Impact of food support on food security and body weight among HIV antiretroviral therapy recipients in Honduras: a pilot intervention trial.
Impact of food support on food security and body weight among HIV antiretroviral therapy recipients in Honduras: a pilot intervention trial.
复制标题
洪都拉斯中艾滋病毒抗逆转录病毒疗法接受者对粮食安全和体重的影响：试点干预试验。
DOI：
10.1080/09540121.2014.983041
复制
发表时间：
2015
期刊：
影响因子：
1.7
通讯作者：
Martinez H
中科院分区：
文献类型：
--
作者：
Palar K;Derose KP;Linnemayr S;Smith A;Farías H;Wagner G;Martinez H
Optimal strategies to improve food security and nutrition for people with HIV (PLHIV) may differ in settings where overweight and obesity are prevalent and cardiovascular disease risk is a concern. However, no studies among PLHIV have investigated the impact of food support on nutritional outcomes in these settings. We therefore assessed the effect of food support on food insecurity and body weight in a population of PLHIV with high prevalence of overweight and obesity. We implemented a pilot intervention trial in 4 government-run HIV clinics in Honduras. The trial tested the effect of a monthly household food ration plus nutrition education (n=203), compared to nutrition education alone (n=197), over 12 months. Participants were clinic patients receiving antiretroviral therapy (ART). Assessments were obtained at baseline, 6 and 12 months. Primary outcomes for this analysis were food security, using the validated Latin American and Caribbean Food Security Scale, and body weight (kg). Thirty-one percent of participants were overweight (22%) or obese (8%) at baseline. At 6 months, the probability of severe food insecurity decreased by 48.3% (p < 0.01) in the food support group, compared to 11.6% in the education-only group (p<0.01). Among overweight or obese participants, food support led to average weight gain of 1.13 kg (p<0.01), while nutrition education alone was associated with average weight loss of 0.72 kg (p<0.10). Nutrition education alone was associated with weight gain among underweight and normal weight participants. Household food support may improve food security but not necessarily nutritional status of ART recipients above and beyond nutrition education. Improving nutritional tailoring of food support and testing the impact of nutrition education should be prioritized for PLHIV in Latin America and similar settings.
登录
查看更多内容
影响因子：
4.4
作者：
Martinez, Homero;Palar, Kartika;Linnemayr, Sebastian;Smith, Alexandria;Derose, Kathryn Pitkin;Ramirez, Blanca;Farias, Hugo;Wagner, Glenn
通讯作者：
Wagner, Glenn
影响因子：
4.2
作者：
Leroy, Jef L.;Gadsden, Paola;Gertler, Paul
通讯作者：
Gertler, Paul
影响因子：
3.8
作者：
Crum-Cianflone, Nancy F.;Roediger, Mollie;Agan, Brian K.
通讯作者：
Agan, Brian K.
影响因子：
9.3
作者：
Laraia, Barbara A.
通讯作者：
Laraia, Barbara A.
DOI：
10.1097/qai.0b013e3181b627c2
发表时间：
2009-11-01
影响因子：
3.6
作者：
Weiser, Sheri D.;Fernandes, Kimberly A.;Hogg, Robert S.
通讯作者：
Hogg, Robert S.