scholarly journals Assessment of nutritional status and its associated factors among people affected by human immune deficiency virus on antiretroviral therapy: a cross sectional study in Siltie zone, south Ethiopia

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Mewuba Shamil Saliya ◽  
Telake Azale ◽  
Atinkut Alamirew ◽  
Dawit Jember Tesfaye
Keyword(s):  
Nutritional Status ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Sectional Study ◽  
Dietary Counseling ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
South Ethiopia ◽  
Chronic Energy Deficiency ◽  
Hiv Positive Adults

Ethiopia is among the countries most affected by malnutrition and nutrition-related complications remain a challenging issue for Human Immunodeficiency Virus (HIV)- infected patients and those involved in their care. The aim of this study was to assess nutritional status among HIV positive adults in South Ethiopia and assess risk factors for malnutrition in this population. Institution based cross sectional study was conducted among 428 HIV positive adults who are taking ART at 12 health centers, Silte zone, Ethiopia. Convenience sampling technique was used to select the study participants. Structured questionnaire and anthropometric measurements were used to collect data. Data were analyzed using SPSS version 20.0 software. Bivariate and multivariate analyses were used to identify predictors of malnutrition. P-value less than 0.05 were used as cut of point to declare statistical significance. Prevalence of chronic energy deficiency was 24.1%. Food insecurity [AOR= 0.35, 95% CI (0.21, 0.62)], feeding ≤ 2 meals/day [AOR= 0.29, 95% CI (0.29, 0.13)], ambulatory functional status [AOR= 3.4, 95% CI (1.67, 6.98)] and absence of dietary counseling [AOR= 1.7, 95% CI (1.05, 2.78)] were found to be independent predictors of chronic energy deficiency among HIV positive adults. Prevalence of malnutrition is high among HIV infected adults who are on ART in the study area. Regular nutritional assessment of the patients and dietary counseling should be integrated with routine care for HIV/AIDS patients. HIV/AIDS prevention and control programs need to involve nutritionists or trained health care provider to integrate nutritional care services.

Concurrent Prevalence of Chronic Energy Deficiency and Obesity among Women in Purworejo, Central Java, Indonesia

1998 ◽  
Vol 19 (4) ◽  
pp. 321-333 ◽  
Author(s):  
Detty Siti Nurdiati ◽  
Mohammad Hakimi ◽  
Abdul Wahab ◽  
Anna Winkvist
Keyword(s):  
Nutritional Status ◽  
Reproductive Factors ◽  
Skinfold Thickness ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Central Java ◽  
Chronic Energy Deficiency ◽  
Triceps Skinfold Thickness

There are few studies on the nutritional status of nonpregnant women. A population-based, cross-sectional study of nutritional status in 5,817 non-pregnant women 15 to 49 years of age was conducted in Purworejo District, Indonesia, in 1996. Weight, height, mid-upper-arm circumference (MUAC), and triceps skinfold thickness were measured, and information on socio-economic, demographic, and reproductive factors was collected. Seventeen percent of the women had chronic energy deficiency and 11% were obese. Mean weight, MUAC, and triceps skinfold thickness corresponded to the 25th percentile of standards and mean height to the 5th percentile. Obesity was more common among older women and chronic energy deficiency among both the oldest and the youngest women. Women working in agriculture, not using contraceptives, and not owning a television, radio, or refrigerator were more likely to have chronic energy deficiency. In summary, both chronic energy deficiency and obesity existed in Purworejo, and risk factors were identified. Interventions are needed to improve the nutritional status of girls and women before and after pregnancy.

scholarly journals Validating mid-upper arm circumference (MUAC) cut off points as an indicator of nutritional status among nine tribal populations of India

2021 ◽  
Vol 84 (3) ◽  
pp. 301-315
Author(s):  
Gautam K. Kshatriya ◽  
Raja Chakraborty ◽  
Nitish Mondal ◽  
Kaushik Bose
Keyword(s):  
Cross Sectional Study ◽  
Anthropometric Measurement ◽  
Sectional Study ◽  
Upper Arm ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Tribal Populations ◽  
Mid Upper Arm Circumference

Abstract Mid-upper arm circumference (MUAC) is an alternative anthropometric measurement to assess undernutrition but a universally accepted cut-off is yet to be established. The objectives of the present study are to determine whether the proposed sex-specific global cut-offs are suitable across several tribes in India. This cross-sectional study was conducted among nine tribal populations in India (1046 males, 1087 females). Weight, height and MUAC values were obtained, and body mass index (BMI) was calculated. The BMI cut-off (<18.5 kg/m2) was used to determine chronic energy deficiency (CED). The ROC Curve analyses of binomial logistic regression for MUAC versus CED revealed optimal cut-off point of MUAC as 23.8 cm (in males) and 21.8 cm (in females). MUAC cut-offs were similar in females, relative to males, in all tribes. Males with MUAC<24cm and females with MUAC<22 encompassed significantly higher numbers of CED than those with MUAC≥24 and ≥22 cm, respectively (χ2-value males: 254.9, p<0.001; females: 493.60, p<0.01). A single cut off point of MUAC may not be universally applicable for diverse populations and both sexes as well. It seemed that there is no alternative than to undertake further validation studies in various populations before using the MUAC cut off to identify undernourished or CED condition.

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