World Journal of Nutrition and Health
ISSN (Print): 2379-7819 ISSN (Online): 2379-7827 Website: Editor-in-chief: Srinivas NAMMI
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World Journal of Nutrition and Health. 2015, 3(2), 35-40
DOI: 10.12691/jnh-3-2-2
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Nutritional Status of HIV-infected Adolescents Enrolled into an HIV-care Program in Urban and Rural Uganda: A Cross-sectional Study

Francis Lwanga1, 2, , Rhoda K. Wanyenze1, 3, Joseph KB Matovu1, 4, Teddy Chimulwa2 and Christopher G. Orach4

1Makerere University School of Public Health-Centers for Disease Control (MakSPH-CDC) Fellowship Program, Kampala Uganda

2The AIDS Support Organization (TASO), Kampala Uganda

3Makerere University School of Public Health, Department of Disease Control and Environmental Health, Kampala Uganda

4Makerere University School of Public Health, Department of Community Health and Behavioral Sciences, Kampala Uganda

Pub. Date: April 26, 2015

Cite this paper:
Francis Lwanga, Rhoda K. Wanyenze, Joseph KB Matovu, Teddy Chimulwa and Christopher G. Orach. Nutritional Status of HIV-infected Adolescents Enrolled into an HIV-care Program in Urban and Rural Uganda: A Cross-sectional Study. World Journal of Nutrition and Health. 2015; 3(2):35-40. doi: 10.12691/jnh-3-2-2


Malnutrition is a major threat to the health of HIV infected individuals and is associated with increased risks of morbidity and mortality. We assessed the nutritional status of HIV-infected adolescents enrolled into HIV care program in Uganda. We carried out across-sectional study. Data were collected on 205 adolescents aged 10-19 years attending The AIDS Support Organization (TASO) HIV care services in Uganda. All adolescents attending an adolescent clinic day in the respective TASO centers were enrolled into the study. Nutritional status was assessed using BMI-for-Age (BAZ) and Height-for-age (HAZ) as measures of thinness and stunting respectively. Standard deviation (SD) scores (Z scores) were applied to determine the nutritional status. Adolescents whose BAZ and HAZ was ≤-3SD were considered severely undernourished; those ≤-2SD were considered malnourished while those > -2SD were well-nourished. Statistical analysis was done using STATA statistical software package. The prevalence of stunting was 36.2% (72/199) with 11.1% (22/199) of adolescents being severely stunted. The risk factors for stunting included being male (AOR: 4.0; 95% CI: 1.81- 7.02) and residence in rural settings (AOR: 6.0; 95% CI 2.70-12.16). Eighteen percent of the adolescents (36/200) were thin, 8% (16/200) being severely thin. The prevalence of stunting and thinness was high among the HIV infected adolescents. Male adolescents and residing in rural settings are important risk factors of malnutrition among the HIV infected adolescents. There is need for development of comprehensive care and support systems including adequate nutritional care and support for HIV infected adolescents.

adolescence stunting thinness HIV rural urban Uganda

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