Relationship between HIV infection and the dietary intakes of Ghanaian pregnant and lactating women

dc.contributor.author Addo, Adolphina
dc.contributor.department Food Science and Human Nutrition
dc.date 2020-06-23T20:21:33.000
dc.date.accessioned 2020-06-30T08:15:05Z
dc.date.available 2020-06-30T08:15:05Z
dc.date.copyright Sun Jan 01 00:00:00 UTC 2006
dc.date.issued 2006-01-01
dc.description.abstract <p>Maternal energy and nutrient deficiencies increase the risk of poor pregnancy outcomes and, among women with HIV, hasten the progression of disease. We identified factors associated with dietary intakes of Ghanaian women by HIV status. We also assessed women's dietary habits, food beliefs and compliance with nutrition recommendations received from the Ghana Health Services (GHS). A total of 92 pregnant and lactating women (23 HIV-infected, 33 HIV-uninfected, and 36 of unknown status) completed the study. Most women (86%) reported receiving nutrition recommendations. The recommendations most complied with included eating more protein foods and consuming more soups and stews, especially palm soup and kontomire (a green leafy vegetable) stew. The latter two foods are rich in [Beta]-carotene, a precursor of vitamin A. About 9% of participants in this study practiced pica, 59% sought specific foods, and 24% avoided certain foods. Nearly half (47%) of the women believed some foods were beneficial for HIV infected individuals. Reported energy intake did not differ by HIV status (2780 ± 800; 2980 ± 1140; and 2880 ± 1020 kcal for infected, uninfected, and unknown, respectively) or by physiological status (2670 ± 570 and 2960 ± 1100 kcal for pregnancy and lactation, respectively). Protein and micronutrient intakes (vitamins A, B1, B2, and C, calcium, and iron) were also similar by HIV and physiological status. After controlling for health, economic, and dietary recommendation indicators, being unmarried was negatively associated with intake of energy, protein, thiamin, and niacin (P < 0.04), while stress was associated with decreased intake of energy, fat, iron, vitamins A, B1, B2, B3, and C (P < 0.03) and tended to be associated with protein intake (P< 0.06). Absence of gastrointestinal discomfort was also positively associated with energy intake (P < 0.02) and tended to be associated with fat intake (P < 0.06). Ghanaian women were amenable to nutrition recommendations given by Ghana Health Services. However, food beliefs that could limit women's dietary intakes need to be examined. This is especially true for HIV-positive pregnant and lactating women who may have higher nutrient requirements than their contemporaries who are HIV-uninfected.</p>
dc.format.mimetype application/pdf
dc.identifier archive/lib.dr.iastate.edu/rtd/19351/
dc.identifier.articleid 20350
dc.identifier.contextkey 18210164
dc.identifier.doi https://doi.org/10.31274/rtd-20200622-0
dc.identifier.s3bucket isulib-bepress-aws-west
dc.identifier.submissionpath rtd/19351
dc.identifier.uri https://dr.lib.iastate.edu/handle/20.500.12876/73352
dc.language.iso en
dc.source.bitstream archive/lib.dr.iastate.edu/rtd/19351/Addo_ISU_2006_A33.pdf|||Fri Jan 14 21:55:49 UTC 2022
dc.subject.keywords Food science and human nutrition
dc.subject.keywords Nutrition
dc.title Relationship between HIV infection and the dietary intakes of Ghanaian pregnant and lactating women
dc.type article
dc.type.genre thesis
dspace.entity.type Publication
relation.isOrgUnitOfPublication 4b6428c6-1fda-4a40-b375-456d49d2fb80
thesis.degree.discipline Nutrition
thesis.degree.level thesis
thesis.degree.name Master of Science
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