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Consumption Rate of a Whole‐Food Macronutient Supplement for Adults Initiating Antiretroviral Therapy in Kenya
Author(s) -
Nudel Jacob Devin,
Ndirangu Murugi,
Sheriff Muhsin,
Arpadi Stephen,
Hawken Mark,
Deckelbaum Richard J,
El Sadr Wafaa,
Sztam Kevin A
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.619.7
Subject(s) - consumption (sociology) , medicine , antiretroviral therapy , environmental health , food insecurity , human immunodeficiency virus (hiv) , food consumption , demography , toxicology , food security , agricultural economics , geography , viral load , biology , economics , social science , archaeology , family medicine , sociology , agriculture
There are scant data quantifying household utilization of macronutrient supplements distributed to HIV‐infected patients in developing settings. In 77 HIV infected adults initiating antiretroviral therapy (ART), we analyzed consumption rates for a 5‐item local food basket given monthly for 24 weeks, designed to provide a family of five 50% of daily energy needs. Food items were weighed at homes at 12 weeks. Actual consumption rates were compared to target rates based on recommended supplement intake amount per household. To meet energy needs of the patient, the target consumption rate was 7555 kcal/day per household. Households consumed a mean of 18957 kcal/day (SD 29751) and the mean consumption rate per household member was 5281 kcal/day (SD 10606). 64% of households exceeded the target household consumption rate. Mean total energy consumption rate was 2.51 times the target rate. Consumption rates of individual items (whole/milled maize, beans, mixed porridge, oil) were similar suggesting patients proportionally rationed food. Based on consumption rates, households lacked supplement for a mean 16.8 days per 28 day cycle. Consumption rates were higher than expected, possibly due to sharing, cost shifting, food insecurity or underestimates of dietary intake during ART. This is the first study to quantify food utilization in HIV‐affected households receiving supplements in a resource‐limited area. Grant Funding Source : Operations Research in AIDS Care and Treatment in Africa, Doris Duke Charitable Foundation