DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20180982

Study the body mass index (BMI) of HIV patients at tertiary centre, Madhya Pradesh, India

Dinesh Kumar Malviya

Abstract


Background: Individuals at all stages of HIV disease are at risk of nutritional deficiency, and nutritional status is a strong predictor of disease progression, survival, and functional status during the course of the disease.

Methods: It was an observational study including 269 HIV positive patients who were willing to be a part of the study. HIV individuals not willing to undergo above study were excluded from the study. The aim of our study was to assess the of body mass index in HIV patients at tertiary centre, Madhya Pradesh. Nutritional status was evaluated by using internationally accepted BMI guidelines given by World Health Organisation.

Results: In this study, mean age of male HIV patients was 37.21±10.59 and mean age of female HIV patients was 34.27±8.46. Out of the 269 HIV patients, majority of 138 (51.30%) HIV patients have BMI 18.50-24.99 and 122 (45.35%) HIV patients having BMI less than 18.50. Prevalence of undernutrition in male HIV patients was 50 (36.76%) out of 136 male HIV patients and female HIV patients was 72 (54.14%) out of 133 female HIV patients. Out of 261 HIV patients, 225 (86.2%) patients have CD4 count more than 200. Patients having CD4 count less than 200, majority of patients had undernutrition that is 20 (55.56%) out of 36 HIV patients.

Conclusions: The regular measurement of Body Mass Index (BMI) in centre with limited resource may therefore be useful to clinicians in monitoring patient’s response to antiretroviral therapy and predicting the stage of the disease.


Keywords


ART, BMI, HIV

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References


Avert Global information and education on HIV and AIDS. HIV and Nutrition, 2011. Available at http://www.avert.org/hiv-nutrition.htm. Accessed on December 3, 2011.

Brannon, L. Introduction to health psychology. Cengage Learning. 2010:307-14.

Deeks SG, Lewin SR, Havlir DV. The end of AIDS: HIV infection as a chronic disease. Lancet. 2013;382(9903):1525-33.

Pathai S, Bajillan H, Landay AL, High KP. Is HIV a model of accelerated or accentuated aging?. J Gerontology Series A: Biomed Sci Med Sci. 2013;69(7):833-42.

Chlebowski RT, Grosvenor MB, Bernhard NH, Morales LS, Bulcavage LM. Nutritional status, gastrointestinal dysfunction, and survival in patients with AIDS. Ame J Gastroenterol. 1989;84(10).

Wheeler DA, Gibert CL, Launer CA, Muurahainen N, Elion RA, Abrams DI, et al. Weight loss as a predictor of survival and disease progression in HIV infection. Terry Beirn Community Programs for Clinical Research on AIDS. J Acquired Immune Deficiency Syndromes Human Retrovirology: Official Pub Inter Retrovirol Assoc. 1998;18(1):80-5.

Kaiser JD, Campa AM, Ondercin JP, Leoung GS, Pless RF, Baum MK. Micronutrient supplementation increases CD4 count in HIV-infected individuals on highly active antiretroviral therapy: a prospective, double-blinded, placebo-controlled trial. JAIDS J Acquired Immune Deficiency Syndromes. 2006;42(5):523-8.

Tang AM, Forrester J, Spiegelman D, Knox TA, Tchetgen E, Gorbach SL. Weight loss and survival in HIV-positive patients in the era of highly active antiretroviral therapy. J acquired immune deficiency syndromes. 2002;31(2):230-6.

Rajasekaran S, Jeyaseelan L, Vijila S, Gomathi C, Raja K. Predictors of failure of first-line antiretroviral therapy in HIV-infected adults: Indian experience. AIDS. 2007;21:S47-53.

Rajabiun S. HIV/AIDS: A guide for nutrition, care, and support. food and nutrition technical assistance project, academy for educational development; 2001.

Mukherjee K. Body Mass Index and Chronic Energy Deficiency among Adults of Tharu Population, Uttarakhand, India. facilities.;3:4.

Daniel GF, Nebiyou Y, Daniel G. Nutritional status and CD4 cell counts in HIV/AIDS patients under highly active antiretroviral therapy in Addis Ababa, Ethiopia. J AIDS Clin Res. 2017;8(4).

Mustapha KB, Ehianeta TS, Kirim RA, Osungwu FT, Oladepo DK. Highly active antiretroviral therapy (HAART) and body mass index (BMI) relationship in people living with HIV/AIDS (PLWHA) in the Federal Capital Territory, Nigeria and the neighbouring states. J AIDS HIV Res. 2011;3(3):57-62.

Swaminathan S, Padmapriyadarsini C, Sukumar B, Iliayas S, Kumar SR, Triveni C, et al. Nutritional status of persons with HIV infection, persons with HIV infection and tuberculosis, and HIV-negative individuals from southern India. Clinical Infectious Diseases. 2008;46(6):946-9.

Aishwarya R, Assessment of Nutritional Status of people living with HIV/AIDS (PLWHA) in the age group of 18-55 years. 2015;4:17-28.

Kroll AF, Sprinz E, Leal SC, Labrêa MD, Setúbal S. Prevalence of obesity and cardiovascular risk in patients with HIV/AIDS in Porto Alegre, Brazil. Arquivos Brasileiros de Endocrinologia Metabologia. 2012;56(2):137-41.