Research Articles >
College of Science >
Please use this identifier to cite or link to this item:
|Title: ||Nutritional and health status of people living with HIV/AIDS in the eastern region of Ghana|
|Authors: ||Apungu, Francis Kwotua|
Amewu, Emmanuel Kobla Atsu
Ahuno, Samuel Terkper
|Keywords: ||Nutrition support programmes|
|Issue Date: ||Sep-2019|
|Publisher: ||Nutrition & Food Science|
|Citation: ||Nutrition & Food Science, 2019|
|Abstract: ||Purpose – The purpose of the study is to assess the nutritional and health status of people living with HIV/
AIDS (18-60 years) in selected health facilities in the eastern region of Ghana and to determine the influence
nutrition support programmes (NSP) have on the nutritional and health status of people living with HIV/
Design/methodology/approach – A retrospective study design was used. Purposive and convenience
sampling was used to select four hospitals and 200 beneficiaries and non-beneficiaries of the NSP. A
structured questionnaire was used to collect the sociodemographic, anthropometric, biochemical and clinical
history of the participants. Dietary intake was assessed with food frequency and 24-h dietary intake
questionnaires. Previous data from the medical record within three to six months before the research was
collected and compared with current data.
Findings – The prevalence of underweight (using body mass index) was 17 per cent and overweight/obesity
was 37 per cent. Most respondents had adequate consumption of phosphorus (70.5 per cent); inadequate
intake of calcium (95 per cent), vitamin E (77.5 per cent) and vitamin A (94 per cent); and excess intakes of
sodium (93 per cent), selenium (77 per cent), copper (83.5 per cent) and manganese (76 per cent). There was no
significant difference in nutrient intake of beneficiaries and non-beneficiaries of the NSP, although there were
significant differences in the frequency of consumption of fruits (p < 0.001), vegetables (p < 0.001), legumes
(p = 0.002), animal foods (p < 0.001) and cereals, grains and starch (p < 0.001) between beneficiaries and nonbeneficiaries
of NSP. About 38 and 20 per cent of respondents, respectively, had low haemoglobin (Hb <
11 g/dL) and high viral load (1,000 cp/mL). Comparing the current and previous (three to sixmonths before the
study) health and nutritional status of beneficiaries and non-beneficiaries of NSP, among the beneficiaries of
NSP, monocytes increased by 40.6 per cent (p = 0.028) and mean weight decreased by 2.4 per cent (p = 0.007),Hb decreased by 7.1 per cent (p = 0.27) and viral load decreased by 4.2 per cent (p = 0.49), whereas among the
non-beneficiaries, mean weight decreased by 0.05 per cent (p = 0.95) and Hb increased by 9.6 per cent (p =
0.06) and monocytes increased (p = 0.28) and viral load increased by 98.2 per cent (p = 0.34).
Research limitations/implications – A significant proportion of people living with HIV/AIDS had a
high prevalence of underweight and overweight/obesity, inadequate nutrients intake and high viral load. The
NSP for people living with HIV/AIDS in the eastern region of Ghana did not significantly influence the
nutritional and health status of these people.
Practical implications – Knowing the nutritional status will help health institutions plan activities
towards improving the health and nutritional status of people living with HIV/AIDS. This research is aimed
at not only contributing to the existing body of knowledge but also making recommendations of action
towards improving NSPs of people living with HIV/AIDS.
Social implications – Improvement in nutritional and health status of people living with HIV/AIDS will
help reduce morbidity and mortality and its related cost to families, communities and the nation.
Originality/value – This study is first to determine the influence of NSPs on nutritional and health status
of people living with HIV/AIDS in the eastern region of Ghana.|
|Description: ||An article published by Nutrition & Food Science, 2019; DOI 10.1108/NFS-05-2019-0145|
|Appears in Collections:||College of Science|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.