Global Assessment (SGA) [3] [4]. The study investigated the relationship between objective and subjective nutritional status parameters and quality of life in HIV seropositive patients. Nutritional status was evaluated objectively with anthropometry including body mass index (BMI), subjectively with malnutrition universal screening tool (MUST) and subjective global assessment (SGA) tool. MUST and SGA have significant negative correlations with most of the quality of life domains. The CD4 count correlated with percentage body fat (r = 0.224), MUST (r = −0.186) and SGA (r = −0.192), p < 0.05 respectively, but not with any of the QOL domains. QOL did not predict short-term weight changes, as did the current weight, MUST, and SGA
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