Document Detail


Nutritional rehabilitation of HIV-exposed infants in Malawi: results from the drug resources enhancement against AIDS and malnutrition program.
MedLine Citation:
PMID:  22470301     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Infant malnutrition in sub-Saharan Africa is a public health priority and a challenge in high HIV prevalence areas. The Drug Resources Enhancement Against AIDS and Malnutrition program, with multiple medical centers in Sub-Saharan Africa, developed an innovative intervention for the surveillance and control of malnutrition. In a pilot initiative, 36 HIV-exposed children were evaluated at baseline upon presentation for malnutrition and at six months post- treatment. Parameters included HIV-free survival, nutritional status and change in diet. Food diary data was entered and processed using the Nutrisurvey (WHO) software. At 6 months post-intervention, a significant improvement in anthropometric parameters was noted. Slowing of linear growth was observed in patients with malaria with a mean gain in centimetres of 4.4 ± 1.7 as compared to 5.6 ± 1.7 in children with no malaria, p < 0.048 (CL 95%: -2.32, -0.01). Dietary diversity scores increased from 5.3 ± 1.9 to 6.5 ± 1.3, p < 0.01 at 6 months. A significant increase (+25%, p < 0.02) in the number of children eating fish meals was noted. Our pilot data describes positive outcomes from a rehabilitative nutritional approach based on use of local foods, peer education, anthropometric and clinical monitoring in areas of high food insecurity. The relationship between malaria and linear growth retardation requires further investigation.
Authors:
Ersilia Buonomo; Simona de Luca; Dyna Tembo; Paola Scarcella; Paola Germano; Anna Maria Doro Altan; Leonardo Palombi; Giuseppe Liotta; Karin Nielsen-Saines; Fulvio Erba; Maria Cristina Marazzi
Publication Detail:
Type:  Journal Article     Date:  2012-01-30
Journal Detail:
Title:  International journal of environmental research and public health     Volume:  9     ISSN:  1660-4601     ISO Abbreviation:  Int J Environ Res Public Health     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-04-03     Completed Date:  2012-06-19     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101238455     Medline TA:  Int J Environ Res Public Health     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  421-34     Citation Subset:  IM    
Affiliation:
Department of Public Health, Tor Vergata University, Via Montpellier, Rome 00133, Italy.
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MeSH Terms
Descriptor/Qualifier:
HIV Infections / complications,  diet therapy*,  rehabilitation*
Humans
Infant
Malawi
Malnutrition / complications,  diet therapy*,  rehabilitation*
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