Health & nutritional status of HIV infected children in Hyderabad, India

Health & nutritional status of HIV infected children in Hyderabad, India

Information on nutritional status of HIV infected children from India is lacking and is required before taking up nutritional supplementation trials. Thus, the aim of the present study was to assess the growth and morbidity status of HIV infected children over a period of one year in a city in south...

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Bibliographic Details
Published in:Indian journal of medical research (New Delhi, India : 1994) Vol. 141; no. 1; pp. 46 - 54
Main Authors: Swetha, G Krishna, Hemalatha, R, Prasad, U V, Murali, Vasudev, Damayanti, K, Bhaskar, V
Format: Journal Article
Language:English
Published: India Medknow Publications and Media Pvt. Ltd 01-01-2015
Scientific Scholar
Medknow Publications & Media Pvt Ltd
Subjects:
Adolescent
Age
Anemia
Antiretroviral drugs
Body composition
Body fat
Child
Child health
Child, Preschool
Children & youth
Dietary supplements
Female
Health Status
HIV
HIV Infections - blood
HIV Infections - physiopathology
HIV patients
Human immunodeficiency virus
Humans
India
Infant
Infections
Male
Malnutrition
Management
Morbidity
Nutrition research
Nutritional aspects
Nutritional Status
Original
Orphanages
Tuberculosis
Vitamin A
Vitamin B
India
United States > US
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Summary:Information on nutritional status of HIV infected children from India is lacking and is required before taking up nutritional supplementation trials. Thus, the aim of the present study was to assess the growth and morbidity status of HIV infected children over a period of one year in a city in southern India. This was an observational study carried out between July 2009 and February 2011, at two orphanages in Hyderabad, India. Seventy seven HIV-positive children aged between 1 and half and 15 years, both on and not on antiretroviral therapy (ART) were included. Nutritional status was assessed longitudinally for one year by weight gain, linear growth and body composition. Serum samples were analyzed for haemoglobin, micronutrients, CD4 and CD8 counts. Dietary intakes were assessed by institutional diet survey and morbidity data were recorded every day for 12 months. Mean energy intakes were less than recommended dietary allowance (RDA) in all age groups. Iron and folate intakes were less than 50 per cent of RDA; 46 (59.7%) children were stunted, 36 (46.8%) were underweight and 15 (19.5%) had low BMI for age. Anaemia was observed in 35 (45.5%) children. Micronutrient deficiencies such as vitamin D (40/77; 51.9%), vitamin A (11/77; 14.3%), folate (37/77; 48.1%), iron (38/77; 49.3%) were widely prevalent. HIV viral load was higher in children not on ART and those with morbidity. Respiratory (36.6%) and dermatological illnesses (18.8%) were the commonest presentations. Acute, chronic malnutrition and micronutrient deficiencies were common in HIV infected children, especially in those not on ART and having morbidity. With severe malnutrition being an alarming consequence of HIV, prophylactic nutritive care should be considered for integration into HIV care strategies besides initiation of ART to improve the nutritional status and quality of life of these children.
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ISSN:0971-5916
0975-9174
DOI:10.4103/0971-5916.154494