Cross sectional association of nutrition intake and caracteristic with nutritional status of HIV patients
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Abstract
Nutritional status is associatesd with both quality of life and mortality risk in individuals with HIV. Adequate nutrition intake enhance resilience againts opportunistic infections in HIV patients. The aim of this study is determine factors associated with nutritional status. This study was using cross sectional design that involved 99 participants that were determined by consecutive sampling. The participants were HIV patients who were outpatient at Kanca Sehati Polyclinic, Dr Hi Abdul Moeloek Hospital, Lampung on Juli – August 2024. The dependent variable is nutritional status and the independent variables are the characteristics and nutrition intake of HIV patient. Nutritional status is determined by calculating Body Mass Index (BMI), characteristic data were colected from medical records and interviews, nutrition intake form SQ FFQ (Semi Quantitative Food Frequency). Data were analyzed by chi square. The results of this study show that the common range of age is 21 – 40 years old (78.78%), the common education level is secondary education (62%), the majority of participants' occupation was self-employment (29%). Participants received ART treatment <1 year are 50%, and 12% of participants have gastrointestinal disorders. Participants with underweight are 27% and overweight are 13%. Participants who have energy intake deficit are 37%, protein intake category are 54%. The statistical tests show that nutritional status are related to type of work (0.003) and medication consumed (p=0.015), nutritional status is not associated with gender, age, education, employment, duration of taking medication, energy intake or protein intake.
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How to Cite
Wahyuni, E. S., J, Y. N. and Sutrio, S. (2025) “Cross sectional association of nutrition intake and caracteristic with nutritional status of HIV patients”, Science Midwifery, 12(6), pp. 1817-1826. doi: 10.35335/midwifery.v12i5.1790.
References
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Ajmala, I., & Wulandari, L. (2015). Terapi ARV pada Penderita Ko-Infeksi TB-HIV. Jurnal Respirasi, 1(1), 22–28.
Amelia, E. R. (2021). Hubungan status gizi terhadap kematian anak HIV/AIDS. Jurnal Medika Hutama, 2(04 Juli), 1241–1244.
Anderson, K., Pramudo, S. G., & Sofro, M. A. U. (2017). Hubungan status gizi dengan kualitas hidup orang dengan HIV/AIDS di Semarang. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 6(2), 692–704.
Basile, F. W., Fedele, M. C., & Lo Vecchio, A. (2021). Gastrointestinal Diseases in Children Living with HIV. Microorganisms, 9(8), 1572.
Birhane, M., Loha, E., & Alemayehu, F. R. (2021). Nutritional status and associated factors among adult HIV/AIDS patients receiving ART in Dilla University referral hospital, Dilla, Southern Ethiopia. J Med Physiol Biophys, 70, 8–15.
Cheah, J. K. (2024). Nutrition Requirements and Nutrition Intervention for People Living with HIV/AIDS (Adults). Journal of Health and Allied Sciences NU.
Dahliyanti, N., Khairiah, R., & Murtiani, F. (2022). Hubungan Kepatuhan Antiretroviral Therapy Dengan Status Gizi Dan Kadar CD4 Pada Anak HIV/AIDS. Jurnal Kesehatan Komunitas (Journal of Community Health), 8(2), 247–256.
Daramatasia, W., & Soelistyoningsih, D. (2019). HUBUNGAN JUMLAH CD4 DENGAN KUALITAS HIDUP PADA ORANG DENGAN HIV/AIDS (ODHA). Jurnal Ilmiah Kesehatan Media Husada, 8(1), 41–52.
de Souza, R. G., Lima, S. S., Pinto, A. C., Souza, J. S., Moura, T. C. F., da Silva Graça Amoras, E., Machado, L. F. A., Guerreiro, J. F., Vallinoto, A. C. R., & Queiroz, M. A. F. (2022). Change in nutritional and biochemical status in people living with HIV-1 on antiretroviral therapy. Viruses, 14(11), 2573.
Framasari, D. A., Flora, R., & Sitorus, R. J. (2020). Infeksi Oportunistik pada ODHA Terhadap Kepatuhan Minum ARV di Kota Palembang. JAMBI MEDICAL JOURNAL “Jurnal Kedokteran Dan Kesehatan,” 8(1), 67–74.
Grieshaber, S. (2020). Equity and research design. In Doing early childhood research (pp. 177–191). Routledge.
Indrawanti, R., Arguni, E., Laksanawati, I. S., Puspitasari, D., & Husada, D. (2021). Status gizi dan gambaran klinis penyakit pada pasien HIV anak awal terdiagnosis. Jurnal Gizi Klinik Indonesia, 17(3), 125–132.
Kemenkes. (2022). Perkembangan HIV AIDS dan Penyakit Infeksi Menular Seksual (PIMS) Triwulan II Januari-Juni Tahun 2022. Kementrian Kesehatan RI. In Kemenkes (pp. 4247608(021), PP. 1-30).
Kemenkes, D. P. (2023). Laporan Eksekutif Perkembangan HIV AIDS Dan Penyakit Infeksi Menular Seksual (PIMS) Triwulan I Tahun 2023. In Siha.kemkes.go.id (pp. 1–15). https://siha.kemkes.go.id/
Kemenkes, R. I. (2019). Pedoman Nasional Pelayanan Kedokteran Tata Laksana HIV. Jakarta. Kementrian Kesehatan Republik Indonesi.
Khatri, S., Amatya, A., & Shrestha, B. (2020). Nutritional status and the associated factors among people living with HIV: an evidence from cross-sectional survey in hospital based antiretroviral therapy site in Kathmandu, Nepal. BMC Nutrition, 6, 1–13.
Kumalasary, D. (2021). Pengetahuan Remaja Tentang HIV/AIDS. Midwifery Journal, 1(2), 101–106.
Kurniawati, D. N., Iqbal, M., Septiana, A. S., Ciptaningrum, D. S., Sholihah, L., & Retanubun, Y. T. (2021). CRITICAL MEDICAL AND SURGICAL Principles of Providing Nutrition to People Living with HIV / AIDS : A. Critical Medical and Surgical Nursing Journal, 10(2), 61–64
Kusdiyah, E., Rahmadani, F., Nuriyah, N., & Miftahurrahmah, M. (2022). Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pasien HIV Dalam Mengonsumsi Terapi Antiretroviral Di Puskesmas Simpang Kawat Kota Jambi. Electronic Journal Scientific of Environmental Health And Disease, 3(1), 8–27.
Kusumaadhi, Z. M., Farhanah, N., & Sofro, M. A. U. (2021). Risk factors for mortality among HIV/AIDS patients. Diponegoro International Medical Journal, 2(1), 19–20.
Maragareth, W., Hadisaputro, S., & Margawati, A. (2019). The correlation between intake of energy, protein, fat of underweight and CD4+ count for children with HIV. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 6(2), 77–87.
Obeagu, E. I., Obeagu, G. U., & Okwuanaso, C. B. (2024). Optimizing Immune Health in HIV Patients through Nutrition: A Review. Elite Journal of Immunology, 2(1), 14–33.
Organization, W. H. (2023). Carbohydrate intake for adults and children: WHO guideline. World Health Organization.
Oumer, B., Boti, N., Hussen, S., & Gultie, T. (2019). Prevalence of Undernutrition and associated factors among adults receiving first-line antiretroviral treatment in public health facilities of Arba Minch town, southern Ethiopia. HIV/AIDS-Research and Palliative Care, 313–320.
Perpetue, F. F. D., Charles, K. T., & Anatole, P. C. (2021). Nutritional Assessment of HIV/AIDS patients in Centre Region of Cameroon: A pilot study. Journal of Food Science and Nutrition Research, 4(2), 77–93.
Ratnasari, L. P. A. P., Suryawan, I. W. B., & Dewi, M. R. (2023). Faktor-faktor yang berhubungan dengan status gizi anak HIV/AIDS di Rumah Sakit Umum Daerah Wangaya. Intisari Sains Medis, 14(2), 922–926.
Rezazadeh, L., Ostadrahimi, A., Tutunchi, H., Naemi Kermanshahi, M., & Pourmoradian, S. (2023). Nutrition interventions to address nutritional problems in HIV-positive patients: translating knowledge into practice. Journal of Health, Population and Nutrition, 42(1), 94.
Rosa YA faot, July Ivone, L. K. (2024). Characteristics of HIV Patients in Mimika Regency Papua in 2019. 6(1), 1–11.
Saliya, M. S., Azale, T., Alamirew, A., & Tesfaye, D. J. (2018). Assessment of nutritional status and its associated factors among people affected by human immune deficiency virus on antiretroviral therapy: a cross sectional study in Siltie zone, south Ethiopia. Healthcare in Low-Resource Settings, 6(1).
Saputri, D. E., Bakri, S., & Zuraida, R. (2015). Peranan sistem repong damar terhadap pendapatan, asupan makan dan status gizi balita: studi kasus di Desa Pahmungan Kecamatan Pesisir Tengah Kabupaten Pesisir Barat. Jurnal Sylva Lestari, 3(1), 63–70.
Sitorus, R. J., Camelia, A., Maryatun, S., Aerosta, D., & Natalia, M. (2022). Kondisi Klinis dan Determinan Status Gizi Anak dengan HIV/AIDS (ADHA). Jurnal Kesehatan, 13(3), 479–484.
Sivakumar, T., & Vanaja, P. (2021). Relationship between HIV and nutrition. HIV Nursing, 21(02), 68–72.
Sukmawan, Y. P., Putrinda, I. O., & Nurviana, V. (2022). Evaluasi Penggunaan Obat dan Efek Sampingnya pada Penderita HIV/AIDS di Salah Satu Rumah Sakit di Kota Tasikmalaya. Prosiding Seminar Nasional Diseminasi Hasil Penelitian Program Studi S1 Farmasi, 2(1).
Swinkels, H. M., Vaillant, A. A. J., Nguyen, A. D., & Gulick, P. G. (2024). HIV and AIDS. In StatPearls [Internet]. StatPearls Publishing.
Tesfay, F. H., Javanparast, S., Gesesew, H., Mwanri, L., & Ziersch, A. (2022). Characteristics and impacts of nutritional programmes to address undernutrition of adults living with HIV in sub-Saharan Africa: a systematic review of evidence. BMJ Open, 12(1), e047205.
Thapa, R., Amatya, A., Pahari, D. P., Bam, K., & Newman, M. S. (2015). Nutritional status and its association with quality of life among people living with HIV attending public anti-retroviral therapy sites of Kathmandu Valley, Nepal. AIDS Research and Therapy, 12, 1–10.
Vlad. Butorov, E. (2017). Impact of high protein intake on viral load and hematological parameters in HIV-infected patients. Current HIV Research, 15(5), 345–354.
WHO. (2024). HIV and AIDS Key Facts. World Health Organization, 86(july), 1–7. https://www.who.int/news-room/fact-sheets/detail/hiv-aids
Widayanti, L. P., Hidayati L, S., Lusiana, N., & Ratodi, M. (2018). Hubungan pengetahuan tentang HIV/AIDS dan sikap mahasiswa terhadap ODHA-The correlations between student’s HIV/AIDS knowledge and their attitude toward PLWHA. Journal of Health Science and Prevention, 2(2), 100–107.
Windiramadan, A., Carsita, W., & S, R. (2024). Hubungan Kepatuhan Minum Obat ARV dengan Kualitas Hidup Orang dengan HIV/AIDS ARV dan kualitas hdp.pdf. Jurnal Keperawatan Surabaya, 11(1), 1–7.
Ajmala, I., & Wulandari, L. (2015). Terapi ARV pada Penderita Ko-Infeksi TB-HIV. Jurnal Respirasi, 1(1), 22–28.
Amelia, E. R. (2021). Hubungan status gizi terhadap kematian anak HIV/AIDS. Jurnal Medika Hutama, 2(04 Juli), 1241–1244.
Anderson, K., Pramudo, S. G., & Sofro, M. A. U. (2017). Hubungan status gizi dengan kualitas hidup orang dengan HIV/AIDS di Semarang. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 6(2), 692–704.
Basile, F. W., Fedele, M. C., & Lo Vecchio, A. (2021). Gastrointestinal Diseases in Children Living with HIV. Microorganisms, 9(8), 1572.
Birhane, M., Loha, E., & Alemayehu, F. R. (2021). Nutritional status and associated factors among adult HIV/AIDS patients receiving ART in Dilla University referral hospital, Dilla, Southern Ethiopia. J Med Physiol Biophys, 70, 8–15.
Cheah, J. K. (2024). Nutrition Requirements and Nutrition Intervention for People Living with HIV/AIDS (Adults). Journal of Health and Allied Sciences NU.
Dahliyanti, N., Khairiah, R., & Murtiani, F. (2022). Hubungan Kepatuhan Antiretroviral Therapy Dengan Status Gizi Dan Kadar CD4 Pada Anak HIV/AIDS. Jurnal Kesehatan Komunitas (Journal of Community Health), 8(2), 247–256.
Daramatasia, W., & Soelistyoningsih, D. (2019). HUBUNGAN JUMLAH CD4 DENGAN KUALITAS HIDUP PADA ORANG DENGAN HIV/AIDS (ODHA). Jurnal Ilmiah Kesehatan Media Husada, 8(1), 41–52.
de Souza, R. G., Lima, S. S., Pinto, A. C., Souza, J. S., Moura, T. C. F., da Silva Graça Amoras, E., Machado, L. F. A., Guerreiro, J. F., Vallinoto, A. C. R., & Queiroz, M. A. F. (2022). Change in nutritional and biochemical status in people living with HIV-1 on antiretroviral therapy. Viruses, 14(11), 2573.
Framasari, D. A., Flora, R., & Sitorus, R. J. (2020). Infeksi Oportunistik pada ODHA Terhadap Kepatuhan Minum ARV di Kota Palembang. JAMBI MEDICAL JOURNAL “Jurnal Kedokteran Dan Kesehatan,” 8(1), 67–74.
Grieshaber, S. (2020). Equity and research design. In Doing early childhood research (pp. 177–191). Routledge.
Indrawanti, R., Arguni, E., Laksanawati, I. S., Puspitasari, D., & Husada, D. (2021). Status gizi dan gambaran klinis penyakit pada pasien HIV anak awal terdiagnosis. Jurnal Gizi Klinik Indonesia, 17(3), 125–132.
Kemenkes. (2022). Perkembangan HIV AIDS dan Penyakit Infeksi Menular Seksual (PIMS) Triwulan II Januari-Juni Tahun 2022. Kementrian Kesehatan RI. In Kemenkes (pp. 4247608(021), PP. 1-30).
Kemenkes, D. P. (2023). Laporan Eksekutif Perkembangan HIV AIDS Dan Penyakit Infeksi Menular Seksual (PIMS) Triwulan I Tahun 2023. In Siha.kemkes.go.id (pp. 1–15). https://siha.kemkes.go.id/
Kemenkes, R. I. (2019). Pedoman Nasional Pelayanan Kedokteran Tata Laksana HIV. Jakarta. Kementrian Kesehatan Republik Indonesi.
Khatri, S., Amatya, A., & Shrestha, B. (2020). Nutritional status and the associated factors among people living with HIV: an evidence from cross-sectional survey in hospital based antiretroviral therapy site in Kathmandu, Nepal. BMC Nutrition, 6, 1–13.
Kumalasary, D. (2021). Pengetahuan Remaja Tentang HIV/AIDS. Midwifery Journal, 1(2), 101–106.
Kurniawati, D. N., Iqbal, M., Septiana, A. S., Ciptaningrum, D. S., Sholihah, L., & Retanubun, Y. T. (2021). CRITICAL MEDICAL AND SURGICAL Principles of Providing Nutrition to People Living with HIV / AIDS : A. Critical Medical and Surgical Nursing Journal, 10(2), 61–64
Kusdiyah, E., Rahmadani, F., Nuriyah, N., & Miftahurrahmah, M. (2022). Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pasien HIV Dalam Mengonsumsi Terapi Antiretroviral Di Puskesmas Simpang Kawat Kota Jambi. Electronic Journal Scientific of Environmental Health And Disease, 3(1), 8–27.
Kusumaadhi, Z. M., Farhanah, N., & Sofro, M. A. U. (2021). Risk factors for mortality among HIV/AIDS patients. Diponegoro International Medical Journal, 2(1), 19–20.
Maragareth, W., Hadisaputro, S., & Margawati, A. (2019). The correlation between intake of energy, protein, fat of underweight and CD4+ count for children with HIV. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 6(2), 77–87.
Obeagu, E. I., Obeagu, G. U., & Okwuanaso, C. B. (2024). Optimizing Immune Health in HIV Patients through Nutrition: A Review. Elite Journal of Immunology, 2(1), 14–33.
Organization, W. H. (2023). Carbohydrate intake for adults and children: WHO guideline. World Health Organization.
Oumer, B., Boti, N., Hussen, S., & Gultie, T. (2019). Prevalence of Undernutrition and associated factors among adults receiving first-line antiretroviral treatment in public health facilities of Arba Minch town, southern Ethiopia. HIV/AIDS-Research and Palliative Care, 313–320.
Perpetue, F. F. D., Charles, K. T., & Anatole, P. C. (2021). Nutritional Assessment of HIV/AIDS patients in Centre Region of Cameroon: A pilot study. Journal of Food Science and Nutrition Research, 4(2), 77–93.
Ratnasari, L. P. A. P., Suryawan, I. W. B., & Dewi, M. R. (2023). Faktor-faktor yang berhubungan dengan status gizi anak HIV/AIDS di Rumah Sakit Umum Daerah Wangaya. Intisari Sains Medis, 14(2), 922–926.
Rezazadeh, L., Ostadrahimi, A., Tutunchi, H., Naemi Kermanshahi, M., & Pourmoradian, S. (2023). Nutrition interventions to address nutritional problems in HIV-positive patients: translating knowledge into practice. Journal of Health, Population and Nutrition, 42(1), 94.
Rosa YA faot, July Ivone, L. K. (2024). Characteristics of HIV Patients in Mimika Regency Papua in 2019. 6(1), 1–11.
Saliya, M. S., Azale, T., Alamirew, A., & Tesfaye, D. J. (2018). Assessment of nutritional status and its associated factors among people affected by human immune deficiency virus on antiretroviral therapy: a cross sectional study in Siltie zone, south Ethiopia. Healthcare in Low-Resource Settings, 6(1).
Saputri, D. E., Bakri, S., & Zuraida, R. (2015). Peranan sistem repong damar terhadap pendapatan, asupan makan dan status gizi balita: studi kasus di Desa Pahmungan Kecamatan Pesisir Tengah Kabupaten Pesisir Barat. Jurnal Sylva Lestari, 3(1), 63–70.
Sitorus, R. J., Camelia, A., Maryatun, S., Aerosta, D., & Natalia, M. (2022). Kondisi Klinis dan Determinan Status Gizi Anak dengan HIV/AIDS (ADHA). Jurnal Kesehatan, 13(3), 479–484.
Sivakumar, T., & Vanaja, P. (2021). Relationship between HIV and nutrition. HIV Nursing, 21(02), 68–72.
Sukmawan, Y. P., Putrinda, I. O., & Nurviana, V. (2022). Evaluasi Penggunaan Obat dan Efek Sampingnya pada Penderita HIV/AIDS di Salah Satu Rumah Sakit di Kota Tasikmalaya. Prosiding Seminar Nasional Diseminasi Hasil Penelitian Program Studi S1 Farmasi, 2(1).
Swinkels, H. M., Vaillant, A. A. J., Nguyen, A. D., & Gulick, P. G. (2024). HIV and AIDS. In StatPearls [Internet]. StatPearls Publishing.
Tesfay, F. H., Javanparast, S., Gesesew, H., Mwanri, L., & Ziersch, A. (2022). Characteristics and impacts of nutritional programmes to address undernutrition of adults living with HIV in sub-Saharan Africa: a systematic review of evidence. BMJ Open, 12(1), e047205.
Thapa, R., Amatya, A., Pahari, D. P., Bam, K., & Newman, M. S. (2015). Nutritional status and its association with quality of life among people living with HIV attending public anti-retroviral therapy sites of Kathmandu Valley, Nepal. AIDS Research and Therapy, 12, 1–10.
Vlad. Butorov, E. (2017). Impact of high protein intake on viral load and hematological parameters in HIV-infected patients. Current HIV Research, 15(5), 345–354.
WHO. (2024). HIV and AIDS Key Facts. World Health Organization, 86(july), 1–7. https://www.who.int/news-room/fact-sheets/detail/hiv-aids
Widayanti, L. P., Hidayati L, S., Lusiana, N., & Ratodi, M. (2018). Hubungan pengetahuan tentang HIV/AIDS dan sikap mahasiswa terhadap ODHA-The correlations between student’s HIV/AIDS knowledge and their attitude toward PLWHA. Journal of Health Science and Prevention, 2(2), 100–107.
Windiramadan, A., Carsita, W., & S, R. (2024). Hubungan Kepatuhan Minum Obat ARV dengan Kualitas Hidup Orang dengan HIV/AIDS ARV dan kualitas hdp.pdf. Jurnal Keperawatan Surabaya, 11(1), 1–7.