Nutritional counselling: an intervention for HIV‐positive patients

Tabi, Marian; Vogel, Robert L.

doi:10.1111/j.1365-2648.2006.03855.x

Cited by 24 publications

(41 citation statements)

References 11 publications

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“…This could be attributed to the fact that in the study design, all the groups were given nutritional counseling (Figure 2) in addition to the multivitamin supplementation dispensed to PLWHA receiving care and support at the study centre (SHMCA). The effectiveness of nutritional counseling about protein dietary intake as an intervention to improve health outcomes for HIV positive patients has been reported by Tabi and Vogel [40] whose study; showed increase (from 43.86 kg to 46.57 kg for females and from 51.86 kg to 55.23 kg for males; P = 0.001) in the mean body weight of Ghanaian patients. Similarly, Van Der Sande et al, [41] showed that one unit decrease of BMI resulted in 21% increase in mortality rate (P < 0.001) after controlling baseline immune status (CD4 count).…”

Section: Middle Upper Arm Circumference-muacmentioning

confidence: 61%

Tailored Functional Recipe (TFR) Approach to Delay the Progression of HIV to AIDS among People Living with HIV (PLWH) in Abuja, Nigeria

Amlogu¹,

Tewfik²,

Wambebe³

et al. 2014

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Section: Middle Upper Arm Circumference-muacmentioning

confidence: 61%

Tailored Functional Recipe (TFR) Approach to Delay the Progression of HIV to AIDS among People Living with HIV (PLWH) in Abuja, Nigeria

Amlogu¹,

Tewfik²,

Wambebe³

et al. 2014

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“…However, now that we are 25 years into the HIV/AIDS epidemic, we can begin to examine these consequences in the context of the effect on food security of affected populations. A troubling contention is made by Tabi and Vogel [43] , nursing investigators working in Ghana: 'In Ghana, like many developing countries, more patients with HIV and AIDS die because of their poor nutritional status than from the disease itself'. Although coming from the two most affluent nations of North America, the text of the 2004 position statement of the dietetics associations of the US and Canada ( table 1 ) [44] Infection with the human immunodeficiency virus (HIV) and the development of acquired immunodeficiency syndrome (AIDS) have had a significant impact on domestic and global health, social, political, and economic outcomes.…”

Section: Food Security and Insecurity In Hiv/aids-affected Communitiesmentioning

confidence: 99%

“…In areas in which antiretroviral therapy is scarce, overcoming dietary intake 20 deficits would have a clear palliative benefit as summarized by Tabi and Vogel [43] : 'The health and nutritional status of the patients can be improved through nutritious food, allowing them to lead longer and better quality lives'. Nutritional support is seen as having the potential to prolong the lives of individuals, both for their own benefit and for those dependent upon them for care [71] .…”

Section: Direct Food Assistance To Mitigate Food Insecuritymentioning

confidence: 99%

“…Hence, as most of the workers at the program level [43,96] and most of the academics who advise and inform policy [62,89,92] have counseled, it is more important to assemble the experience and refine practices in the context of formulating immediate and ongoing actions to confront food security. Two of the major principles enunciated throughout this review are: (1) a comprehensive and holistic approach to the underlying problems which go beyond the specific individuals infected with HIV, and (2) basic work at the level of the communities with community consultation, involvement and sustainable responsibility.…”

Section: Conclusion and Projectionsmentioning

confidence: 99%

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HIV and the Ramifications for Food Security and Child Health in Affected Communities

Solomons¹,

O’Donnell

2007

Ann Nestlé [Engl]

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The first cases of the acquired immunodeficiency syndrome (AIDS), caused by the human immunodeficiency virus (HIV), were recognized in 1981. Today, an estimated 39 million people worldwide are infected with the virus. Sixty-four percent of these individuals currently live in the poverty of sub-Saharan Africa, but the pandemic is now spreading fastest in the largest nations of Asia. A state of food security is said to exist when all people, at all times, have access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and healthy life. A concern for food insecurity arose in the HIV/AIDS pandemic, based on the well-known principles of the interaction of malnutrition and infection; more poorly nourished individuals are more severely affected by infectious pathogens while the ravages of infection tend to deplete the nutritional reserves. The social and clinical consequences of HIV/AIDS endanger access to food in areas already stressed by poverty and environmental deterioration. Interventions related to agricultural productivity, income generation and food assistance, must each be crafted and adapted within the local, community contexts, and recognized as necessary to mitigate the adverse effect of HIV/AIDS on food security. UNICEF has made caring, defined as the provision in the household and the community of time, attention, and support to meet the physical, mental, and social needs of the growing child and other household members, into one of the components of its efforts to promote child survival. Its domain includes care for women, breastfeeding and child feeding practices, psychosocial care, food preparation, hygiene practices, and household health practices. The positive deviance approach, that of identifying household caring behaviors that have the best growth, health and development outcomes in children, is now being applied in the context of HIV-positive children. Stigma is a pervasive factor, which tends to isolate households affected with HIV-positive members, and complicates the social context in which food security and care-related interventions can be delivered. Outstanding gaps in our knowledge of food security–HIV/AIDS relationships have been identified. The research questions include the true effectiveness of food assistance to mitigate the effects of HIV and the interaction of food security status with the efficacy and safety of antiretroviral therapy. However, investigation is somewhat of a luxury within the allocation of scarce financial resources, placing a premium on gathering and codifying useful pragmatic experience for mitigating interventions from the valuable experience currently being gathered on the ground by field workers and communities themselves.

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“…No obstante, ahora que han transcurrido 25 años desde el inicio de la epidemia de VIH/SIDA comenzamos a examinar estas consecuencias en el contexto del efecto sobre la seguridad alimentaria de poblaciones afectadas. Tabi y Vogel [43] , investigadores de enfermería que prestan sus servicios en Ghana, expresan un punto de vista inquietante: 'en Ghana, igual que en numerosos países en vías de desarrollo, fallecen más pacientes con VIH y SIDA por su deficiente estado nutricional que por la enfermedad propiamente dicha'. Aunque procedentes de las dos naciones más opulentas de Norteamérica, el texto de la declaración de opinión de 2004 de las asociaciones dietéticas de EE.UU.…”

Section: Seguridad E Inseguridad Alimentarias En Comunidades Afectadaunclassified

El VIH y las ramificaciones para la seguridad alimentaria y la salud infantil en comunidades afectadas

Solomons¹,

O’Donnell

2007

Ann Nestlé [Esp]

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Los primeros casos de síndrome de inmunodeficiencia adquirida (SIDA), causada por el virus de la inmunodeficiencia humana (VIH), se identificaron en 1981. Actualmente se estima en 39 millones las personas infectadas en todo el mundo por el virus. Aunque el 64% de estos individuos viven actualmente en la pobreza de África subsahariana, la pandemia se está propagando en estos momentos con máxima rapidez por las naciones más grandes de Asia. Se dice que existe un estado de seguridad alimentaria cuando toda la población, en todo momento, tiene acceso a comida suficiente, segura y nutritiva para satisfacer sus necesidades dietéticas y preferencias alimentarias, con miras a una vida activa y sana. En la pandemia de VIH/SIDA se suscita una preocupación con respecto a la inseguridad alimentaria, basada en los principios bien conocidos de la interacción entre malnutrición e infección; los individuos con más deficiencias nutricionales son afectados más severamente por patógenos infecciosos, al tiempo que los estragos causados por la infección tienden a agotar las reservas nutricionales. Las consecuencias sociales y clínicas del VIH/SIDA ponen en peligro el acceso a los alimentos en zonas ya castigadas por la pobreza y el deterioro ambiental. Las intervenciones relacionadas con la productividad agrícola, la generación de ingresos y la asistencia alimentaria deben ser cada una trabajada con pericia y adaptada dentro del contexto comunitario local, y reconocidas como necesarias para mitigar los efectos adversos del VIH/SIDA en la seguridad alimentaria. UNICEF ha establecido que la asistencia – definida como la provisión de tiempo, atención y apoyo en el hogar y en la comunidad para satisfacer las necesidades físicas, mentales y sociales del niño en fase de crecimiento y otros miembros del ámbito doméstico – como uno de los componentes de sus esfuerzos para fomentar la supervivencia infantil. En su dominio destacan el cuidado de las mujeres, las prácticas de amamantamiento y alimentación infantil, la atención psicosocial, la preparación de los alimentos, las prácticas higiénicas y de salud domestica. En el contexto de niños VIH positivos, se está aplicando actualmente el enfoque de desviación positiva, que consiste en identificar las conductas de cuidados domésticos que han generado en niños los mejores resultados en cuanto al crecimiento, la salud y el desarrollo. El estigma es un factor dominante que tiende a aislar los hogares afectados con miembros VIH positivos y que complica el contexto social en el que pueden realizarse intervenciones de seguridad alimentaria y de asistencia. Se han identificado lagunas en nuestros conocimientos sobre las relaciones entre seguridad alimentaria y VIH/SIDA. Entre las interrogantes que abarca la investigación destacan la eficacia real de la asistencia alimentaria para mitigar los efectos del VIH y la interacción entre el estado de seguridad alimentaria y la eficacia y seguridad de la terapia antirretroviral. No obstante, la investigación es en cierto modo un lujo dentro de la adjudicación...

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Nutritional counselling: an intervention for HIV‐positive patients

Cited by 24 publications

References 11 publications

Tailored Functional Recipe (TFR) Approach to Delay the Progression of HIV to AIDS among People Living with HIV (PLWH) in Abuja, Nigeria

Tailored Functional Recipe (TFR) Approach to Delay the Progression of HIV to AIDS among People Living with HIV (PLWH) in Abuja, Nigeria

HIV and the Ramifications for Food Security and Child Health in Affected Communities

El VIH y las ramificaciones para la seguridad alimentaria y la salud infantil en comunidades afectadas

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