A Meta-Analysis of Prevalence and Moderating Factors of Malnutrition Among People Living With HIV Across Countries.

IF 1.6 4区医学 Q2 NURSING

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-02 DOI:10.1097/JNC.0000000000000547

Tintin Sukartini, Hidayat Arifin, Arina Qona'ah, Herdina Mariyanti, Christina Yeni Kustanti, Kuei-Ru Chou, Trihaningsih Puji Astuti, Dluha Mafula, Muhammad Fikri Alfaruq, Alfiani Rahmi Putri, Kondwani Joseph Banda

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引用次数: 0

Abstract

Abstract: Malnutrition is a critical issue for people living with HIV (PLWH), affecting their immune function, health outcomes, and response to antiretroviral therapy. This meta-analysis assessed the prevalence of malnutrition among PLWH and explored key moderating factors across countries. A systematic search of six databases-Cumulative Index to Nursing and Allied Health Literature, Embase, ProQuest, PubMed, Scopus, and Web of Science, included 103 studies involving 240,879 PLWH. The pooled prevalence of malnutrition was 16.6% (95% confidence interval = 14.1-19.5). Subgroup analysis revealed higher prevalence in Southeast Asia (31.1%), PLWH with primary education (37.7%), those on antiretroviral therapy for over a year (51.7%), and World Health Organization Stage 3 (36.4%). Meta-regression identified alcohol consumption, smoking, hepatitis, and tuberculosis as significant moderators. The prevalence of malnutrition among PLWH is substantial, with several moderating factors identified. Addressing malnutrition among PLWH requires routine nutritional assessments and targeted interventions to improve health outcomes and quality of life for PLWH globally.

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各国艾滋病病毒感染者营养不良患病率及调节因素荟萃分析。

营养不良是艾滋病毒感染者（PLWH）面临的一个关键问题，影响他们的免疫功能、健康结局和对抗逆转录病毒治疗的反应。本荟萃分析评估了PLWH中营养不良的患病率，并探讨了各国之间的关键调节因素。对六个数据库——护理和相关健康文献累积索引、Embase、ProQuest、PubMed、Scopus和Web of Science进行系统检索，包括103项研究，涉及240,879名PLWH。营养不良的总患病率为16.6%（95%可信区间= 14.1-19.5）。亚组分析显示，东南亚（31.1%）、接受过小学教育的艾滋病毒感染者（37.7%）、接受抗逆转录病毒治疗一年以上的感染者（51.7%）和世界卫生组织第三阶段感染者（36.4%）的感染率较高。meta回归发现饮酒、吸烟、肝炎和结核病是显著的调节因素。在PLWH中，营养不良的发生率很高，已经确定了几个缓和因素。解决PLWH中的营养不良问题需要常规营养评估和有针对性的干预措施，以改善全球PLWH的健康结果和生活质量。

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来源期刊

Janac-Journal of the Association of Nurses in Aids Care 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

120

期刊介绍： The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.