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The Interaction between HIV and Intestinal Helminth Parasites Coinfection with Nutrition among Adults in KwaZulu-Natal, South Africa.

Abstract In South Africa few studies have examined the effects of the overlap of HIV and helminth infections on nutritional status. This cross-sectional study investigated the interaction between HIV and intestinal helminths coinfection with nutritional status among KwaZulu-Natal adults. Participants were recruited from a comprehensive primary health care clinic and stratified based on their HIV, stool parasitology, IgE, and IgG4 results into four groups: the uninfected, HIV infected, helminth infected, and HIV-helminth coinfected groups. The nutritional status was assessed using body mass index, 24-hour food recall, micro-, and macronutrient biochemical markers. Univariate and multivariate multinomial probit regression models were used to assess nutritional factors associated with singly and dually infected groups using the uninfected group as a reference category. Biochemically, the HIV-helminth coinfected group was associated with a significantly higher total protein, higher percentage of transferrin saturation, and significantly lower ferritin. There was no significant association between single or dual infections with HIV and helminths with micro- and macronutrient deficiency; however general obesity and low micronutrient intake patterns, which may indicate a general predisposition to micronutrient and protein-energy deficiency, were observed and may need further investigations.
PMID
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Authors

Mayor MeshTerms

Coinfection

HIV Infections

Helminthiasis

Models, Biological

Nutritional Status

Keywords
Journal Title biomed research international
Publication Year Start




PMID- 28421202
OWN - NLM
STAT- MEDLINE
DA  - 20170419
DCOM- 20170501
LR  - 20170501
IS  - 2314-6141 (Electronic)
VI  - 2017
DP  - 2017
TI  - The Interaction between HIV and Intestinal Helminth Parasites Coinfection with
      Nutrition among Adults in KwaZulu-Natal, South Africa.
PG  - 9059523
LID - 10.1155/2017/9059523 [doi]
AB  - In South Africa few studies have examined the effects of the overlap of HIV and
      helminth infections on nutritional status. This cross-sectional study
      investigated the interaction between HIV and intestinal helminths coinfection
      with nutritional status among KwaZulu-Natal adults. Participants were recruited
      from a comprehensive primary health care clinic and stratified based on their
      HIV, stool parasitology, IgE, and IgG4 results into four groups: the uninfected, 
      HIV infected, helminth infected, and HIV-helminth coinfected groups. The
      nutritional status was assessed using body mass index, 24-hour food recall,
      micro-, and macronutrient biochemical markers. Univariate and multivariate
      multinomial probit regression models were used to assess nutritional factors
      associated with singly and dually infected groups using the uninfected group as a
      reference category. Biochemically, the HIV-helminth coinfected group was
      associated with a significantly higher total protein, higher percentage of
      transferrin saturation, and significantly lower ferritin. There was no
      significant association between single or dual infections with HIV and helminths 
      with micro- and macronutrient deficiency; however general obesity and low
      micronutrient intake patterns, which may indicate a general predisposition to
      micronutrient and protein-energy deficiency, were observed and may need further
      investigations.
FAU - Mkhize, B T
AU  - Mkhize BT
AUID- ORCID: 0000-0001-6425-9271
AD  - Department of Biomedical and Clinical Technology, Faculty of Health Sciences,
      Durban University of Technology, Durban, South Africa.
AD  - Department of Medical Microbiology, School of Laboratory Medicine and Medical
      Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South 
      Africa.
FAU - Mabaso, M
AU  - Mabaso M
AD  - Epidemiology and Strategic Information Unit, HIV/AIDS, STI and TB (HAST), Human
      Sciences Research Council, Durban, South Africa.
FAU - Mamba, T
AU  - Mamba T
AD  - Department of Medical Microbiology, School of Laboratory Medicine and Medical
      Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South 
      Africa.
FAU - Napier, C E
AU  - Napier CE
AD  - Department of Food and Nutrition, Faculty of Applied Sciences, Durban University 
      of Technology, Durban, South Africa.
FAU - Mkhize-Kwitshana, Z L
AU  - Mkhize-Kwitshana ZL
AD  - Department of Medical Microbiology, School of Laboratory Medicine and Medical
      Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South 
      Africa.
AD  - Department of Biomedical Sciences, Faculty of Natural Sciences, Mangosuthu
      University of Technology, Durban, South Africa.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20170322
PL  - United States
TA  - Biomed Res Int
JT  - BioMed research international
JID - 101600173
SB  - IM
MH  - Adult
MH  - *Coinfection/blood/epidemiology
MH  - Female
MH  - *HIV Infections/blood/epidemiology
MH  - *Helminthiasis/blood/epidemiology
MH  - Humans
MH  - Male
MH  - *Models, Biological
MH  - *Nutritional Status
MH  - South Africa/epidemiology
PMC - PMC5380830
EDAT- 2017/04/20 06:00
MHDA- 2017/05/02 06:00
CRDT- 2017/04/20 06:00
PHST- 2016/12/29 [received]
PHST- 2017/02/23 [revised]
PHST- 2017/02/28 [accepted]
AID - 10.1155/2017/9059523 [doi]
PST - ppublish
SO  - Biomed Res Int. 2017;2017:9059523. doi: 10.1155/2017/9059523. Epub 2017 Mar 22.

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