尽管水果和蔬菜(FAV)在预防各种慢性疾病方面发挥着重要作用,并且它们有可能增强免疫反应并减缓HIV感染向AIDS的进展,缺乏关于非洲感染艾滋病毒的成年人饮食中FAV摄入量的研究,包括埃塞俄比亚。因此,本研究旨在调查在埃塞俄比亚中北部接受抗逆转录病毒治疗(ART)的HIV感染成人中,FAV摄入和估计摄入的幅度.
■对接受ART的865名HIV感染成年人的FAV摄入量进行了多设施横断面研究。使用具有稳健方差的泊松回归模型来识别与FAV饮食摄入相关的因素。
■该研究表明,655名(76.34%;95%CI:73.38,79.07)感染艾滋病毒的成年人报告每天消耗FAV少于一次,838(97.67%,95%CI:96.41,98.49)和676(78.79%,95%CI:75.92,81.40)感染艾滋病毒的成年人报告每天食用水果和蔬菜少于一次,分别。中位数(IQR)总FAV摄入量为271.3(IQR:92.5,439.5)g/天,水果的平均摄入量(IQR)为248.1(IQR:100.0,400.0)g/天,蔬菜为273.78(IQR:82.44,348.33)g/天,分别。我们发现离婚(APR=1.57,95%CI:1.16,2.12),受雇为日常劳动者(APR=2.08,95%CI:1.36,3.20),被雇用(APR=1.77,95%CI:1.10,2.84),商家(APR=1.59,95%CI:1.03,2.47),有孩子作为照顾者(APR=1.61,95%CI:1.02,2.55),WHO临床分期晚期(APR=1.32,95%CI:1.32(1.03,1.69),在HIV感染的成年人中,接受ART治疗超过8年(APR=1.78,95%CI:1.18,2.67)是FAV饮食摄入的独立预测因子.从调查结果来看,我们了解到,与就业个体相比,农民消费FAV的可能性较小,日常劳动者,和商人。
■该发现表明,接受ART的HIV感染成年人的FAV饮食摄入量非常低,远低于成年人体力活动的最低建议。尽管生活在生产过剩的地区并生产这些物品,农民不太可能消费FAV。该研究强调了关注患者早期ART治疗和家庭治疗的重要性,包括关于消费健康饮食的咨询和指导,如FAV,加强儿童作为家庭照顾者的作用。此外,有必要进行全面的营养咨询,以改善FAV的消费,特别强调对个人进行有关FAV消费的部分大小估计的教育。
UNASSIGNED: Despite the significant role of fruit and vegetables (FAVs) in preventing a variety of chronic diseases and their potential to bolster immune responses and slow the progression of HIV infection to AIDS, there is a lack of studies on the dietary intake of FAVs among HIV-infected adults in Africa, including Ethiopia. Hence, this study aimed to investigate the magnitude of FAV intake and estimated consumption among HIV-infected adults receiving antiretroviral therapy (ART) in northcentral Ethiopia.
UNASSIGNED: A multifacility cross-sectional study was conducted on the FAV intake among 865 HIV-infected adults receiving ART. A Poisson regression model with robust variance was used to identify factors associated with FAVs dietary intake.
UNASSIGNED: The study indicated that 655 (76.34%; 95% CI: 73.38, 79.07) HIV-infected adults reported consuming FAVs less than once per day, with 838 (97.67%, 95% CI: 96.41, 98.49) and 676 (78.79%, 95% CI: 75.92, 81.40) HIV-infected adults reporting consuming fruits and vegetables less than once per day, respectively. The median (IQR) total FAV intake was 271.3 (IQR: 92.5, 439.5) g/day, with the median (IQR) intake of fruits being 248.1 (IQR: 100.0, 400.0) g/day and vegetables being 273.78 (IQR: 82.44, 348.33) g/day, respectively. We found that being divorced (APR = 1.57, 95% CI: 1.16, 2.12), employed as a daily laborer (APR = 2.08, 95% CI: 1.36, 3.20), being employed (APR = 1.77, 95% CI: 1.10, 2.84), merchants (APR = 1.59, 95% CI: 1.03, 2.47), having children as caregivers (APR = 1.61, 95% CI: 1.02, 2.55), an advanced WHO clinical stage (APR = 1.32, 95% CI: 1.32(1.03, 1.69), and receiving ART for more than 8 years (APR = 1.78, 95% CI: 1.18, 2.67) were found to be independent predictors of FAV dietary intake among HIV-infected adults. From the findings, we understood that farmers were less likely to consume FAVs compared to employed individuals, daily laborers, and merchants.
UNASSIGNED: The finding indicated a very low level of FAV dietary intake among HIV-infected adults receiving ART, falling well-below the minimum recommendation for physically active adults. Despite living in areas with surplus production and producing these items, farmers are less likely to consume FAV. The study emphasizes the importance of focusing on the early stage of ART treatment for patients and family therapy, including counseling and guidance on consuming healthy diets such as FAVs, to enhance the role of children as caregivers for their families. Additionally, there is a need for comprehensive nutritional counseling to improve FAV consumption, with a particular emphasis on educating individuals about portion size estimation for the consumption of FAVs.