Maternal Factors Influencing the Nutritional Status of HIV-Exposed Infants: A 12-Month Follow-Up in Mathare and

Elizabeth Mueke Kiilu1, Simon Karanja2, Gideon Kikuvi2

  • 1Department of Public Health, University of Bradford, Bradford, UK. e.m.kiilu@bradford.ac.uk.

AIDS and Behavior
|February 14, 2025
PubMed

Insights

Maternal factors like age and nutrition significantly impact infant growth, especially for HIV-exposed babies. Improving maternal care and antiretroviral therapy (ART) adherence is key to preventing infant malnutrition and reducing HIV transmission.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Optimal infant nutrition is critical for survival and development.
  • HIV-exposed infants face higher risks of low birthweight, malnutrition, and HIV infection.
  • Understanding nutritional status determinants in HIV-exposed infants is vital for targeted interventions.

Purpose of the Study:

  • To assess the nutritional status of HIV-exposed infants over 12 months.
  • To identify maternal and infant factors associated with malnutrition (wasting, stunting, underweight) in this cohort.
  • To inform strategies for improving infant growth and reducing vertical HIV transmission.

Main Methods:

  • A 12-month longitudinal study involving 166 HIV-exposed infants.
  • Nutritional status assessed at 6 weeks, 6 months, and 12 months using WHO growth standards.
  • Data analyzed using Fisher's test and logistic regression to determine odds ratios (aOR) and confidence intervals (CI).

Main Results:

  • Younger maternal age (18-24 years) increased odds of infant wasting at all timepoints.
  • Maternal underweight and second-line antiretroviral therapy (ART) regimens were linked to higher stunting odds at 6 months.
  • Poor maternal ART adherence and second-line ART regimens increased stunting odds at 12 months.
  • High maternal viral load was associated with underweight infants at 6 weeks; maternal employment correlated with lower underweight odds.

Conclusions:

  • Maternal nutrition, ART adherence, and viral load significantly influence infant nutritional status.
  • Integrating comprehensive nutritional care and enhancing ART counseling are crucial.
  • These interventions can mitigate risks of poor infant growth and vertical HIV transmission.

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