The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South Africa

The study determined the nutritional status of adult antiretroviral therapy (ART) recipients, and investigated the association between the duration on ART and the nutritional status. This study was based in primary health facilities in Gauteng, South Africa. The data collected included sociodemograp...

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Main Authors: Khabo Mahlangu, Perpetua Modjadji, Sphiwe Madiba
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/8/3/290
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author Khabo Mahlangu
Perpetua Modjadji
Sphiwe Madiba
author_facet Khabo Mahlangu
Perpetua Modjadji
Sphiwe Madiba
author_sort Khabo Mahlangu
collection DOAJ
description The study determined the nutritional status of adult antiretroviral therapy (ART) recipients, and investigated the association between the duration on ART and the nutritional status. This study was based in primary health facilities in Gauteng, South Africa. The data collected included sociodemographic variables; the duration of the treatment; and the body mass index (BMI), classified as undernutrition (<18.5 kg/m<sup>2</sup>), normal (18.5–24.9 kg/m<sup>2</sup>), or overweight/obesity (≥25 kg/m<sup>2</sup>). ART recipients (<i>n</i> = 480) had a mean age of 35 (± 8.4SD) years. All had taken ART for six months or more (range 6–48 months). The data were analyzed using STATA 13.0. The overall prevalence of overweight/obesity was 39%, it was higher in females (46%) than in males (30%), 26% were overweight, and 13% were obese. Underweight was 13%, and was higher in males (18%) than females (9%). Being overweight was more likely in those aged ≥35 years and those in smaller households. Being obese was less likely in males, in the employed, and in those with a higher income, but was more likely in those with a longer duration on ART. Abdominal obesity was high, but less likely in males. Interventions to prevent overweight/obesity should be integrated into routine HIV care, while at the same time addressing the burden of undernutrition among ART recipients.
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spelling doaj.art-96f9dda929ae48459d13a35ccaa63b482023-11-20T11:06:58ZengMDPI AGHealthcare2227-90322020-08-018329010.3390/healthcare8030290The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South AfricaKhabo Mahlangu0Perpetua Modjadji1Sphiwe Madiba2Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0001, South AfricaDepartment of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0001, South AfricaDepartment of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0001, South AfricaThe study determined the nutritional status of adult antiretroviral therapy (ART) recipients, and investigated the association between the duration on ART and the nutritional status. This study was based in primary health facilities in Gauteng, South Africa. The data collected included sociodemographic variables; the duration of the treatment; and the body mass index (BMI), classified as undernutrition (<18.5 kg/m<sup>2</sup>), normal (18.5–24.9 kg/m<sup>2</sup>), or overweight/obesity (≥25 kg/m<sup>2</sup>). ART recipients (<i>n</i> = 480) had a mean age of 35 (± 8.4SD) years. All had taken ART for six months or more (range 6–48 months). The data were analyzed using STATA 13.0. The overall prevalence of overweight/obesity was 39%, it was higher in females (46%) than in males (30%), 26% were overweight, and 13% were obese. Underweight was 13%, and was higher in males (18%) than females (9%). Being overweight was more likely in those aged ≥35 years and those in smaller households. Being obese was less likely in males, in the employed, and in those with a higher income, but was more likely in those with a longer duration on ART. Abdominal obesity was high, but less likely in males. Interventions to prevent overweight/obesity should be integrated into routine HIV care, while at the same time addressing the burden of undernutrition among ART recipients.https://www.mdpi.com/2227-9032/8/3/290South Africaantiretroviral therapyadultsunderweightoverweightobesity
spellingShingle Khabo Mahlangu
Perpetua Modjadji
Sphiwe Madiba
The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South Africa
Healthcare
South Africa
antiretroviral therapy
adults
underweight
overweight
obesity
title The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South Africa
title_full The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South Africa
title_fullStr The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South Africa
title_full_unstemmed The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South Africa
title_short The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South Africa
title_sort nutritional status of adult antiretroviral therapy recipients with a recent hiv diagnosis a cross sectional study in primary health facilities in gauteng south africa
topic South Africa
antiretroviral therapy
adults
underweight
overweight
obesity
url https://www.mdpi.com/2227-9032/8/3/290
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