Sidibé S, Magassouba A S, Delamou A, Magaboussa F B, Sandouno S D, Kra K É, Conte N
Centre de formation et de recherche en santé rurale de Mafèrinyah, 2649 Conakry, Guinée, Université Gamal Abdel Nasser de Conakry, BP : 1147, Conakry, Guinée.
Université Gamal Abdel Nasser de Conakry, BP : 1147, Conakry, Guinée.
Med Sante Trop. 2017 Feb 1;27(1):77-81. doi: 10.1684/mst.2017.0654.
The nutritional status of people living with HIV/AIDS (PLHIV) has a direct impact on their health. The aim of this study was to describe the nutritional status of PLWHA receiving care at the Ratoma community medical center in Conakry, Guinea. This quantitative cross-sectional study assessed the nutritional status of 184 people PLHIV receiving antiretroviral treatment. The sample comprised 184 PLHIV selected by a systematic random sampling from the complete list of PLHIV. The data were collected by individual questionnaires. Two groups were defined according to their nutritional status, based on their body mass index (BMI): a malnourished group (BMI < 18,5kg/m2) and a well-nourished group (BMI ≥ 18,5kg/m2). CD4 lymphocyte counts were also collected. Of the 184 PLVIH, 19.6% were malnourished (95%CI: 14.1-25.0). The mean BMI was 22.2 ± 4.3 kg/m2). The mean CD4 count differed significantly between the groups (328.7±237.7 CD4 cells/mm3 for the malnourished group and 432.9±256.9 for the well-nourished, p <0.017). Malnutrition was significantly associated with a low CD4 count. To improve survival and quality of life among PLHIV, this high frequency of malnutrition calls for sustained attention to the prevention and early detection and treatment of malnutrition in the early stages of HIV.
感染艾滋病毒/艾滋病的人（PLHIV）的营养状况对其健康有直接影响。本研究的目的是描述在几内亚科纳克里拉托马社区医疗中心接受护理的PLWHA的营养状况。这项定量横断面研究评估了184名接受抗逆转录病毒治疗的PLHIV的营养状况。样本包括通过系统随机抽样从PLHIV完整列表中选出的184名PLHIV。数据通过个人问卷收集。根据体重指数（BMI）将两组按营养状况进行定义：营养不良组（BMI < 18.5kg/m²）和营养良好组（BMI≥18.5kg/m²）。还收集了CD4淋巴细胞计数。在184名PLVIH中，19.6%营养不良（95%CI：14.1 - 25.0）。平均BMI为22.2±4.3kg/m²。两组之间的平均CD4计数差异显著（营养不良组为328.7±237.7个CD4细胞/mm³，营养良好组为432.9±256.9个，p < 0.017）。营养不良与低CD4计数显著相关。为了提高PLHIV的生存率和生活质量，这种高频率的营养不良需要在艾滋病毒早期持续关注营养不良的预防、早期检测和治疗。
