Acceptability and effectiveness of chickpea sesame-based ready-to-use therapeutic food in malnourished HIV-positive adults.

Patient Preference and Adherence
Paluku BahwereSteve Collins

Abstract

A prospective descriptive study to assess acceptability and effectiveness of a locally made ready-to-use therapeutic food (RUTF) in HIV-infected chronically sick adults (CSA) with mid-upper-arm circumference (MUAC) <210 mm or pitting edema. Sixty-three wasted AIDS adults were prescribed 500 g representing ~2600 kcal/day of locally made RUTF for three months and routine cotrimoxazole. Weight, height, MUAC, Karnofsky score and morbidity were measured at admission and at monthly intervals. The amount of RUTF intake and acceptability were assessed monthly. Ninety-five percent (60/63) of the CSA that were invited to join the study agreed to participate. Mean daily intake in these 60 patients was 300 g/person/day (~1590 Kcal and 40 g of protein). Overall, 73.3% (44/60) gained weight, BMI, and MUAC. The median weight, MUAC and BMI gains after three months were 3.0 kg, 25.4 mm, and 1.1 kg/m(2), respectively. The intervention improved the physical activity performance of participants and 78.3% (47/60) regained sufficient strength to walk to the nearest health facility. Mortality at three months was 18.3% (11/60). Locally made RUTF was acceptable to patients and was associated with a rapid weight gain and physical activity performance. T...Continue Reading

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Citations

Apr 27, 2016·Tropical Medicine & International Health : TM & IH·Markos TesfayeHenrik Friis
Feb 13, 2016·Food and Nutrition Bulletin·Jacklyn Weber, Meghan Callaghan
Sep 22, 2018·Food and Nutrition Bulletin·Meghan Callaghan-Gillespie, Melody Mui
Jun 10, 2015·Public Health Nutrition·Santiago Rodas-MoyaSaskia de Pee
Mar 13, 2015·The Proceedings of the Nutrition Society·Keiron A AudainBasma Ellahi
Dec 22, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Aderajew Nigusse TekelehaimanotLelisa Sena Dadi

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