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Patrones de crecimiento y estatus de anemia de niños infectados con VIH viviendo en una institución en la India
Author(s) -
Kapavarapu Prasanna K.,
Bari Omar,
Perumpil Mathew,
Duggan Christopher,
Dinakar Chitra,
Krishnamurthy Shubha,
Arumugam Karthika,
Shet Anita
Publication year - 2012
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2012.03022.x
Subject(s) - underweight , medicine , human immunodeficiency virus (hiv) , malnutrition , antiretroviral therapy , pediatrics , incidence (geometry) , prospective cohort study , demography , body mass index , surgery , immunology , viral load , overweight , physics , sociology , optics
Objective To understand the health status of HIV orphans in a well‐structured institutional facility in India. Method Prospective longitudinal analysis of growth and anaemia prevalence among these children, between June 2008 and May 2011. Results A total of 85 HIV‐infected orphan children residing at Sneha Care Home, Bangalore, for at least 1 year, were included in the analysis. Prevalence of anaemia at entry into the home was 40%, with the cumulative incidence of anaemia during the study period being 85%. At baseline, 79% were underweight and 72% were stunted. All children, irrespective of their antiretroviral therapy (ART) status, showed an improvement in nutritional status over time as demonstrated by a significant increase in weight (median weight‐for‐age Z ‐score: −2.75 to −1.74, P < 0.001) and height Z ‐scores (median height‐for‐age Z ‐score: −2.69 to −1.63, P < 0.001). Conclusion These findings suggest that good nutrition even in the absence of ART can bring about improvement in growth. The Sneha Care Home model indicates that the holistic approach used in the Home may have been helpful in combating HIV and poor nutritional status in severely malnourished orphaned children.