SidaSubSaharaV1, Pmc, Corpus, bibRecord, 002032

Patterns of body composition among HIV-infected, pregnant Malawians and the effects of famine season1

Identifieur interne : 002032 ( Pmc/Corpus ); précédent : 002031; suivant : 002033

Patterns of body composition among HIV-infected, pregnant Malawians and the effects of famine season1

Auteurs : Roshan M. Thomas ; Martin Tembo ; Alice Soko ; Maggie Chigwenembe ; Beth Tohill ; Dumbani Kayira ; Caroline King ; Charles Chasela ; Denise Jamieson ; Charles Van Der Horst ; Margaret E. Bentley ; Linda S. Adair

Source :

Maternal and child health journal [ 1092-7875 ] ; 2013.

RBID : PMC:3837416

Abstract

We describe change in weight, midupper arm circumference (MUAC), arm muscle area (AMA) and arm fat area (AFA) in 1130 pregnant HIV-infected women with CD4 counts > 200 as part of the BAN Study (www.thebanstudy.org), a randomized, controlled clinical trialto evaluate antiretroviral and nutrition interventions to reducemother-to-child transmission of HIV during breast feeding. In a longitudinal analysis, we found a linear increase in weight with a mean rate of weight gain of 0.27 kgs/wk, from baseline (12 to 30 wks gestation) until the last follow-up visit (32 to 38 wks). Analysis of weight gain showed that 17.1% of the intervals between visits resulted in a weight loss. In unadjusted models, MUAC and AMA increased and AFA declined during late pregnancy. Based on multivariable regression analysis, exposure to the famine season resulted in larger losses in AMA [−0.08, 95%CI: −0.14, −0.02; p=0.01] while AFA losses occurred irrespective of season [−0.55, 95%: −0.95, −0.14, p=0.01]. CD4 was associated with AFA [0.21, 95%CI: 0.01, 0.41, p=.04]. Age was positively associated with MUAC and AMA. Wealth index was positively associated with MUAC, AFA, and weight. While patterns of anthropometric measures among HIV-infected, pregnant women were found to be similar to those reported for uninfected women in sub-Saharan Africa, effects of the famine season among undernourished, Malawian women are of concern. Strategies to optimize nutrition during pregnancy for these women appear warranted.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3837416

DOI: 10.1007/s10995-012-0970-6
PubMed: 22395817
PubMed Central: 3837416

Links to Exploration step

PMC:3837416

Le document en format XML

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<author><name sortKey="Thomas, Roshan M" sort="Thomas, Roshan M" uniqKey="Thomas R" first="Roshan M" last="Thomas">Roshan M. Thomas</name>
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<author><name sortKey="Tembo, Martin" sort="Tembo, Martin" uniqKey="Tembo M" first="Martin" last="Tembo">Martin Tembo</name>
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<author><name sortKey="Soko, Alice" sort="Soko, Alice" uniqKey="Soko A" first="Alice" last="Soko">Alice Soko</name>
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<front><div type="abstract" xml:lang="en"><p id="P1">We describe change in weight, midupper arm circumference (MUAC), arm muscle area (AMA) and arm fat area (AFA) in 1130 pregnant HIV-infected women with CD4 counts > 200 as part of the BAN Study (<ext-link ext-link-type="uri" xlink:href="www.thebanstudy.org">www.thebanstudy.org</ext-link>
), a randomized, controlled clinical trialto evaluate antiretroviral and nutrition interventions to reducemother-to-child transmission of HIV during breast feeding. In a longitudinal analysis, we found a linear increase in weight with a mean rate of weight gain of 0.27 kgs/wk, from baseline (12 to 30 wks gestation) until the last follow-up visit (32 to 38 wks). Analysis of weight gain showed that 17.1% of the intervals between visits resulted in a weight loss. In unadjusted models, MUAC and AMA increased and AFA declined during late pregnancy. Based on multivariable regression analysis, exposure to the famine season resulted in larger losses in AMA [−0.08, 95%CI: −0.14, −0.02; p=0.01] while AFA losses occurred irrespective of season [−0.55, 95%: −0.95, −0.14, p=0.01]. CD4 was associated with AFA [0.21, 95%CI: 0.01, 0.41, p=.04]. Age was positively associated with MUAC and AMA. Wealth index was positively associated with MUAC, AFA, and weight. While patterns of anthropometric measures among HIV-infected, pregnant women were found to be similar to those reported for uninfected women in sub-Saharan Africa, effects of the famine season among undernourished, Malawian women are of concern. Strategies to optimize nutrition during pregnancy for these women appear warranted.</p>
</div>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">9715672</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21566</journal-id>
<journal-id journal-id-type="nlm-ta">Matern Child Health J</journal-id>
<journal-id journal-id-type="iso-abbrev">Matern Child Health J</journal-id>
<journal-title-group><journal-title>Maternal and child health journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">1092-7875</issn>
<issn pub-type="epub">1573-6628</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22395817</article-id>
<article-id pub-id-type="pmc">3837416</article-id>
<article-id pub-id-type="doi">10.1007/s10995-012-0970-6</article-id>
<article-id pub-id-type="manuscript">NIHMS523760</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Patterns of body composition among HIV-infected, pregnant Malawians and the effects of famine season<sup><xref ref-type="fn" rid="FN1">1</xref>
</sup>
</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Thomas</surname>
<given-names>Roshan M</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tembo</surname>
<given-names>Martin</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soko</surname>
<given-names>Alice</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chigwenembe</surname>
<given-names>Maggie</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tohill</surname>
<given-names>Beth</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kayira</surname>
<given-names>Dumbani</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>King</surname>
<given-names>Caroline</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chasela</surname>
<given-names>Charles</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jamieson</surname>
<given-names>Denise</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>van der Horst</surname>
<given-names>Charles</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bentley</surname>
<given-names>Margaret E.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Adair</surname>
<given-names>Linda S.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><collab>the BAN Study Team</collab>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
University of North Carolina</aff>
<aff id="A2"><label>2</label>
UNC Project Lilongwe</aff>
<aff id="A3"><label>3</label>
Centers for Disease Control and Prevention</aff>
<pub-date pub-type="nihms-submitted"><day>5</day>
<month>11</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>2</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>22</day>
<month>11</month>
<year>2013</year>
</pub-date>
<volume>17</volume>
<issue>2</issue>
<elocation-id>10.1007/s10995-012-0970-6</elocation-id>
<abstract><p id="P1">We describe change in weight, midupper arm circumference (MUAC), arm muscle area (AMA) and arm fat area (AFA) in 1130 pregnant HIV-infected women with CD4 counts > 200 as part of the BAN Study (<ext-link ext-link-type="uri" xlink:href="www.thebanstudy.org">www.thebanstudy.org</ext-link>
), a randomized, controlled clinical trialto evaluate antiretroviral and nutrition interventions to reducemother-to-child transmission of HIV during breast feeding. In a longitudinal analysis, we found a linear increase in weight with a mean rate of weight gain of 0.27 kgs/wk, from baseline (12 to 30 wks gestation) until the last follow-up visit (32 to 38 wks). Analysis of weight gain showed that 17.1% of the intervals between visits resulted in a weight loss. In unadjusted models, MUAC and AMA increased and AFA declined during late pregnancy. Based on multivariable regression analysis, exposure to the famine season resulted in larger losses in AMA [−0.08, 95%CI: −0.14, −0.02; p=0.01] while AFA losses occurred irrespective of season [−0.55, 95%: −0.95, −0.14, p=0.01]. CD4 was associated with AFA [0.21, 95%CI: 0.01, 0.41, p=.04]. Age was positively associated with MUAC and AMA. Wealth index was positively associated with MUAC, AFA, and weight. While patterns of anthropometric measures among HIV-infected, pregnant women were found to be similar to those reported for uninfected women in sub-Saharan Africa, effects of the famine season among undernourished, Malawian women are of concern. Strategies to optimize nutrition during pregnancy for these women appear warranted.</p>
</abstract>
<funding-group><award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>R24 HD050924 || HD</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>R03 HD057637 || HD</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>

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Patterns of body composition among HIV-infected, pregnant Malawians and the effects of famine season1

Patterns of body composition among HIV-infected, pregnant Malawians and the effects of famine season1

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