ABSTRACT
Objectives: The study aimed to describe the nutritional status and determine the impact of current nutrition intervention strategies on weight changes in adult HIV-infected patients on antiretroviral (ARV) therapy.Design: A descriptive; prospective trial was performed. Setting: The investigation was conducted at ARV roll-out centres in Kimberley; Upington; Kuruman; Prieska and Springbok in the Northern Cape Province of South Africa. Subjects: Adult HIV-infected patients receiving ARV therapy were included in the study.Outcome measures: Each participants's body mass index (BMI) was determined before and after a four-month intervention period of nutritional supplementation with an instant; enriched maize product. Results: Data from 98 patients (mean age 39.7 years; standard deviation 8.9 years) were assessed. Prior to intervention; the median BMI was 20 kg/m2 (range 12.6-29.7 kg/m2); the patients from Kuruman had a greater incidence of underweight compared to the other towns; with a median BMI of 17.9 kg/m2. Of the 87 patients assessed during the final week; 49.4experienced weight gain and 40.2lost weight. Eighteen (20.7) patients gained more than 5of their baseline weight; which was significant. Only eight (9.2) patients lost more than 5of their baseline weight. Twenty-two patients who presented with a BMI 18.5 kg/m2 at baseline had a median weight gain of 1.13 kg during the intervention period; while the group with a BMI 18.5 kg/m2 presented with no change in median weight. Conclusions: Nutritional supplementation; provided according to provincial policy and combined with ARVs; nutritionally benefitted about half of the patients in the ARV programme in the Northern Cape
Subject(s)
Adult , Anti-Retroviral Agents , Dietary Supplements , HIV Infections , Nutritional StatusABSTRACT
Objectives: The study aimed to describe the nutritional status and determine the impact of current nutrition intervention strategies on weight changes in adult HIV-infected patients on antiretroviral (ARV) therapy.Design: A descriptive; prospective trial was performed. Setting: The investigation was conducted at ARV roll-out centres in Kimberley; Upington; Kuruman; Prieska and Springbok in the Northern Cape Province of South Africa. Subjects: Adult HIV-infected patients receiving ARV therapy were included in the study.Outcome measures: Each participants's body mass index (BMI) was determined before and after a four-month intervention period of nutritional supplementation with an instant; enriched maize product. Results: Data from 98 patients (mean age 39.7 years; standard deviation 8.9 years) were assessed. Prior to intervention; the median BMI was 20 kg/m2 (range 12.6-29.7 kg/m2); the patients from Kuruman had a greater incidence of underweight compared to the other towns; with a median BMI of 17.9 kg/m2. Of the 87 patients assessed during the final week; 49.4experienced weight gain and 40.2lost weight. Eighteen (20.7) patients gained more than 5of their baseline weight; which was significant. Only eight (9.2) patients lost more than 5of their baseline weight. Twenty-two patients who presented with a BMI 18.5 kg/m2 at baseline had a median weight gain of 1.13 kg during the intervention period; while the group with a BMI 18.5 kg/m2 presented with no change in median weight. Conclusions: Nutritional supplementation; provided according to provincial policy and combined with ARVs; nutritionally benefitted about half of the patients in the ARV programme in the Northern Cape
Subject(s)
Adult , Anti-Retroviral Agents , Dietary Supplements , HIV Infections , Nutritional StatusABSTRACT
"Une enquete epidemiologique est realisee en 1992 sur la prevalence de l'infection a VIH dans cinq sites urbains et ruraux de la region de Batouri (Cameroun) - Berberati (Centrafrique). Les seroprevalences relevees varient sensiblement selon les collectivites et au sein de celles-ci. Une exploitation complementaire des resultats de cette enquete precise des aspects de la dynamique geographique et sociale de l'infection. Une etude descriptive de la population seropositive permet de caracteriser; pour chaque sexe; des erofils sociaux de l'infection. Une analyse comparee des groupes les plus et les moins exposes a une contamination souligne quelles sont les specificites des individus liees de facon significative a la diffusion du virus. Des aspects varies d'une ""vacance"" conjugale; une forme ou d'une autre de mobilite geographique tiendraient une place essentielle. Les discontinuites sociales et geographiques qui l'affectent; les discordances qu'elle presente par rapport a la syphilis; suggerent que la repartition de l'infection pourrait etre; a la date de l'enquete; principalement definie par la diversite des conditions offertes a l'introduction du virus"
Subject(s)
HIV Infections/epidemiology , HIV SeroprevalenceABSTRACT
"Une enquete realisee en 1992 dans cinq sites urbains ruraux de la region de Batouri (Cameroun) - Berberati (Centrafrique) etablit que les seroprevalences de l'infection a VIH varient sensiblement selon les collectivites et au sein de celles-ci. Une exploitation complementaire des resultats de cette enquete precise des elements de la dynamique geographique et sociale de l'infection. Une analyse comparee des groupes les plus et les moins exposes a une contamination souligne quelles sont les specificites des individus liees de facon significative a la diffusion du virus. Des aspects varies d'une ""vacance"" conjugale; une forme ou une autre de mobilite geographique tiendraient une place essentielle. Les discontinuites geographiques qui affectent la diffusion de l'infection seraient; a la date de l'enquete; principalement l'effet de la diversite des conditions offertes par les collectivites a des apports du virus; par le biais de la mobilite de leurs membres"