Arpita Chattopadhyay1, Subhashis Bhattacharyya2, Subhashish Dhar3. 1. Postgraduate Student, Department of Pediatrics, Medical College and Hospital , 88, College Street, Kolkata, India . 2. Associate Professor, Department of Pediatrics, Medical College and Hospital , 88, College Street, Kolkata, India . 3. Postgraduate Student, Department of Pediatrics, Medical College and Hospital , 88,College Street, Kolkata, India .
Abstract
AIM: To evaluate the nutritional status of HIV seropositive children, aged 2-10 years with age - matched controls and examine the role of nutritional intervention and HRT on their growth indices. MATERIALS AND METHODS: It was a cross-sectional study done at a HIV Clinic of a teaching hospital. Fifty six seropositive children (age 2-10 year) classified as cases, and 60 seronegative age - matched controls were taken. Demographic and anthropometric characteristics were collected via valid instruments. HIV grading and adherence to HRT were assessed by using validated questionnaires. RESULTS: Of the cases majority (87.5%) were infected by vertical transmission from mother to child, the remaining were infected by blood transfusion out of which 1.78% were haemophiliacs and remaining were thalassaemics. The prevalence of underweight among cases was 64.3%, compared to prevalence of 61% among controls. The prevalence of stunting was 44.6% among cases, while the prevalence of severe stunting was 14.3%. The prevalence of wasting among cases was 30.35%, while 7% cases were severely wasted. Only 23.33% controls were wasted. There was a significant difference in the Height- for-age between cases and controls, in the age of 4 years, 5 years and 6 years (p-value <0.05). CONCLUSION: There was a significant difference in the Height- for-age between cases and controls, in the age of 4 years, 5 years and 6 years, indicating the need for proper nutritional intervention and timely HIV antiretroviral therapy to prevent stunting.
AIM: To evaluate the nutritional status of HIV seropositive children, aged 2-10 years with age - matched controls and examine the role of nutritional intervention and HRT on their growth indices. MATERIALS AND METHODS: It was a cross-sectional study done at a HIV Clinic of a teaching hospital. Fifty six seropositive children (age 2-10 year) classified as cases, and 60 seronegative age - matched controls were taken. Demographic and anthropometric characteristics were collected via valid instruments. HIV grading and adherence to HRT were assessed by using validated questionnaires. RESULTS: Of the cases majority (87.5%) were infected by vertical transmission from mother to child, the remaining were infected by blood transfusion out of which 1.78% were haemophiliacs and remaining were thalassaemics. The prevalence of underweight among cases was 64.3%, compared to prevalence of 61% among controls. The prevalence of stunting was 44.6% among cases, while the prevalence of severe stunting was 14.3%. The prevalence of wasting among cases was 30.35%, while 7% cases were severely wasted. Only 23.33% controls were wasted. There was a significant difference in the Height- for-age between cases and controls, in the age of 4 years, 5 years and 6 years (p-value <0.05). CONCLUSION: There was a significant difference in the Height- for-age between cases and controls, in the age of 4 years, 5 years and 6 years, indicating the need for proper nutritional intervention and timely HIV antiretroviral therapy to prevent stunting.
Entities:
Keywords:
Height for age; Nutrition; Stunting; Wasting; Weight for age
Authors: R E McKinney; M A Maha; E M Connor; J Feinberg; G B Scott; M Wulfsohn; K McIntosh; W Borkowsky; J F Modlin; P Weintrub Journal: N Engl J Med Date: 1991-04-11 Impact factor: 91.245
Authors: C Padmapriyadarsini; N Pooranagangadevi; K Chandrasekaran; Sudha Subramanyan; C Thiruvalluvan; P K Bhavani; Soumya Swaminathan Journal: Int J Pediatr Date: 2009-07-02