RESEARCH PAPER
Evaluation of anthropometric indices, eating habits, and their relationship with CD4 level in individuals with HIV/AIDS
 
More details
Hide details
1
Health Education and Health Promotion, School of Public Health, Urmia Health Center, Urmia University of Medical Sciences, Urmia, Iran
 
2
Health Education and Health Promotion, School of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran
 
3
Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran
 
4
Department of Public Health, School of Public Health, Bushehr University of Medical Sciences, Bushehr, Iran
 
5
The Social Determinants of Health Research Center (SDHRC), Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
 
6
School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
 
 
Submission date: 2019-12-23
 
 
Acceptance date: 2020-08-20
 
 
Publication date: 2020-12-12
 
 
HIV & AIDS Review 2020;19(4):237-243
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Malnutrition is one of the important and complex complications of human immunodeficiency virus (HIV), and anthropometry is a valuable clinical indicator in health planning and policy making among HIV/acquired immunodeficiency syndrome (AIDS) patients. The purpose of this study was to evaluate anthropometric indices, eating habits, and their association with CD4 in individuals with HIV/AIDS.

Material and methods:
This descriptive-analytical study was conducted on all individuals with HIV/AIDS over 20 years of age, who referred to a behavioral diseases counseling center in Iran in 2018. Census sampling method was conducted, and 122 patients were selected. Anthropometric indices were measured using standard methods, and nutritional status questionnaire was used to assess patients’ nutritional status.

Results:
The mean body mass index in women and men were 25 and 22 kg/m2, respectively. Abdomi­nal obesity was 0.89 and 0.87 cm in female and male patients, respectively. Furthermore, 64% of patients had poor eating habits. Among food groups, consumption of water (p = 0.05) and carbonated drinks (p = 0.034) were significantly different between men and women. Among dietary groups, only meat and legumes group had a significant association with CD4 level (p = 0.047).

Conclusions:
Although 57% of patients with HIV infection were within normal range, abdominal obesity was higher than standard values, and two thirds of the participants presented poor eating habits. Therefore, nutritional interventions are of great importance in this group of patients.

 
REFERENCES (44)
1.
Alfahad TB, Nath A. Update on HIV-associated neurocognitive.
 
2.
disorders. Curr Neurol Neurosci Rep 2013; 13: 387.
 
3.
UNAIDS. Ending the AIDS epidemic by 2030. 2018. Available at: http://www.unaids.org/en (Accessed: 6.08.2018).
 
4.
Colecraft E. HIV/AIDS: nutritional implications and impact on.
 
5.
human development. Proceed Nutr Soc 2008; 67: 109-113.
 
6.
Karimi I, Kasaeeian N, Atayi B, Tayeri K, Zare M, Azadbakht L.
 
7.
Anthropometric indices and dietary intake in HIV-infected patients.
 
8.
J Isfahan Med Sch 2010; 28: 238-247.
 
9.
Rawat R, Faust E, Maluccio JA, Kadiyala S. The impact of a food assistance program on nutritional status, disease progression, and food security among people living with HIV in Uganda. J Acquir Immune Defic Syndr 2014; 66: e15-e22.
 
10.
Coleman-Jensen A, Rabbitt MP, Gregory C, Singh A. Household food security in the United States in 2014. United States Department of Agriculture, Washington 2015.
 
11.
Weiser SD, Tsai AC, Gupta R, et al. Food insecurity is associated with morbidity and patterns of healthcare utilization among HIV-.
 
12.
infected individuals in a resource-poor setting. AIDS 2012; 26: 67-75.
 
13.
Weiser SD, Young SL, Cohen CR, et al. Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS. Am J Clin Nutr 2011; 94: 1729S-1739S.
 
14.
Feldman MB, Alexy ER, Thomas J, Gambone GF, Irvine MK. The association between food insufficiency and HIV treatment outcomes in a longitudinal analysis of HIV-infected individuals in New York City. J Acquir Immune Defic Syndr 2015; 69: 329-337.
 
15.
Drimie S, Tafesse G, Frayne B. Renewal Ethiopia background paper: HIV/AIDS, food and nutrition security. Washington: International Food Policy Research Institute (IFPRI); 2006.
 
16.
Johannessen A, Naman E, Ngowi BJ, et al. Predictors of mortality in HIV-infected patients starting antiretroviral therapy in a rural hospital in Tanzania. BMC Infect Dis 2008; 8: 52.
 
17.
Paton NI, Sangeetha S, Earnest A, Bellamy R. The impact of malnutrition on survival and the CD4 count response in HIV‐infected patients starting antiretroviral therapy. HIV Med 2006; 7: 323-330.
 
18.
Kiefer E, Hoover DR, Shi Q, et al. Association of pre-treatment nutritional status with change in CD4 count after antiretroviral therapy at 6, 12, and 24 months in Rwandan women. PLoS One 2011; 6: e29625.
 
19.
FAO Regional Office for Asia and the Pacific. Take two tablets after the meals, but don’t forget the meals: it can help delay the onset of AIDS. Available at: http://wwwfaoorg/world/regiona... year=2003 (Accessed: October 2007).
 
20.
Suttajit M. Advances in nutrition support for quality of life in HIV+/AIDS. Asia Pac J Clin Nutr 2007; 16 Suppl 1: 318-322.
 
21.
Hussen S, Belachew T, Hussien N. Nutritional status and its effect on treatment outcome among HIV infected clients receiving.
 
22.
HAART in Ethiopia: a cohort study. AIDS Res Ther 2016; 13: 32.
 
23.
Bahrami D, Mirzaei M, Salehi-Abargouei A. Dietary behaviors of elderly people residing in central Iran: a preliminary report of Yazd Health Study. Elderly Health Journal 2016; 2: 6-13.
 
24.
Martinez H, Palar K, Linnemayr S, et al. Tailored nutrition education and food assistance improve adherence to HIV antiretroviral therapy: evidence from Honduras. AIDS Behav 2014; 18 Suppl 5: S566-577.
 
25.
Mirzaei M, Salehi-Abargouei A, Mirzaei M, Mohsenpour MA. Cohort profile: the Yazd Health Study (YaHS): a population-based study of adults aged 20–70 years (study design and baseline population data). Int J Epidemiol 2018; 47: 697-698h.
 
26.
Sudfeld CR, Isanaka S, Mugusi FM, et al. Weight change at 1 mo of antiretroviral therapy and its association with subsequent mortality, morbidity, and CD4 T cell reconstitution in a Tanzanian HIV-.
 
27.
infected adult cohort. Am J Clin Nutr 2013; 97: 1278-1287.
 
28.
Tesfaye DY, Kinde S, Medhin G, et al. Burden of metabolic syndrome among HIV-infected patients in Southern Ethiopia. Diabetes Metab Syndr 2014; 8: 102-107.
 
29.
Owen AL, Suazo CM. Sociodemographic and cultural factors of adult obesity in El Salvador: an exploratory cross-sectional study. J Glob Health 2014; 4.
 
30.
Khosravi S, Amini M, Poursharifi H, Sobhani Z, Sadeghian L. The effectiveness of information-motivation-behavioral model on improving the weight and body size among women undergoing bariatric surgery. Iran South Med J 2018; 21: 81-91.
 
31.
Karimi I, Kasaeeian N, Atayi B, Tayeri K, Zare M, Azadbakht L. Anthro­pometric indices and dietary intake in HIV-infected patients. J Isfah Med Sch 2010; 28: 238-247.
 
32.
Martín-Cañavate R, Sonego M, Sagrado MJ, et al. Dietary patterns and nutritional status of HIV-infected children and adolescents in El Salvador: a cross-sectional study. PLoS One 2018; 13: e0196380.
 
33.
World Health Organization. Guidelines for an intergrated approach to the nutritional care of HIV-infeced children (6 months-.
 
34.
14 yrs). WHO 2009; 92.
 
35.
Anand D, Puri S. Nutritional knowledge, attitude, and practices among HIV-positive individuals in India. J Health Popul Nutr 2013; 31: 195-201.
 
36.
Almeida LB, Segurado AC, Duran AC, Jaime PC. Impact of a nutritional counseling program on prevention of HAART-related metabolic and morphologic abnormalities. AIDS Care 2011; 23: 755-763.
 
37.
von Wagner Ch, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Community Health 2007; 61: 1086-1090.
 
38.
Vreeman RC, Scanlon ML, McHenry MS, Nyandiko WM. The physical and psychological effects of HIV infection and its treatment on perinatally HIV‐infected children. J Int AIDS Soc 2015; 18 (7 Suppl 6): 20258.
 
39.
de Lima LR, da Silva RC, de Giuliano I, Sakuno T, Brincas SM,.
 
40.
de Carvalho AP. Bone mass in children and adolescents infected with human immunodeficiency virus. J Pediatr (Rio J) 2013; 89: 91-99.
 
41.
Mirzaei M, Salehi-Abargouei A, Mirzaei M, Mohsenpour MA. Cohort profile: the Yazd Health Study (YaHS): a population-based study of adults aged 20-70 years (study design and baseline population data). Int J Epidemiol 2018; 47: 697-698h.
 
42.
Hussen S, Belachew T, Hussien NJ. Nutritional status and its effect on treatment outcome among HIV infected clients receiving HAART.
 
43.
in Ethiopia: a cohort study. AIDS Res Ther 2016; 13: 32.
 
44.
Engsig FN, Zangerle R, Katsarou O, et al. Long-term mortality in HIV-positive individuals virally suppressed for > 3 years with incomplete CD4 recovery. Clin Infect Dis 2014; 58: 1312-1321.
 
eISSN:1732-2707
ISSN:1730-1270
Journals System - logo
Scroll to top