Nutritional Deficiencies and Food Insecurity Among HIV-infected Children in Tanzania
Nutritional Deficiencies and Food Insecurity Among HIV-infected Children in Tanzania
复制标题
坦桑尼亚艾滋病毒感染儿童的营养缺乏和粮食不安全
DOI：
10.21106/ijma.28
复制
发表时间：
2014
影响因子：
--
通讯作者：
C. F. von Reyn
中科院分区：
文献类型：
--
作者：
Chelsea E. Modlin;H. Naburi;K. Hendricks;G. Lyatuu;J. Kimaro;L. Adams;P. Palumbo;C. F. von Reyn
Background: Poor nutrition has been associated with impaired immunity and accelerated disease progression in HIV-infected children. The aim of this study was to quantify the levels of nutrient intake in HIV-infected children and compare these to standard recommendations. Methods: We surveyed HIV-infected Tanzanian children enrolled in a pediatric care program that provided routine nutritional counseling and vitamin supplementation. We obtained anthropometric measurements and determined 24-hour macronutrient and micronutrient intakes and food insecurity. Values were compared to recommended nutrient intakes based on age and gender. Results: We interviewed 48 pairs of children and their caregiver(s). The age of the child ranged from 2-14 years; median age 6 and 60% female. The median weight-for-height z-score for children ≤ 5 years was 0.69 and BMI-for-age z-scores for children >5 was -0.84. Macronutrient evaluation showed that 29 (60%) children were deficient in dietary intake of energy; deficiency was more common in older children (p=0.004). Micronutrient evaluation shows that over half of study subjects were deficient in dietary intake of vitamin A, vitamin D, vitamin E, thiamine, riboflavin, niacin, folate, vitamin B12, and calcium. Food insecurity was reported by 20 (58%) caregivers. Conclusions and Public Health Implications: The diets of many HIV-infected children at a specialized treatment center in Tanzania do not meet recommended levels of macro-and micro-nutrients. Food insecurity was a contributory factor. Enhanced dietary counseling and provision of macro- and micro-nutrient supplements will be necessary to achieve optimal nutrition for most HIV-infected children in resource-poor regions.
非洲农村地区母亲对导致儿童严重营养不良的因素的看法。
影响因子：
2.1
作者：
Abubakar,A;Holding,P;Mwangome,M;Maitland,K
通讯作者：
Maitland,K
处于艾滋病毒早期阶段的美国青少年对某些对最佳免疫功能很重要的微量营养素的摄入量较低。
影响因子：
--
作者：
Kruzich,LaurieA;Marquis,GraceS;Carriquiry,AliciaL;Wilson,CraigM;Stephensen,CharlesB
通讯作者：
Stephensen,CharlesB