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Title: Nutritional and health status ofpeople living with HIV/AIDS in theeastern region of Ghana
Authors: Apungu, Francis Kwotua
Apprey, Charles
Amewu, Emmanuel Kobla Atsu
Ahuno, Samuel Terkper
Kwarteng, Alexander
Keywords: Nutrition support programmes
Nutritional status
Health status
HIV/AIDS
Malnutrition
Immune system
Issue Date: 17-Sep-2019
Publisher: Emerald Publishing Limited
Citation: Nutrition & Food ScienceVol. 50 No. 4, 2020pp. 765-783© Emerald Publishing Limited0034-6659DOI10.1108/NFS-05-2019-0145
Abstract: Purpose–The purpose of the study is to assess the nutritional and health status of people living with HIV/AIDS (18-60 years) in selected health facilities in the eastern region of Ghana and to determine the influencenutrition support programmes (NSP) have on the nutritional and health status of people living with HIV/AIDS.Design/methodology/approach–A retrospective study design was used. Purposive and conveniencesampling was used to select four hospitals and 200 beneficiaries and non-beneficiaries of the NSP. Astructured questionnaire was used to collect the sociodemographic, anthropometric, biochemical and clinicalhistory of the participants. Dietary intake was assessed with food frequency and 24-h dietary intakequestionnaires. Previous data from the medical record within three to six months before the research wascollected and compared with current data.Findings–The prevalence of underweight (using body mass index) was 17 per cent and overweight/obesitywas 37 per cent. Most respondents had adequate consumption of phosphorus (70.5 per cent); inadequateintake of calcium (95 per cent), vitamin E (77.5 per cent) and vitamin A (94 per cent); and excess intakes ofsodium (93 per cent), selenium (77 per cent), copper (83.5 per cent) and manganese (76 per cent). There was nosignificant difference in nutrient intake of beneficiaries and non-beneficiaries of the NSP, although there weresignificant differences in the frequency of consumption of fruits (p<0.001), vegetables (p<0.001), legumes(p= 0.002), animal foods (p<0.001) and cereals, grains and starch (p<0.001) between beneficiaries and non-beneficiaries of NSP. About 38 and 20 per cent of respondents, respectively, had low haemoglobin (Hb<11 g/dL) and high viral load (1,000 cp/mL). Comparing the current and previous (three to six months before thestudy) health and nutritional status of beneficiaries and non-beneficiaries of NSP, among the beneficiaries ofNSP, monocytes increased by 40.6 per cent (p= 0.028) and mean weight decreased by 2.4 per cent (p= 0.007), Hb decreased by 7.1 per cent (p= 0.27) and viral load decreased by 4.2 per cent (p= 0.49), whereas among thenon-beneficiaries, mean weight decreased by 0.05 per cent (p= 0.95) and Hb increased by 9.6 per cent (p=0.06) and monocytes increased (p= 0.28) and viral load increased by 98.2 per cent (p= 0.34).Research limitations/implications–A significant proportion of people living with HIV/AIDS had ahigh prevalence of underweight and overweight/obesity, inadequate nutrients intake and high viral load. TheNSP for people living with HIV/AIDS in the eastern region of Ghana did not significantly influence thenutritional and health status of these people.Practical implications–Knowing the nutritional status will help health institutions plan activitiestowards improving the health and nutritional status of people living with HIV/AIDS. This research is aimedat not only contributing to the existing body of knowledge but also making recommendations of actiontowards improving NSPs of people living with HIV/AIDS.Social implications–Improvement in nutritional and health status of people living with HIV/AIDS willhelp reduce morbidity and mortality and its related cost to families, communities and the nation.Originality/value–This study isfirst to determine the influence of NSPs on nutritional and health statusof people living with HIV/AIDS in the eastern region of Ghana.
Description: An article published by Emerald Publishing Limited and also available at DOI10.1108/NFS-05-2019-0145
URI: http://hdl.handle.net/123456789/12706
Appears in Collections:College of Science

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