The effect of nutritional supplementation on quality of life in people living with HIV: a randomised controlled trial.

Journal: Tropical medicine & international health : TM & IH

Volume: 21

Issue: 6

Year of Publication: 2017

Affiliated Institutions:  Department of Psychiatry, College of Health Science, Jimma University, Jimma, Ethiopia. Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark. Department of Pediatrics and Child Health, College of Health Science, Jimma University, Jimma, Ethiopia. Department of Internal Medicine, College of Health Science, Jimma University, Jimma, Ethiopia. Department of Medical Laboratory Sciences & Pathology, College of Health Science, Jimma University, Jimma, Ethiopia. Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Abstract summary 

To determine the effects of lipid-based nutrient supplements (LNS) on the quality of life of people living with HIV (PLHIV) during the first 3 months of antiretroviral treatment (ART) and to investigate the effects of timing of supplementation by comparing with supplementation during the subsequent 3 months.A randomised controlled trial was conducted in three ART clinics within public health facilities in Jimma, Ethiopia. Participants were PLHIV eligible to start ART with body mass index >17 kg/m(2) and given daily supplements of 200 g of LNS containing whey or soya either during the first 3 months or the subsequent months of ART. The outcome was measured in terms of total quality-of-life scores on the adapted version of the WHOQOL-HIV-BREF assessed at baseline, three and six months.Of the 282 participants, 186 (66.0%) were women. The mean age (SD) was 32.8 (±9.0) years, and the mean (SD) total quality-of-life score was 82.0 (±14.8) at baseline assessment. At 3 months, participants who received LNS showed better quality of life than those who only received ART without LNS (β = 6.2, 95% CI: 2.9: 9.6). At 6 months, there was no difference in total quality-of-life score between the early and delayed supplementation groups (β = 3.0, 95% CI: -0.4: 6.4). However, the early supplementation group showed higher scores on the social and spirituality domains than the delayed group.LNS given during the first three months of ART improves the quality of life of PLHIV.

Authors & Co-authors:  Tesfaye Markos M Kaestel Pernille P Olsen Mette Frahm MF Girma Tsinuel T Yilma Daniel D Abdissa Alemseged A Ritz Christian C Michaelsen Kim F KF Hanlon Charlotte C Friis Henrik H

Study Outcome 

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Citations : 
Authors :  10
Identifiers
Doi : 10.1111/tmi.12705
SSN : 1365-3156
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
HIV;VIH;antiretroviral treatment;calidad de vida;emplazamiento con ingresos bajos;food insecurity;inseguridad alimentaria;insécurité alimentaire;lipid-based nutrient supplement;low-income setting;quality of life;qualité vie;suplementos nutricionales de base lipídica;supplément nutritif à base de lipides;traitement antirétroviral;tratamiento antirretroviral;zone à faibles revenus
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England