Prevalence of Malnutrition and Associated Factors among Hospitalized Patients with Acquired Immunodeficiency Syndrome in Jimma University Specialized Hospital, Ethiopia
Identifieur interne : 000348 ( Pmc/Curation ); précédent : 000347; suivant : 000349Prevalence of Malnutrition and Associated Factors among Hospitalized Patients with Acquired Immunodeficiency Syndrome in Jimma University Specialized Hospital, Ethiopia
Auteurs : Habtamu Mulu [Éthiopie] ; Leja Hamza [Éthiopie] ; Fesehaye Alemseged [Éthiopie]Source :
- Ethiopian Journal of Health Sciences [ 1029-1857 ] ; 2016.
Abstract
HIV/AIDS predisposes to malnutrition. Malnutrition exacerbates HIV/AIDS progression resulting in increased morbidity and mortality. The magnitude of malnutrition in HIV/AIDS patients has not been well studied in Ethiopian setup. Our objective was to assess the prevalence of malnutrition and associated factors among HIV/AIDS patients admitted to Jimma University Specialized Hospital (JUSH).
A cross-sectional study was conducted to assess the nutritional status of 109 HIV/AIDS patients admitted from November 2013 to July 2014. Cohort design was also used for outcome assessment. Serum levels of hemoglobin, albumin and CD4 counts were determined. Data were organized, coded, cleaned, entered into a computer and analyzed using SPSS version 16.0. Descriptive analysis was done initially. Those variables in the bivariate analysis with P-value < 0.25 were then considered as candidates to be included in the multivariable logistic regression model. A P-vale of < 0.05 was considered as statistically significant.
The mean age of the patients was 32.7±8.12 with male to female ratio of 1:1.9. Patients were in either clinical stage, 3(46.8%), or stage, 4(53.2%). Forty nine (45%) of the respondents had a CD4 count of < 200 cells/µL. The overall prevalence of malnutrition was 46.8% (BMI<18.5kg/m2) and 44.1% (MUAC≤ 20cm). Eighty four (77.1%) of the patients had a serum albumin level of ≤3.5g/dl while 76 (69.6%) of the patients had anemia (Hg<12g/dl).
The prevalence of malnutrition was found to be high. WHO Stage 4 disease and CD4 count <200cells/µl were independent predictors of malnutrition.
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PubMed: 27358542
PubMed Central: 4913189
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Malnutrition exacerbates HIV/AIDS progression resulting in increased morbidity and mortality. The magnitude of malnutrition in HIV/AIDS patients has not been well studied in Ethiopian setup. Our objective was to assess the prevalence of malnutrition and associated factors among HIV/AIDS patients admitted to Jimma University Specialized Hospital (JUSH).</p></sec><sec sec-type="methods"><title>Method</title><p>A cross-sectional study was conducted to assess the nutritional status of 109 HIV/AIDS patients admitted from November 2013 to July 2014. Cohort design was also used for outcome assessment. Serum levels of hemoglobin, albumin and CD4 counts were determined. Data were organized, coded, cleaned, entered into a computer and analyzed using SPSS version 16.0. Descriptive analysis was done initially. Those variables in the bivariate analysis with P-value < 0.25 were then considered as candidates to be included in the multivariable logistic regression model. A P-vale of < 0.05 was considered as statistically significant.</p></sec><sec sec-type="results"><title>Results</title><p>The mean age of the patients was 32.7±8.12 with male to female ratio of 1:1.9. Patients were in either clinical stage, 3(46.8%), or stage, 4(53.2%). Forty nine (45%) of the respondents had a CD4 count of < 200 cells/µL. The overall prevalence of malnutrition was 46.8% (BMI<18.5kg/m2) and 44.1% (MUAC≤ 20cm). Eighty four (77.1%) of the patients had a serum albumin level of ≤3.5g/dl while 76 (69.6%) of the patients had anemia (Hg<12g/dl).</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>The prevalence of malnutrition was found to be high. WHO Stage 4 disease and CD4 count <200cells/µl were independent predictors of malnutrition.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Duggal, S" uniqKey="Duggal S">S Duggal</name></author><author><name sortKey="Chugh, T" uniqKey="Chugh T">T Chugh</name></author><author><name sortKey="Duggal, A" uniqKey="Duggal A">A Duggal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Norman, K" uniqKey="Norman K">K Norman</name></author><author><name sortKey="Pichard, C" uniqKey="Pichard C">C Pichard</name></author><author><name sortKey="Lochs, H" uniqKey="Lochs H">H Lochs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hecker, Lm" uniqKey="Hecker L">LM Hecker</name></author><author><name sortKey="Kotler, Dp" uniqKey="Kotler D">DP Kotler</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Brantley, Rk" uniqKey="Brantley R">RK Brantley</name></author><author><name sortKey="Williams, Kr" uniqKey="Williams K">KR Williams</name></author><author><name sortKey="Silva, Tm" uniqKey="Silva T">TM Silva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hailemariam, S" uniqKey="Hailemariam S">S Hailemariam</name></author><author><name sortKey="Bune, G" uniqKey="Bune G">G Bune</name></author><author><name sortKey="Ayele, H" uniqKey="Ayele H">H Ayele</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Molla, Daniel" uniqKey="Molla D">Daniel Molla</name></author><author><name sortKey="Mazengia, Fekadu" uniqKey="Mazengia F">Fekadu Mazengia</name></author><author><name sortKey="Birhanu, Dereje" uniqKey="Birhanu D">Dereje Birhanu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Suttajit, M" uniqKey="Suttajit M">M Suttajit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uthman, Olalekan A" uniqKey="Uthman O">Olalekan A Uthman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Benzekri, Noelle A" uniqKey="Benzekri N">Noelle A Benzekri</name></author><author><name sortKey="Sambou, Jacques" uniqKey="Sambou J">Jacques Sambou</name></author><author><name sortKey="Diaw, Binetou" uniqKey="Diaw B">Binetou Diaw</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wen, H" uniqKey="Wen H">H Wen</name></author><author><name sortKey="Hua, J" uniqKey="Hua J">J Hua</name></author><author><name sortKey="Wei, C" uniqKey="Wei C">C Wei</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wanke, Ca" uniqKey="Wanke C">CA Wanke</name></author><author><name sortKey="Silva, M" uniqKey="Silva M">M Silva</name></author><author><name sortKey="Knox, Ta" uniqKey="Knox T">TA Knox</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mehta, Sh" uniqKey="Mehta S">SH Mehta</name></author><author><name sortKey="Astemborski, J" uniqKey="Astemborski J">J Astemborski</name></author><author><name sortKey="Sterling, Tr" uniqKey="Sterling T">TR Sterling</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paton, Ni" uniqKey="Paton N">NI Paton</name></author><author><name sortKey="Sangeetha, S" uniqKey="Sangeetha S">S Sangeetha</name></author><author><name sortKey="Earnest, A" uniqKey="Earnest A">A Earnest</name></author><author><name sortKey="Bellamy, R" uniqKey="Bellamy R">R Bellamy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johannessen, A" uniqKey="Johannessen A">A Johannessen</name></author><author><name sortKey="Naman, E" uniqKey="Naman E">E Naman</name></author><author><name sortKey="Ngowi, Bj" uniqKey="Ngowi B">BJ Ngowi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Evans, D" uniqKey="Evans D">D Evans</name></author><author><name sortKey="Maskew, M" uniqKey="Maskew M">M Maskew</name></author><author><name sortKey="Sanne, I" uniqKey="Sanne I">I Sanne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Der Sande, Marianne A" uniqKey="Van Der Sande M">Marianne A Van der Sande</name></author><author><name sortKey="Van Der Loeff" uniqKey="Van Der Loeff">Van der Loeff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bane, A" uniqKey="Bane A">A Bane</name></author><author><name sortKey="Yohannes, Ag" uniqKey="Yohannes A">AG Yohannes</name></author><author><name sortKey="Fekade, D" uniqKey="Fekade D">D Fekade</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meseret, A" uniqKey="Meseret A">A Meseret</name></author><author><name sortKey="Tigist, K" uniqKey="Tigist K">K Tigist</name></author><author><name sortKey="Negash, B" uniqKey="Negash B">B Negash</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ethiop J Health Sci</journal-id><journal-id journal-id-type="iso-abbrev">Ethiop J Health Sci</journal-id><journal-title-group><journal-title>Ethiopian Journal of Health Sciences</journal-title></journal-title-group><issn pub-type="ppub">1029-1857</issn><publisher><publisher-name>Research and Publications Office of Jimma University</publisher-name><publisher-loc>Jimma, Ethiopia</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27358542</article-id><article-id pub-id-type="pmc">4913189</article-id><article-id pub-id-type="publisher-id">jEJHS.v26.i3.pg217</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Prevalence of Malnutrition and Associated Factors among Hospitalized Patients with Acquired Immunodeficiency Syndrome in Jimma University Specialized Hospital, Ethiopia</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mulu</surname><given-names>Habtamu</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Hamza</surname><given-names>Leja</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Alemseged</surname><given-names>Fesehaye</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Internal Medicine, College of Health Sciences, Jimma University, Ethiopia</aff><aff id="A2"><label>2</label>Department of Epidemiology and Biostatistics, College of Health Sciences, Jimma University, Ethiopia</aff><author-notes><corresp>Corresponding Author: Leja Hamza, <email>lejahamza@yahoo.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>5</month><year>2016</year></pub-date><volume>26</volume><issue>3</issue><fpage>217</fpage><lpage>226</lpage><permissions><copyright-statement>Copyright © Jimma University, Research & Publications Office 2016</copyright-statement><copyright-year>2016</copyright-year></permissions><abstract abstract-type="executive-summary"><sec><title>Background</title><p>HIV/AIDS predisposes to malnutrition. Malnutrition exacerbates HIV/AIDS progression resulting in increased morbidity and mortality. The magnitude of malnutrition in HIV/AIDS patients has not been well studied in Ethiopian setup. Our objective was to assess the prevalence of malnutrition and associated factors among HIV/AIDS patients admitted to Jimma University Specialized Hospital (JUSH).</p></sec><sec sec-type="methods"><title>Method</title><p>A cross-sectional study was conducted to assess the nutritional status of 109 HIV/AIDS patients admitted from November 2013 to July 2014. Cohort design was also used for outcome assessment. Serum levels of hemoglobin, albumin and CD4 counts were determined. Data were organized, coded, cleaned, entered into a computer and analyzed using SPSS version 16.0. Descriptive analysis was done initially. Those variables in the bivariate analysis with P-value < 0.25 were then considered as candidates to be included in the multivariable logistic regression model. A P-vale of < 0.05 was considered as statistically significant.</p></sec><sec sec-type="results"><title>Results</title><p>The mean age of the patients was 32.7±8.12 with male to female ratio of 1:1.9. Patients were in either clinical stage, 3(46.8%), or stage, 4(53.2%). Forty nine (45%) of the respondents had a CD4 count of < 200 cells/µL. The overall prevalence of malnutrition was 46.8% (BMI<18.5kg/m2) and 44.1% (MUAC≤ 20cm). Eighty four (77.1%) of the patients had a serum albumin level of ≤3.5g/dl while 76 (69.6%) of the patients had anemia (Hg<12g/dl).</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>The prevalence of malnutrition was found to be high. WHO Stage 4 disease and CD4 count <200cells/µl were independent predictors of malnutrition.</p></sec></abstract><kwd-group><kwd>Malnutrition</kwd><kwd>HIV/AIDS</kwd><kwd>WHO Clinical Stage</kwd><kwd>CD4 count</kwd><kwd>Jimma</kwd><kwd>Ethiopia</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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