A Study on Nutritional Status of HIV Positive Children and Its Correlates in a Tertiary Health Care Institution of Kolkata
Keywords:
HIV, AIDS, pediatric HIV, nutritional status, malnutrition, ART, Ante-retrovirat therapyAbstract
Background: Nutritional status is vital to survival and wellbeing of children especially if they are HIV infected. In this context this study was attempted to assess nutritional status of HIV infected children of 0-14 yrs old.Also it aimed at finding out association,if any,between nutritional status of the children with socio-demographic and other factors.
Methodology: This cross-sectional study was conducted at Regional Pediatric ART centre, Medical College and Hospital, Kolka-ta. 202 HIV positive children of the above centre were study participants.Study duration was one year. Relevant information was collected by interviewing caregivers and taking anthropometric mea-surements.
Results: Among underfive children, underweight, wasted and stunted were 31.7%, 26.9% and 19.5% respectively. Among all the children 29.2% were thin and 10.4% were severely thin whereas 55% were stunted and 24.8% were severely stunted.There were differences among boys and girls regarding nutritional status, which were not statistically significant.The thinness of the children was positively associated with older age-groups (i.e. =>5 yrs), decrease of CD4% and the status of not taking ART whereas stunting was positively associated with older age-groups (ie =>5 yrs).
Conclusion: The findings of this study may be useful for similar settings and for policymakers for planning interventions.
References
Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, Mathers C, Rivera J. Maternal and child under-nutrition: global and regional exposures and health conse-quences. Lancet. 2008; 371(9608):243-260.
Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, Sachdev HS.Maternal Child Undernutrition Study G: Maternal and child undernutrition:consequences for adult health and human capital. Lancet. 2008;371(9609):340-357.
Grantham-McGregor S, Cheung YB, Cueto S, Glewwe P, Richter L, Strupp B.Developmental potential in the first 5 years for children in developing countries. Lancet.2007; 369(9555):60-70.
Kliegman RM, Behrman RE,Jenson HB,Stanton BF. Nelson Textbook of Pediatrics.Volume1, 18th Edition.New Delhi: Elsevier;2008. p.227-8.
Key facts and figures - World Health Organization. Avail-able at: http://www.who.int/nutgrowthdb/key_facts_ figures.pdf. Accessed on:Jan 12th 2017.
Key facts and figures on nutrition- UNICEF.Available at: https://www.unicef.org/media /.../UNICEF_ Key_facts_ and _figures_on_Nutrition.docx.Accessed on:Jan 12th 2017.
UNAIDS Fact sheet.Available at: http://www.unaids.org /sites/default/files/media_asset /UNAIDS_FactSheet_en. pdf. Accessed on: Aug 7th 2017.
Global and Regional Trends - UNICEF DATA.Available at: https://data.unicef.org/topic/hivaids/global-regional-trends/. Accessed on:Aug 7th 2017.
Annual Report NACO 2016-17.Available at: http://naco.gov.in/sites/ default/files/NACO ANNUAL REPORT 2016-17.pdf. Accessed on:Aug 7th 2017.
Kliegman RM, Behrman RE,Jenson HB,Stanton BF. Nelson Textbook of Pediatrics.Volume1, 18th Edition.New Del-hi:Elsevier;2008.p.1434.
Wilson D, Pencharz P. Nutritional Care of the chronically ill. Nutrition during infancy: birth to 2 years.Cincinnati: Digital Educational Publishing Inc.1997; 37-46.
Berhane R, Bagenda D, Marum L, Aceng E, Ndugwa C, Bosch RJ, Olness K.Growth failure as a prognostic indica-tor of mortality in pediatric HIV infection. Pediatrics. 1997;100(1):E7.
Millenium Development Goals.UNDP.Available at: http://www.undp.org/content/undp /en/home/sdgove rview/ mdg_goals.html.Accessed on :May 10th 2015.
Sustainable development goals.17 goals to transform our world.UN.Available at: http://www.un.org/sustainable development/health/.Accessed on:May 20th 2015.
National Family Health Survey (NFHS-4), 2015-16:State Fact Sheet.West Bengal.Available at: http://rchiips.org/ NFHS/pdf/NFHS4/WB_FactSheet.pdf.Accessed on:Aug 7th 2017.
Kimani-Murage EW,Norris SA, Pettifor JM, Tollman SM,Klipstein-Grobusch K,Gómez-Olivé XF et al. Nutri-tional status and HIV in rural South African children. BMC Pediatrics. 2011; 11:23.
Sunguya BF, Poudel KC, Otsuka K, Yasuoka J,Mlunde LB,Urassa DP et al. Undernutrition among HIV-positive children in Dar es Salaam, Tanzania: antiretroviral therapy alone is not enough. BMC Public Health. 2011; 11:869.
Ambey R, Sahu S,Sharma A, Gupta R,Goyal B.Assessment of Nutritional Status of HIV Positive Children in An-tiretroviral Therapy Center: A Study From Central India. Int J Pediatr Res Pract. 2015;1(1):7-11.
Swetha GK, Hemalatha R, Prasad UV, Murali V, Dama-yanti K, and Bhaskar V. Health & nutritional status of HIV infected children in Hyderabad, India. Indian J Med Res. 2015; 141(1): 46–54.
Mwiru RS, Spiegelman D, Duggan C, Seage GR, 3rd, Semu H, Chalamilla G, et al. Nutritional status and other base-line predictors of mortality among HIV-infected children initiating antiretroviral therapy in Tanzania. J Int Assoc Provid AIDS Care. 2015;14:172–9.
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