Maternal HIV is associated with reduced growth in the first year of life among infants in the Eastern region of Ghana: the Research to Improve Infant Nutrition and Growth (RIING) Project
Identifieur interne : 000715 ( Main/Exploration ); précédent : 000714; suivant : 000716Maternal HIV is associated with reduced growth in the first year of life among infants in the Eastern region of Ghana: the Research to Improve Infant Nutrition and Growth (RIING) Project
Auteurs : Anna Lartey [Ghana] ; Grace S. Marquis [Canada, États-Unis] ; Robert Mazur [États-Unis] ; Rafael Perez-Escamilla [États-Unis] ; Lucy Brakohiapa [Ghana] ; William Ampofo [Ghana] ; Daniel Sellen [Canada] ; Seth Adu-Afarwuah [Ghana]Source :
- Maternal & child nutrition [ 1740-8695 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Facteurs socioéconomiques, Femelle, Ghana (épidémiologie), Grossesse, Humains, Infections à VIH (), Infections à VIH (épidémiologie), Jeune adulte, Maigreur (), Maigreur (épidémiologie), Mâle, Mères (enseignement et éducation), Nourrisson, Phénomènes physiologiques nutritionnels chez le nourrisson, Poids du corps, Taille, Troubles de la croissance (), Troubles de la croissance (épidémiologie), Études de suivi, Études longitudinales.
- MESH :
- enseignement et éducation : Mères.
- épidémiologie : Ghana, Infections à VIH, Maigreur, Troubles de la croissance.
- Adulte, Facteurs socioéconomiques, Femelle, Grossesse, Humains, Infections à VIH, Jeune adulte, Maigreur, Mâle, Nourrisson, Phénomènes physiologiques nutritionnels chez le nourrisson, Poids du corps, Taille, Troubles de la croissance, Études de suivi, Études longitudinales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adult, Body Height, Body Weight, Female, Follow-Up Studies, Ghana (epidemiology), Growth Disorders (complications), Growth Disorders (epidemiology), Growth Disorders (prevention & control), HIV Infections (complications), HIV Infections (epidemiology), Humans, Infant, Infant Nutritional Physiological Phenomena, Longitudinal Studies, Male, Mothers (education), Pregnancy, Socioeconomic Factors, Thinness (complications), Thinness (epidemiology), Young Adult.
- MESH :
- geographic , epidemiology : Ghana.
- complications : Growth Disorders, HIV Infections, Thinness.
- education : Mothers.
- epidemiology : Growth Disorders, HIV Infections, Thinness.
- prevention & control : Growth Disorders.
- Adult, Body Height, Body Weight, Female, Follow-Up Studies, Humans, Infant, Infant Nutritional Physiological Phenomena, Longitudinal Studies, Male, Pregnancy, Socioeconomic Factors, Young Adult.
Abstract
Children of HIV-infected mothers experience poor growth but not much is understood about the extent to which such children are affected. The Research to Improve Infant Nutrition and Growth (RIING) Project used a longitudinal study design to investigate the association between maternal HIV status and growth among Ghanaian infants in the first year of life. Pregnant women in their third trimester were enrolled into three groups: HIV Negative (HIV-N, n=185), HIV-positive (HIV-P, n=190) and HIV-unknown (HIV-U, n=177). Socioeconomic data were collected. Infant weight and length were measured at birth and every month until 12 months of age. Weight-forage (WAZ), weight-for-length (WLZ) and length-for-age (LAZ) z-scores were compared using analysis of covariance. Infant HIV status was not known as most mothers declined to test their children's status at 12 months. Adjusted mean WAZ and LAZ at birth were significantly higher for infants of HIV-N compared to infants of HIV-P mothers. The prevalence of underweight at 12 months in the HIV-N, HIV-P and HIV-U were 6.6%, 27.5% and 9.9%(p<0.05) respectively. By 12 months, the prevalence of stunting was significantly different (HIV-N=6.0%, HIV-P=26.5% and HIV-U=5.0%, p<0.05). The adjusted mean±SE LAZ (0.57±0.11 vs. −0.95±0.12; p < 0.005) was significantly greater for infants of HIV-N mothers than infants of HIV-P mothers. Maternal HIV is associated with reduce infant growth in weight and length throughout the first year of life.
Children of HIV-P mothers living in socioeconomically deprived communities need special support to mitigate any negative effect on growth performance.
Url:
DOI: 10.1111/j.1740-8709.2012.00441.x
PubMed: 22905700
PubMed Central: 4193668
Affiliations:
- Canada, Ghana, États-Unis
- Connecticut, Iowa, Ontario, Québec, Région du Grand Accra
- Accra, Legon (Ghana), Montréal, Toronto
- Université McGill, Université de Toronto, Université du Ghana
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Le document en format XML
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xml:lang="en"><term>Growth Disorders</term><term>HIV Infections</term><term>Thinness</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Mothers</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Mères</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Growth Disorders</term><term>HIV Infections</term><term>Thinness</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Growth Disorders</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Infections à VIH</term><term>Maigreur</term><term>Troubles de la croissance</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Body Height</term><term>Body Weight</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Infant</term><term>Infant Nutritional Physiological Phenomena</term><term>Longitudinal Studies</term><term>Male</term><term>Pregnancy</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Maigreur</term><term>Mâle</term><term>Nourrisson</term><term>Phénomènes physiologiques nutritionnels chez le nourrisson</term><term>Poids du corps</term><term>Taille</term><term>Troubles de la croissance</term><term>Études de suivi</term><term>Études longitudinales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P9">Children of HIV-infected mothers experience poor growth but not much is understood about the extent to which such children are affected. The Research to Improve Infant Nutrition and Growth (RIING) Project used a longitudinal study design to investigate the association between maternal HIV status and growth among Ghanaian infants in the first year of life. Pregnant women in their third trimester were enrolled into three groups: HIV Negative (HIV-N, n=185), HIV-positive (HIV-P, n=190) and HIV-unknown (HIV-U, n=177). Socioeconomic data were collected. Infant weight and length were measured at birth and every month until 12 months of age. Weight-forage (WAZ), weight-for-length (WLZ) and length-for-age (LAZ) z-scores were compared using analysis of covariance. Infant HIV status was not known as most mothers declined to test their children's status at 12 months. Adjusted mean WAZ and LAZ at birth were significantly higher for infants of HIV-N compared to infants of HIV-P mothers. The prevalence of underweight at 12 months in the HIV-N, HIV-P and HIV-U were 6.6%, 27.5% and 9.9%(p<0.05) respectively. By 12 months, the prevalence of stunting was significantly different (HIV-N=6.0%, HIV-P=26.5% and HIV-U=5.0%, p<0.05). The adjusted mean±SE LAZ (0.57±0.11 vs. −0.95±0.12; p < 0.005) was significantly greater for infants of HIV-N mothers than infants of HIV-P mothers. Maternal HIV is associated with reduce infant growth in weight and length throughout the first year of life.</p><p id="P10">Children of HIV-P mothers living in socioeconomically deprived communities need special support to mitigate any negative effect on growth performance.</p></div></front></TEI><affiliations><list><country><li>Canada</li><li>Ghana</li><li>États-Unis</li></country><region><li>Connecticut</li><li>Iowa</li><li>Ontario</li><li>Québec</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Legon (Ghana)</li><li>Montréal</li><li>Toronto</li></settlement><orgName><li>Université McGill</li><li>Université de Toronto</li><li>Université du Ghana</li></orgName></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Lartey, Anna" sort="Lartey, Anna" uniqKey="Lartey A" first="Anna" last="Lartey">Anna Lartey</name></region><name sortKey="Adu Afarwuah, Seth" sort="Adu Afarwuah, Seth" uniqKey="Adu Afarwuah S" first="Seth" last="Adu-Afarwuah">Seth Adu-Afarwuah</name><name sortKey="Ampofo, William" sort="Ampofo, William" uniqKey="Ampofo W" first="William" last="Ampofo">William Ampofo</name><name sortKey="Brakohiapa, Lucy" sort="Brakohiapa, Lucy" uniqKey="Brakohiapa L" first="Lucy" last="Brakohiapa">Lucy Brakohiapa</name></country><country name="Canada"><region name="Québec"><name sortKey="Marquis, Grace S" sort="Marquis, Grace S" uniqKey="Marquis G" first="Grace S" last="Marquis">Grace S. 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