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Evolution of nutritional status of infants infected with the human immunodeficiency virus
V A Leandro-Merhi1, M M Vilela, M N Silva
1Department of Nutrition, Pontifícia Universidade Católica de Campinas, Campinas, Brazil.
Insights
Human immunodeficiency virus (HIV) infection significantly impacts infant growth. Infected infants show severely affected growth parameters compared to non-infected infants, with changes beginning early in life.
Area of Science:
- Pediatrics
- Infectious Diseases
- Nutritional Science
Background:
- Limited studies exist on growth and nutritional status in children with HIV.
- Understanding these parameters is crucial for early intervention and management.
Purpose of the Study:
- To investigate the nutritional status and growth patterns of infants infected with human immunodeficiency virus (HIV).
Main Methods:
- A longitudinal study evaluated 124 infants born to HIV-infected mothers from birth to two years.
- Participants were divided into HIV-infected (n=71) and non-infected (n=53) groups.
- Growth was assessed using Z-scores for weight-for-age, length-for-age, and weight-for-length, referencing NCHS curves.
Main Results:
- Significant differences in growth Z-scores were observed between infected and non-infected groups for most variables.
- Exceptions included length-for-age at 3 months and weight-for-length at 21 months (P > 0.05).
Conclusions:
- HIV infection severely impairs infant growth compared to seroreversed infants.
- Growth alterations commence early post-birth, preceding clinical manifestations.
Context:
There are today only a limited number of studies defining growth parameters and nutritional status for HIV children.
Objective:
To study the nutritional status of infants infected with the human immunodeficiency virus.
Type Of Study:
Longitudinal study.
Setting:
Department of Pediatrics, Faculty of Medical Sciences, UNICAMP, Campinas, Brazil.
Participants:
One hundred and twenty-four children born to HIV infected mothers were evaluated from birth until the age of two years. They were subdivided into two groups: 71 infected children and 53 non-infected children.
Main Measurements:
Growth was evaluated in both groups by comparing Z-scores for weight/age (w/a), length/age (H/a) and weight/length (w/H) (using the NCHS curves as reference).
Results:
The Z-score analyses showed that there was a significant difference between the two groups for all the variables studied, except for the H/a value at 3 months of age and the W/H value at 21 months of age, which showed P > 0.05.
Conclusions:
The growth of infected infants was observed to be severely affected in comparison with that of seroreversed infants in the same age groups. Although clinical manifestations may take time to appear, the onset of growth changes begin soon after birth.
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