Background: HIV/AIDS and malnutrition effects are interrelated and exacerbate one another in a vicious cycle. HIV specifically affects nutritional status by increasing energy requirements, reducing food intake, and adversely affecting nutrient absorption and metabolism. In Ethiopia since its detection, has claimed lives of millions. Even in the era of ART, it could not be tackled since the dispute of malnutrition is unanswered. Therefore the study aimed to assess nutritional status and associated risk factors among adult HIV/AIDS clients in Bahir Dar, Ethiopia. Method: was facility based cross sectional survey in Felege Hiwot referral Hospital. On average 50-60 Pre-ART and/or on ART care clients were visiting the Hospital daily. Taking the first patient as case one, every 4th of daily attendances were interviewed using interviewer administered questionnaire and anthropometric measurements. SPSS version 16 statistical software was used to enter and analyze the data. Binary logistic regression was used to assess effect of factors on HIV/AIDS clients’ nutritional status. P value ≤0.05 was considered statistical significant. Results: 408 HIV/AIDS clients were interviewed, of them 104 (25.5%) were chronic energy deficient (BMI<18.5kg/m2); 36.5% from pre-ART, 63.5% from on ART care. Proportion of mildly, moderately, and severely malnourished participants were 64.4%, 19.2%, and 16.4% respectively. Females were most affected (56.7%). HIV/AIDS related symptoms 2weeks prior to the survey (AOR=1.93, 95% CL: 1.18-10.0); eating difficulty (AOR=1.80, 95% CL: 1.10-2.04); Pre ART clients (AOR=1.77, 95% CL: 1.08-2.90); and on ARV drugs < 12months (AOR=1.7, 95% CL: 1.04-3.78) were the predictors associated to malnutrition. Conclusions: Chronic energy deficiency was prevalent in PLWHA. HIV related symptoms, feeding difficulties and duration on ART were the predictors for malnutrition. Only increasing access to ART can’t solve problem of malnutrition, therefore nutrition therapy and support as an adjunct to the initiation of ART should be considered.
| Published in | Science Journal of Public Health (Volume 1, Issue 1) |
| DOI | 10.11648/j.sjph.20130101.14 |
| Page(s) | 24-31 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2013. Published by Science Publishing Group |
Malnutrition, Nutritional Status, HIV, Antiretroviral Therapy
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APA Style
Molla Daniel, Fekadu Mazengia, Dereje Birhanu. (2013). Nutritional Status and Associated Factors Among Adult HIV/AIDS Clients in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia. Science Journal of Public Health, 1(1), 24-31. https://doi.org/10.11648/j.sjph.20130101.14
ACS Style
Molla Daniel; Fekadu Mazengia; Dereje Birhanu. Nutritional Status and Associated Factors Among Adult HIV/AIDS Clients in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia. Sci. J. Public Health 2013, 1(1), 24-31. doi: 10.11648/j.sjph.20130101.14
AMA Style
Molla Daniel, Fekadu Mazengia, Dereje Birhanu. Nutritional Status and Associated Factors Among Adult HIV/AIDS Clients in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia. Sci J Public Health. 2013;1(1):24-31. doi: 10.11648/j.sjph.20130101.14
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Download@article{10.11648/j.sjph.20130101.14,
author = {Molla Daniel and Fekadu Mazengia and Dereje Birhanu},
title = {Nutritional Status and Associated Factors Among Adult HIV/AIDS Clients in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia},
journal = {Science Journal of Public Health},
volume = {1},
number = {1},
pages = {24-31},
doi = {10.11648/j.sjph.20130101.14},
url = {https://doi.org/10.11648/j.sjph.20130101.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20130101.14},
abstract = {Background: HIV/AIDS and malnutrition effects are interrelated and exacerbate one another in a vicious cycle. HIV specifically affects nutritional status by increasing energy requirements, reducing food intake, and adversely affecting nutrient absorption and metabolism. In Ethiopia since its detection, has claimed lives of millions. Even in the era of ART, it could not be tackled since the dispute of malnutrition is unanswered. Therefore the study aimed to assess nutritional status and associated risk factors among adult HIV/AIDS clients in Bahir Dar, Ethiopia. Method: was facility based cross sectional survey in Felege Hiwot referral Hospital. On average 50-60 Pre-ART and/or on ART care clients were visiting the Hospital daily. Taking the first patient as case one, every 4th of daily attendances were interviewed using interviewer administered questionnaire and anthropometric measurements. SPSS version 16 statistical software was used to enter and analyze the data. Binary logistic regression was used to assess effect of factors on HIV/AIDS clients’ nutritional status. P value ≤0.05 was considered statistical significant. Results: 408 HIV/AIDS clients were interviewed, of them 104 (25.5%) were chronic energy deficient (BMI<18.5kg/m2); 36.5% from pre-ART, 63.5% from on ART care. Proportion of mildly, moderately, and severely malnourished participants were 64.4%, 19.2%, and 16.4% respectively. Females were most affected (56.7%). HIV/AIDS related symptoms 2weeks prior to the survey (AOR=1.93, 95% CL: 1.18-10.0); eating difficulty (AOR=1.80, 95% CL: 1.10-2.04); Pre ART clients (AOR=1.77, 95% CL: 1.08-2.90); and on ARV drugs < 12months (AOR=1.7, 95% CL: 1.04-3.78) were the predictors associated to malnutrition. Conclusions: Chronic energy deficiency was prevalent in PLWHA. HIV related symptoms, feeding difficulties and duration on ART were the predictors for malnutrition. Only increasing access to ART can’t solve problem of malnutrition, therefore nutrition therapy and support as an adjunct to the initiation of ART should be considered.},
year = {2013}
}
TY - JOUR T1 - Nutritional Status and Associated Factors Among Adult HIV/AIDS Clients in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia AU - Molla Daniel AU - Fekadu Mazengia AU - Dereje Birhanu Y1 - 2013/03/10 PY - 2013 N1 - https://doi.org/10.11648/j.sjph.20130101.14 DO - 10.11648/j.sjph.20130101.14 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 24 EP - 31 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20130101.14 AB - Background: HIV/AIDS and malnutrition effects are interrelated and exacerbate one another in a vicious cycle. HIV specifically affects nutritional status by increasing energy requirements, reducing food intake, and adversely affecting nutrient absorption and metabolism. In Ethiopia since its detection, has claimed lives of millions. Even in the era of ART, it could not be tackled since the dispute of malnutrition is unanswered. Therefore the study aimed to assess nutritional status and associated risk factors among adult HIV/AIDS clients in Bahir Dar, Ethiopia. Method: was facility based cross sectional survey in Felege Hiwot referral Hospital. On average 50-60 Pre-ART and/or on ART care clients were visiting the Hospital daily. Taking the first patient as case one, every 4th of daily attendances were interviewed using interviewer administered questionnaire and anthropometric measurements. SPSS version 16 statistical software was used to enter and analyze the data. Binary logistic regression was used to assess effect of factors on HIV/AIDS clients’ nutritional status. P value ≤0.05 was considered statistical significant. Results: 408 HIV/AIDS clients were interviewed, of them 104 (25.5%) were chronic energy deficient (BMI<18.5kg/m2); 36.5% from pre-ART, 63.5% from on ART care. Proportion of mildly, moderately, and severely malnourished participants were 64.4%, 19.2%, and 16.4% respectively. Females were most affected (56.7%). HIV/AIDS related symptoms 2weeks prior to the survey (AOR=1.93, 95% CL: 1.18-10.0); eating difficulty (AOR=1.80, 95% CL: 1.10-2.04); Pre ART clients (AOR=1.77, 95% CL: 1.08-2.90); and on ARV drugs < 12months (AOR=1.7, 95% CL: 1.04-3.78) were the predictors associated to malnutrition. Conclusions: Chronic energy deficiency was prevalent in PLWHA. HIV related symptoms, feeding difficulties and duration on ART were the predictors for malnutrition. Only increasing access to ART can’t solve problem of malnutrition, therefore nutrition therapy and support as an adjunct to the initiation of ART should be considered. VL - 1 IS - 1 ER -
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