Maternal HIV infection and other factors associated with growth outcomes of HIV-uninfected infants in Entebbe, Uganda

dc.contributor.authorMuhangi, Lawrence
dc.contributor.authorLule, Swaib
dc.contributor.authorMpairwe, Harriet
dc.date.accessioned2018-07-26T07:58:55Z
dc.date.available2018-07-26T07:58:55Z
dc.date.issued2013
dc.description.abstractObjective: To assess the associations between maternal HIV infection and growth outcomes of HIV-exposed but uninfected infants and to identify other predictors for poor growth among this population. Design: Within a trial of de-worming during pregnancy, the cohort of offspring was followed from birth. HIV status of the mothers and their children was investigated and growth data for children were obtained at age 1 year. Lengthfor-age, weight-for-age and weight-for-length Z-scores were calculated for each child; Z-scores ,22 were defined as stunting, underweight and wasting, respectively. Setting: The study was conducted in Entebbe municipality and Katabi subcounty, Uganda. Subjects: The sample consisted of 1502 children aged 1 year: HIV-unexposed (n 1380) and HIV-exposed not infected (n 122). Results: Prevalence of stunting, underweight and wasting was 14.2%, 8.0% and 3.9%, respectively. There was evidence for an association between maternal HIV infection and odds of being underweight (adjusted OR5232; 95% CI 1.32, 4.09; P50.006) but no evidence for an association with stunting or with wasting. Young maternal age, low maternal education, low birth weight, early weaning and experiencing a higher number of episodes of malaria during infancy were independent predictors for stunting and underweight. A higher number of living children in the family was associated with wasting. Conclusions: Maternal HIV infection was associated with being underweight in HIV-exposed uninfected infants. The success of programmes for prevention of mother-to-child HIV transmission means that an increasing number of infants will be born to HIV-infected women without acquiring HIV. Therefore, viable nutritional interventions need to be identified for this population.en_US
dc.identifier.otheroi:10.1017/S1368980013000499
dc.identifier.urihttp://hdl.handle.net/20.500.12280/548
dc.language.isoenen_US
dc.publisherPublic Health Nutritionen_US
dc.subjectUgandaen_US
dc.subjectInfancyen_US
dc.subjectPoor growthen_US
dc.subjectHIV exposureen_US
dc.titleMaternal HIV infection and other factors associated with growth outcomes of HIV-uninfected infants in Entebbe, Ugandaen_US
dc.typeArticleen_US

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