Malnutrition and its associated factors among people living with HIV/AIDS (PLHIV) in resource limited settings: A single-centred study

Objectives: The objective of this study was to determine the prevalence and factors associated with malnutrition among PLHIV accessing ART at Muhammad Shuwa Memorial Hospital (MSMH). Methods: A facility-based cross-sectional study recruited 384 PLHIV accessing ART at MSMH using convenience sampling....

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Main Authors: Muktar Musa Shallangwa, Nathan Isaac Dibal, Mukund Bhandari, Shuaibu Saidu Musa, Hassan Muhammad Bello
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213398423002105
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author Muktar Musa Shallangwa
Nathan Isaac Dibal
Mukund Bhandari
Shuaibu Saidu Musa
Hassan Muhammad Bello
author_facet Muktar Musa Shallangwa
Nathan Isaac Dibal
Mukund Bhandari
Shuaibu Saidu Musa
Hassan Muhammad Bello
author_sort Muktar Musa Shallangwa
collection DOAJ
description Objectives: The objective of this study was to determine the prevalence and factors associated with malnutrition among PLHIV accessing ART at Muhammad Shuwa Memorial Hospital (MSMH). Methods: A facility-based cross-sectional study recruited 384 PLHIV accessing ART at MSMH using convenience sampling. Heights and weights were measured in metre (m) and kilogram (kg) respectively to determine body mass index (BMI). BMI <18.5 kg/m2 indicated undernourishment, and BMI >25.5 kg/m2 indicated overweight/obesity. Results: The prevalence of undernutrition and overnutrition among participants was 13% and 30.2%, respectively. Factors such as being female (AOR = 17.72; 95% CI: 4.214–74.548), aged 30 years and above (AOR = 9.87; 95% CI: 2.984–32.631), being unmarried (AOR = 0.34; 95% CI: 0.122–0.936), having a monthly income of N30,000 or higher (AOR = 0.34; 95% CI: 0.122–0.936), having a WHO clinical stage 2 and above (AOR = 35.9; 95% CI: 6.061–212.596), having a viral load of 1000cp/ml or higher (AOR = 4.95; 95% CI: 1.136–21.576), being on ART for 5 years and above (AOR = 0.01; 95% CI: 0.002–0.06), and having inadequate dietary diversity (AOR = 0.03; 95% CI: 0.003–0.18) were associated with undernutrition. On the other hand, factors such as being aged 30 years and above (AOR = 6.68; 95% CI: 2.261–22.845), being unemployed (AOR = 2.833; 95% CI: 1.419–5.984), being on DTG-based regimen (AOR = 0.025; 95% CI: 0.003–0.101), not experiencing eating difficulties (AOR = 11.53; 95% CI: 1.706–254.494), and having inadequate dietary diversity (AOR = 0.200; 95% CI: 0.105–0.371) were associated with overnutrition. Conclusion: Prevalence of both undernutrition and overweight or obesity is observed among PLHIV at MSMH. Consequently, it is essential to include nutrition education as an integral component of the comprehensive care provided to PLHIV.
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spelling doaj.art-a65b2d6d34ed4a0fbb3db740df4c6bc72023-12-16T06:07:15ZengElsevierClinical Epidemiology and Global Health2213-39842023-11-0124101423Malnutrition and its associated factors among people living with HIV/AIDS (PLHIV) in resource limited settings: A single-centred studyMuktar Musa Shallangwa0Nathan Isaac Dibal1Mukund Bhandari2Shuaibu Saidu Musa3Hassan Muhammad Bello4Achieving Health Nigeria Initiative (AHNI), Biu, Borno State, Nigeria; Corresponding author.Department of Human Anatomy, University of Maiduguri, Borno State, NigeriaUniversity of Texas Health Science Center at San Antonio, United StatesDepartment of Nursing Science, Ahmadu Bello University, Zaria, NigeriaBiu General Hospital, Borno State, NigeriaObjectives: The objective of this study was to determine the prevalence and factors associated with malnutrition among PLHIV accessing ART at Muhammad Shuwa Memorial Hospital (MSMH). Methods: A facility-based cross-sectional study recruited 384 PLHIV accessing ART at MSMH using convenience sampling. Heights and weights were measured in metre (m) and kilogram (kg) respectively to determine body mass index (BMI). BMI <18.5 kg/m2 indicated undernourishment, and BMI >25.5 kg/m2 indicated overweight/obesity. Results: The prevalence of undernutrition and overnutrition among participants was 13% and 30.2%, respectively. Factors such as being female (AOR = 17.72; 95% CI: 4.214–74.548), aged 30 years and above (AOR = 9.87; 95% CI: 2.984–32.631), being unmarried (AOR = 0.34; 95% CI: 0.122–0.936), having a monthly income of N30,000 or higher (AOR = 0.34; 95% CI: 0.122–0.936), having a WHO clinical stage 2 and above (AOR = 35.9; 95% CI: 6.061–212.596), having a viral load of 1000cp/ml or higher (AOR = 4.95; 95% CI: 1.136–21.576), being on ART for 5 years and above (AOR = 0.01; 95% CI: 0.002–0.06), and having inadequate dietary diversity (AOR = 0.03; 95% CI: 0.003–0.18) were associated with undernutrition. On the other hand, factors such as being aged 30 years and above (AOR = 6.68; 95% CI: 2.261–22.845), being unemployed (AOR = 2.833; 95% CI: 1.419–5.984), being on DTG-based regimen (AOR = 0.025; 95% CI: 0.003–0.101), not experiencing eating difficulties (AOR = 11.53; 95% CI: 1.706–254.494), and having inadequate dietary diversity (AOR = 0.200; 95% CI: 0.105–0.371) were associated with overnutrition. Conclusion: Prevalence of both undernutrition and overweight or obesity is observed among PLHIV at MSMH. Consequently, it is essential to include nutrition education as an integral component of the comprehensive care provided to PLHIV.http://www.sciencedirect.com/science/article/pii/S2213398423002105MalnutritionNigeriaPLHIVBornoDietary diversity
spellingShingle Muktar Musa Shallangwa
Nathan Isaac Dibal
Mukund Bhandari
Shuaibu Saidu Musa
Hassan Muhammad Bello
Malnutrition and its associated factors among people living with HIV/AIDS (PLHIV) in resource limited settings: A single-centred study
Clinical Epidemiology and Global Health
Malnutrition
Nigeria
PLHIV
Borno
Dietary diversity
title Malnutrition and its associated factors among people living with HIV/AIDS (PLHIV) in resource limited settings: A single-centred study
title_full Malnutrition and its associated factors among people living with HIV/AIDS (PLHIV) in resource limited settings: A single-centred study
title_fullStr Malnutrition and its associated factors among people living with HIV/AIDS (PLHIV) in resource limited settings: A single-centred study
title_full_unstemmed Malnutrition and its associated factors among people living with HIV/AIDS (PLHIV) in resource limited settings: A single-centred study
title_short Malnutrition and its associated factors among people living with HIV/AIDS (PLHIV) in resource limited settings: A single-centred study
title_sort malnutrition and its associated factors among people living with hiv aids plhiv in resource limited settings a single centred study
topic Malnutrition
Nigeria
PLHIV
Borno
Dietary diversity
url http://www.sciencedirect.com/science/article/pii/S2213398423002105
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