University of Khartoum

Nutritional Status of People living with Human Immunodeficiency Virus Enrolled in Antiretroviral Therapy in Khartoum State

Nutritional Status of People living with Human Immunodeficiency Virus Enrolled in Antiretroviral Therapy in Khartoum State

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Title: Nutritional Status of People living with Human Immunodeficiency Virus Enrolled in Antiretroviral Therapy in Khartoum State
Author: Almgboul, Afnan Abdalhalim Mohamed
Abstract: The main objective of this study is to assess the nutritional status of Human Immunodeficiency Virus (HIV) patients in antiretroviral therapy (ART). A cross-sectional hospital-based study was carried out at all (ART) centers in Khartoum State. The study population involved all HIV adult patients who are currently on Antiretroviral (ARV) therapy for period not less than six months. 301 participants were included in the study through a systematic randomization selection, and participants were interviewed using a structured questionnaire. Collecting data included demographic and socio- economic characteristics of participants, their nutritional anthropometry based on body mass index BMI, and dietary intake assessment, and reading hemoglobin test (Hb).Statistical package for social sciences (SPSS) version 20 was used for data entry and analysis. The results showed that 56.5% of the participants were males, and 61.5% were in the age group 30 to less than 40 years, 44% were married, about two thirds (65.2%) had low level of education, and 46.8% were of low socio- economic status. Concerning nutritional status the data indicated that mean BMI was 23.55 ± 4.13for females compared to 22.94 ± 3.68 for the males; and 23.21 ± 3.9 for all. 50.8% of the participants had normal BMI, and 33.3% were overweight. Significant relationship between nutritional status BMI and participants’ gender was found (P- value 0.031).Males are more likely to be under weight than females who showed tendency for being overweight and obese. Hemoglobin levels also were found to be significantly associated with the gender of the participants (P- value 0.001) and nutrition status (0.000), as more than two thirds 67.1% of males were anemic compared to less than half 49.2% of the females, and participants with low BMI are more likely to be anemic compared to those with normal or high. Regarding the frequency consumption of different food items the results showed that low daily frequency consumption of meat17.3%, viii and fruits and vegetables17.6%, with moderate consumption of milk and milk products, while high consumption of legumes was reported. The data also showed that the majority of study participants had inadequacy intake of carbohydrates 93% and fats 51.8% with mean intake of 386.2g ± 111.536 g and 22.7g ± 7.637 g, respectively. While most of the participants had high adequacy intake of protein 65.4% and iron 64.5% with mean intake of 116.2g ± 33.655 g and 20.8mg ± 6.355 mg, respectively. Although the study showed that the majority of participants were anemic, but the positive effect of treatment was reflected on the BMI. Thus combination of antiretroviral treatment and provision of good nutritional services is expected to improve the quality of life of (PLHIV) in Sudan through decreasing morbidity and mortality. In addition, nutritional status assessment and nutritional therapy should be considered as an integral part of the (HIV) care and treatment program in the country.
Description: 118 Pages
URI: http://khartoumspace.uofk.edu/123456789/27133
Date: 2018-11


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