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首页> 外文期刊>AIDS care. >Implementation of a nutrition assessment, counseling and support program and its association with body mass index among people living with HIV in Accra, Ghana
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Implementation of a nutrition assessment, counseling and support program and its association with body mass index among people living with HIV in Accra, Ghana

机译：实施营养评估，咨询和支持计划及其与艾滋病毒艾克拉，加纳艾滋病毒的人体重指数的关联

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In spite of the important role nutrition plays in the management of HIV, access to nutrition services is inadequate, especially in resource limited settings. In addition, nutrition programs for people living with HIV (PLWH) have not been sufficiently evaluated for efficacy and this study was conducted to address this gap. This study aimed to evaluate the implementation of the nutrition assessment, counseling and support (NACS) program in Accra, Ghana, and to assess whether the level of implementation of NACS was associated with the body mass index (BMI) of PLWH. A cross-sectional study was conducted in six HIV clinics (3 NACS designated and 3 non-NACS). Study participants were 152 adult PLWH at least 6 months on antiretroviral therapy and not pregnant or breastfeeding. Using a NACS implementation scale developed for this study ranging from 0 to 8 (a higher score indicating better NACS implementation), median NACS implementation score was not different between NACS-designated, and non-NACS HIV clinics (5 vs 4, p=0.14). Almost half (47%) of the respondents were overweight or obese. A higher score on the NACS implementation scale was not significantly associated with overweight or obesity (BMI 24.9kg/m(2)) after adjusting for other covariates. It was concluded that, there was poor implementation of NACS in the NACS designated HIV clinics surveyed with no nutrition counseling offered nor food support available to those who might need it.
机译：尽管在艾滋病毒管理中营养出现重要的作用营养，但营养服务不足，特别是在资源有限的环境中。此外，没有足够评价艾滋病毒（PLWH）的人们的营养计划，效果，这项研究是为了解决这一差距。本研究旨在评估Accra，加纳的营养评估，咨询和支持（NACS）方案的实施，并评估NACS的实施水平与PLWH的体重指数（BMI）有关。在六种HIV诊所进行横截面研究（指定3种NACS和3个非NACS）。研究参与者在抗逆转录病毒治疗和未怀孕或母乳喂养中至少6个月的成人普拉夫。使用NACS实施规模为本研究开发的范围从0到8（表明更好的NACS实施），NAC指定的NACS实施评分和非NACS HIV诊所（5 VS 4，P = 0.14 ）。近一半（47％）的受访者超重或肥胖。在调整其他协变量后，NACS实施规模的比分与超重或肥胖（BMI＆GT; 24.9kg / m（2））没有显着相关。得出的结论是，NACS在NACS指定的HIV诊所实施了NAC的差，没有提供的营养咨询，也不适用于可能需要的食物支持。

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