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Why Nutrition is Vital?

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Home Page > Health > Nutrition > Why Nutrition is Vital?

Why Nutrition is Vital?

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Posted: Nov 06, 2008 | Views: 1,091 |



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I’ll bet you’ve never even full the time to judge what your nutritional desires might be, or the importance of that diet on your fitness. Did you know that if the brain doesn’t get enough protein, it doesn’t polish precisely, or if the wholesome female body doesn’t get enough flax oil, omega-3 and omega-6 her body’s metabolism will not perform correctly and she is more susceptible to load obtain? All these pieces of information and many more are contributing factors to our nutritional desires, and our nutritional wishes are met through our ingestion routine, excellent or terrible.

Nutrition as it applies to our daily lives means that we take in what we neediness to argue our body’s healthful imperial. Nutrition has become an vital word credit to the involvement of the USDA in our daily food requirements, and the FDA’s involvement in determining what is and is not risky for us to consume.

Nevertheless what is our responsibility in the food amusement? Do we know what our nutritional requirements are, how to block those requirements, and how to look for truthful nutritional cost in our foods? I’m not certain that diet has been successfully addressed in its own right. We consider food relative to our vitamin intake, our fortified cereals and milk, and in the milieu that we must “nutritional appraise” from our food choices. Nevertheless what really diet when useful to our daily forcibly functions?

Nutrition refers to the promotion of our body, in our ability to keep it wholesome and functioning as it is aimed to do. Our ability to give the body with all the required food, vitamins, and reserves so that we persist to flourish in our daily life processes.

How do we determine that we are providing the necessary nutritional wishes? The data comes by educating ourselves about what our individual wants are, the requests of our family, and then charming the facts and applying it to the foods we buy, that we practice, and that our families consume. Our nutritional wants and caloric request change as we age, the nutritional wants of a 13 year ancient teenager are much different to those of a 30 year ancient female.

Quite often, our vitamin and limestone requests outweigh our caloric wants. In those instances, we change to manufacture vitamins and reserves to fill the gap. This is a part of our nutritional wishes, also.

Nutrition is one of the most byzantine areas to gain useful data about, because there are so many components, and because each, someone has their own individual desires. Women’s desires disagree from those of men, and adult women’s desires fluctuate from those of an offspring child. As we age, our needs constantly change; therefore continuous schooling about diet is a truth of life. The information we have unfilled about the vigor choices and alternatives unfilled to us change daily. Very few remedial doctors ever address our nutritional needs, older the needs of a pregnant woman, or an already poorly serene. What about the needs of the well unwearied? To live healthy, there is nutrition, drill, mental, and emotional needs that must be met.

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Information on pizza nutrition can be found at the Food Nutrition Facts site.

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Posted in Nutrition0 Comments

brainmeasures.com: Sports nutrition certified experts needed in sports industry

brainmeasures.com: Sports nutrition certified experts needed in sports industry

brainmeasures.com: Sports nutrition certified experts needed in sports industry


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Home Page > Education > Online Education > brainmeasures.com: Sports nutrition certified experts needed in sports industry

brainmeasures.com: Sports nutrition certified experts needed in sports industry

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Posted: May 05, 2009 |Comments: 0
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Athletic performance is greatly related to nutrition. Sports nutrition deals with study and practise of nutrition in relation to athletic performance. This branch of study deals with studying and providing nutrition requirements to an athletic based upon his body and athletic requirements. This is regarded as a specialized branch of study because an athlete performance depends upon the nutrition and food intake. This branch or field of study describes and studies the nutrition requirements of the athlete thereby giving the athlete the nutrition requirements which he should full fill so that he and his body stays in fantastic form.

We all know about the craziness which a sports star has in this 20th generation. Sports nutrition is very vital because it decides the fitness level of the sports star. Sports nutrition is considered in endurance (cycling, running, etc) and strength sports (weight lifting and body building). These sports chiefly concentrate in providing and maintaining the health, physical performance and growth.

This specialised course needs certification from a recognised certification provider like www.brainmeasures.com. Certification is very vital because you might be working with world class athletes. Working with world class athletes is not a Childs play you will be accountable for all the nutritional requirements of the athlete which also includes strengthening the immune system from various kinds of diseases. Certification for this particular type of industry will get you into higher positions because qualified and experienced sports nutrition experts are in high demand.

There are various goals which you need to accomplish such as preparing the athlete for performance or training, maintaining the level of performance or training with balanced diet, improving the body composition, speed and recovery, increasing energy for both practise and competition and increasing the immune system immunity level so that it can defend from viruses and diseases. At the last sports nutrition will take care of the overall health giving balance of all the necessary requirements.

There is another specialised field of study inside sports nutrition which is aerobic and anaerobic exercise. After prolonged training and exercise sessions there exists 30 minutes recovery time for anyone during which the whole system needs to get replenished with vital nutrition’s. Liver and skeletal muscles need to be supplemented with nutrition’s.

Anaerobic exercise it is vital to replenish the Glycogen levels in the body although they never get depleted fully. Carbohydrates, proteins and amino acids are very vital to improve the overall system recovery after heavy weight lifting exercise. These carbohydrates are needed to replenish the system quickly and effectively.

In many countries a sports nutrition professional needs to be certified and should have relevant experience in sports nutrition before higher level certification. Alternatively sports nutrition job aspirants can obtain certification from renowned certification provider which increases chances of his employment within the industry. New graduates entering into this profession can increase their perks if they get certified by leading certification agencies. Graduates entering into this industry should obtain certification because it can give them an edge from the other candidates. Many candidates prefer to get certified by government agencies of their country initially and then later opt for private certification which improves the quality of their resume.

Courseware can be obtained from certification authorities which serve as a reference book often dealing vital concepts and articles which may be relevant from the examination point of view. There are various sources of information available to a prospective candidate in this field he can obtain an online PDF book, physical handbook, Nutrition journals, magazines of sports nutrition, text books, etc. sports nutrition courseware and certification by www.brainmeasures.com is wellresearched and simple to know and interpret and will help you know the nittygritties of the field.

Many sports nutrition’s work in health clubs, studio, athletes, private places along with personal trainer, often charting out the routine course of action which an athlete needs to take, etc. It is very vital for sports nutrition to document and note the requirements of the athlete and his body.

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I have a diploma in remedial massage & a active sports person i see a need for a stretch & strength class down where i live & i wont to run this class on the local beach wat do i need to do…
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Health & Nutrition

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Posted: Jul 03, 2009 |Comments: 0
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What are nutrients?

Every molecule in the body is made by Nutrients & there are more than 45 nutrients. These nutrients build molecules, cells, and tissues of the body.

We get energy from Carbohydrates, proteins, and fats that we eat. These are called macronutrients. These macro nutrients are broken down / metabolized to give energy to the body. Vitamins and minerals (called micronutrients) are not themselves metabolized for energy, but they are vital in helping the macronutrients convert to energy.

 

What is a healthy diet?

The optimal diet has to be individualized to meet your unique needs. The United States Department of Agriculture (USDA) food pyramid suggests that we use stout “sparingly,” and that our daily diet include 2 – 3 servings of dairy products; 2 – 3 servings of meat, poultry, fish, eggs, beans, or nuts; 3 – 5 servings of vegetables; 2 – 4 servings of fruit; and 6 – 11 servings of bread, cereal, rice, or pasta.

 

These are general guidelines. Healthy diet is dependent upon many factors like: age, gender, body size, pregnancy, and status of health. A clinical nutritionist or nutritionally oriented doctor can help you determine what type of diet is best for you.

 

While you know it is vital to eat a healthy diet, it isn’t always simple to sort through all of the information available about nutrition and food choices.  Nutrition has a vital importance to human well-being.  Nutrition should play a leading role to improve our quality of life. Nutrition is a key for reducing your body stout percentage. 

 

Better nutrition means stronger immune systems, less illness and better health.  Better nutrition is a prime entry point to ending poverty and a milestone to achieving better quality of life.  Safe food and excellent nutrition are vital to all.  Basic nutrition knowledge is constantly taking shape every day, producing new diet trends to an ever growing audience of people who want to know the latest and greatest ways to achieve their physical fitness goals. 

 

Get nutrition facts and learn how you can use dietary recommendations to improve your health.  As you grow older, getting a nutritionally rich diet becomes even more vital.  The link between nutrition and health is necessary to achieve optimal health.  Excellent nutrition is a clear path to optimize our quality of life. An vital starting point for achieving optimum health is to achieve optimum nutrition and get the proper nutrients from the food.  Diet and nutrition are the principle preventive measures against diseases. 

 

Reading marks and eating a diet rich in vitamins and nutrients is optimal for healthy nutrition.  Research confirms that excellent nutrition in the early years of life is crucial for human growth and mental development. The study of human nutrition dates back to the 18th century, when the French chemist Lavoisier learned that there was a relationship between our metabolism of food and the process of breathing.

 

The field of clinical nutrition has evolved into a practice that is increasingly incorporated into mainstream medical treatment. The term “nutritional supplement” refers to vitamins, minerals, and other food components that are used to support excellent health and treat illness. 

 

A clinical nutritionist or nutritionally oriented doctor can help you determine what type of diet is best for you. During the initial part of the visit, the clinical nutritionist will question you questions about your medical history, family history, and personal lifestyle.  In hospitals, nutrition is used to improve the overall health of patients with a wide range of conditions.  Effects of exercise and nutrition on postural balance and risk of falling in elderly people with decreased bone mineral density: randomized controlled trial pilot study. 

 

Proper nutrition is a powerful excellent: people who are well nourished are more likely to be healthy, productive and able to learn.  Excellent nutrition benefits families, their communities and the world as a whole. Malnutrition is, by the same logic, devastating.

 

Healthy Lifestyle

 

Healthy people are stronger, are more productive and more able to make opportunities to gradually break the cycles of both poverty and hunger in a sustainable way.  Healthy eating is associated with reduced risk for many diseases, including the three leading causes of death: heart disease, cancer, and stroke.  Healthy eating is fundamental to excellent health and is a key element in healthy human development, from the prenatal and early childhood years to later life stages. 

 

Healthy eating is equally vital in reducing the risk of many chronic diseases.  We spend a lot of money on food, but there are ways to cut costs and still serve healthy tasty meals.  When you choose healthy foods instead of sugary or high-stout foods you can really improve your health by adding extra phytochemicals and fiber.  Breakfast foods should be healthy but they have a tendency to be high in fats and sugar. 

 

We always hear that breakfast is the most vital meal of the day, so why ruin a healthy breakfast.  Excellent nutrition is vital to excellent health, disease prevention, and essential for healthy growth and development of children and adolescents.  Fiber is an vital part of a healthy diet. 

 

Many of us work very hard to eat healthy meals, but struggle with the urge for candy, cookies, cakes, ice cream and anything else full of sugar and sweetness.  Most experts agree that snacking is a part of a balanced and healthy diet, as long as the snacks don’t pile on empty calories. 

 

When your best efforts go awry, and you order pizza or serve another meal that doesn’t exactly fit into a healthy diet, you still have many options for making it healthier.  Just about everyone knows that fruits and vegetables are a very vital part of a healthy diet.  Having a well-stocked pantry and refrigerator can be a busy cook’s best weapon in the war against resorting to quick-food, high-stout, unhealthy meals.  Fresh oil is a source of essential fatty acids, which help keep the skin healthy and the hair shiny. 

 

We believe eating sensibly, combined with appropriate exercise, is the best solution for a healthy lifestyle.

 

Foods

 

When you choose healthy foods instead of sugary or high-stout foods you can really improve your health by adding extra phytochemicals and fiber. The goal is to balance negative foods with positive foods so that the combined rating for all foods eaten in a single day is positive. 

 

If you want to restrict your caloric intake without feeling hungry, find foods highest in any vitamin or mineral or lowest in carbs, saturated fats, or sugars.  Our general state of health is partially driven by the types of foods we consume. To make vegetable oils suitable for deep frying, the oils are hydrogenated, so trans fats are commonly found in deep-fried foods such as French fries and doughnuts. Trans fats, beyond a limit, are not excellent for our health. 

 

Hydrogenation solidifies liquid oils and increases the shelf life and the flavor stability of oils and foods that contain them.  Other sources of trans fats are vegetable shortenings, some margarines, crackers, cookies, snack foods, and other foods.  Since trans fats increase a products shelf life, many pre-prepared foods and mixes (for example, some pancake mixes and pizza dough) contain trans fats. 

 

The solution: Whenever possible, eat whole, fresh, and unprocessed foods.  When buying packaged foods, place in at least as much time into reading marks and selecting products as you do when choosing a shower gel or shampoo.  A excellent diet is central to overall excellent health, but which are the best foods to include in your meals, and which ones are best avoided. 

 

Quick food has become much more well loved of late and all over the world the out weep regarding harms of quick foods is on increase. 

 

Be aware that there is small scientific information about the effect of so-called functional foods –foods to which vitamins, minerals, herbs, or other dietary substances are added — despite their growing popularity in the market place and claims of beneficial effects. 

 

Some common foods, including nuts, wheat gluten, dairy products, fish, shrimp, soy, bananas and eggs may trigger allergic reactions.

 

Stout

 

Fats add taste to meals and give one a feeling of fullness when eaten.  When you choose healthy foods instead of sugary or high-stout foods you can really improve your health by adding extra phytochemicals and fiber.  Breakfast foods should be healthy but they have a tendency to be high in fats and sugar.  The human brain is nearly entirely composed of unsaturated fatty acids. 

 

You deprive yourself of more than fats when you go for the stout-free or low-stout salad dressing.  We need fats to absorb all the beneficial elements of salads and other fruits and vegetables.  Learn which are the right types of fats, to make gorgeous, supple skin, and a healthy body. 

 

Eating more whole foods is a excellent way to replace many of the processed snacks and foods that have a lot of extra sugar, stout (including trans stout), salt, and other things added to them and a lot of excellent things taken out, like fiber.  In addition to food labeled stout-free and low stout, healthy low stout foods include most fruits and vegetables. 

 

Carbohydrates, proteins, and fats (called macronutrients) are broken down (metabolized) to give the body energy.  For example, lowering stout and cholesterol intake and adding whole grains to the diet can prevent atherosclerosis (plaque build up in the arteries), which can lead to heart disease or stroke. 

 

Fish is high in omega-3 fatty acids, which are essential components of cells and can protect the heart from, for example, fatal arrhythmias (abnormal heart rhythm).  Omega-3 fatty acids found in cold water fish (such as herring, tuna, and salmon) have been reported to reduce inflammation and help prevent certain chronic diseases, such as heart disease, cancer, and arthritis. 

 

 

Safe food and excellent nutrition are vital to all. Basic nutrition knowledge is constantly taking shape every day, producing new diet trends to an ever growing audience of people who want to know the latest and greatest ways to achieve their physical fitness goals. 

 

Did you know that you can drastically decrease your chance of heart disease and cancer by eating a healthy diet and following the recommended nutrition guidelines? 

 

 

Proper nutrition is a powerful excellent: people who are well nourished are more likely to be healthy, productive and able to learn.  Excellent nutrition benefits families, their communities and the world as a whole.  Malnutrition is, by the same logic, devastating.

 

 

By: Pradeep Mahajan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Author is a free-lance writer. He is an engineer-MBA and management consultant by profession & practice. Also visit www.health-fitness-wellness.com for more useful & fascinating information on health, fitness & wellness.
This article is available for reprint on your website and/or in your newsletter, provided it is not changed and you include the author’s web-site address.

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Nutritional issues of HIV/AIDS Orphan in Sagamu South West, Nigeria

Nutritional issues of HIV/AIDS Orphan in Sagamu South West, Nigeria

Nutritional issues of HIV/AIDS Orphan in Sagamu South West, Nigeria


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Home Page > Health > Nutritional issues of HIV/AIDS Orphan in Sagamu South West, Nigeria

Nutritional issues of HIV/AIDS Orphan in Sagamu South West, Nigeria

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Posted: Aug 30, 2010 |Comments: 0
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INTRODUCTION

Two types of retrovirus (HIV 1 and HIV 2) were known to cause AIDS worldwide; predominantly HIV 1.transmission in both could be by sexual contact, transfusion of blood or blood products, contact with sharp objects and vertically from mother to child. But, HIV 2 is transmitted less early and has a longer period between infection and development of AIDS [i]. Worldwide, more than fifty million children under 18 years have been orphaned due to AIDS, more that twelve million of these children leave in sub-Sahara Africa [ii].

The concept of orphan varies from one cultural context to another but refers to children (age 0-14) whose either or both parents have died [iii]. The age of orphan is honestly constant across countries with 15% being 0-4 years ancient, 35% 5-9 years ancient and 50% 10-14 years ancient [iv] .The vulnerability of children to health and social mishaps increase long before the death of their parents or guardians. Children watch their parents deteriorate and eventually die. They are often confronted with loss of family identity, increased malnutrition, reduced education opportunity, exploitative child labour and child abuse, and increased susceptibility to HIV infection [v]

Inconsistent findings in nutritional status of orphan and other children make vulnerable by HIV/AIDS make it hard to assess if orphaned and other vulnerable children have specific nutritional needs separate from invulnerable children [vi] .Malnutrition and HIV have similar deleterious effect on the immune system [vii] . In both malnutrition and HIV, there is reduced CD4 and CD8 T-lymphocytes [viii], delayed cutaneous sensitivity, reduced bactericidal properties [ix] and impaired serological response after immunizations [x]..HIV/AIDS have a detrimental impact on household food security and nutrition in endemic areas. Household problems start as soon as the first adult become sick which results in a decline or loss in the productive capacity of individuals and households, decline or complete loss of household incomes  [xi].

Concurrently, there is increase in household expenses as a result of increase health care costs [xii] .Household assets are often sold to offset there effects resulting in more poverty and more food insecurity [xiii]. Children might be forced to discontinue their schooling due to household engagements and inability to afford school expenses.

Thus, food help can have multiple objectives in supporting food-insecure households and this can enable them to participate in treating or preventing malnutrition [xiv]. Linking participation in food help program with nutrition education and skills training can foster self reliance [xv]

 

 

 

MATERIALS AND METHODS

Fifty HIV/AIDS orphaned children whose parents were attending Sagamu Community Centre (a non-governmental organization) were used for the study. The children were all screened for HIV/AIDS and they were all non-reactive (seronegative). The control group comprises of fifty children who were not orphaned, selected randomly amongst the 1,495 people that attended the centre during the period of this study. They were all HIV negative

Structured questionnaire were administered to the parents of the children in the control group as well as guardians of the orphaned children to obtain additional information on their nutritional status. Certain anthropometrics measures were taken to assess the nutritional status; these include height, weight, mid-upper arm circumference, and the head circumference. The BMI was computed in both the orphaned and non-orphaned children.

Five millilitres of blood were aseptically collected from both the subjects and the control group with minimum stasis, using pyrogen-free needles and disposable plastic syringes. Two millilitres of the collected blood was place in an EDTA bottle for the determination of haemoglobin concentration while the remaining three millilitres was dispensed into heparinized bottle for the determination of total protein, albumin, calcium, and phosphate levels.

Serum haemoglobin was determined by standard method [xvi] other parameters were estimated as described  total protein [xvii], albumin [xviii], calcium [xix] and phosphate [xx] in both subject and control groups. The obtained data were analyzed using SPSS version 10.0 chi-square was used to determine differences between the subject and control groups.

 

 

 

 

RESULT

Table 1 shows anthropometric measurements of the subjects and the control. There was no significant difference in the anthropometric measurements the subjects and the control (p>0.05)   Significant difference in the height for age which is a measure of stunted growth was observed between the orphan and control (p<0.05), but no significant difference in weight for age and weight for height. (Table 2).

Table 3 shows mean concentration of haemoglobin, total protein, albumin, calcium phosphate and globulin. Significant difference in mean between the orphan and control (p<0.05) was observed for all parameters

Table 4 shows type of nutrition taken for breakfast, lunch, and dinner in both orphan and control group. 3.8% of orphan did not take breakfast, 77.3% of breakfast meal was carbohydrate while .protein was 18.9%. 82.0% of lunch meal was carbohydrate while .protein was 18.0%, 85.5% of breakfast meal was carbohydrate while .protein was 14.5%

Table 5 reveals Mean body mass index in stratified age groups in subjects and controls There was no significant difference (p > 0.05) between the age groups < 6 years, 7 – 11 and > 12 years of subjects compared to the control groups.

From the data obtained, it was observed that paternal orphan was the commonest (60%), while double orphan was the least (4%), maternal orphan constitute only 36%. The sponsorship of education of the orphans was done mainly by their mothers (50%), while sponsorship by the father and other relatives constitute 26% and 16% respectively.

 

 

 

 

 

 

 

DISCUSSION

Nutritional status in children, are usually assessed by determining their weight, height, head circumference, and mid-upper arm circumference. Values obtained that are below the normal range for individual age group is considered to reflect a malnutrition state. Lack of social support for orphan from family members as a result of stigmatization and discrimination contribute to reduced food availability and hence inadequate dietary intake by orphans

There were no significant differences observed in the anthropometrics between the orphaned and non-orphaned children. But, there were significant differences in their plasma levels of hemoglobin, total protein, albumin, globulin, calcium and inorganic phosphate. These biochemical parameters were significantly lower (p < 0.05) in orphaned children than non-orphaned children. The reduction in the above parameters amongst orphan children is a reflection of the poor nutritional status exhibited by the orphaned children in comparison to non-orphaned children.

Households affected by HIV/AIDS are usually confronted by severe decline in food availability (qualitatively and quantitatively) or food insecurity due to complete loss of the socio-economic contributions of either or both of their parents. The necessary home needs of such orphaned children are catered for by the grandparents or often by the guardians, who also have their immediate family to take care of.

The stunted growth observed in these orphans might contribute to further stigmatization and discrimination by fellow community people. Most times, the orphans with stunted growth are often tagged HIV/AIDS infected individuals, after all both malnutrition and HIV/AIDS have similar presentation. In this situation, a diet rich in protein, energy, micronutrients especially vitamin A is essential to bring about drastic changes in the health and physical appearances of such orphans.

The significantly low globulin level (p < 0.05) in the orphans measures the immune status. It suggests that there are some degrees of immunosuppression in the orphaned children and they are thus vulnerable to multiple infections. The decreased immunity associated with malnutrition lead to increased susceptibility to infections (including HIV infection) which in turn lead to increased nutrient requirements. If these requirements are not adequately met, it may lead to more malnutrition state. As HIV/AIDS prone orphans to malnutrition, malnutrition makes orphan susceptible to HIV/AIDS.

 

 

 

REFERECES

[i] HIV/AIDS care and treatment: In a clinical course for people caring for persons living with HIV/AIDS ,2003;  pp 24.

 

[ii] UNIAIDS: Report on the global AIDS epidemic, chapter 4, the impact of AIDS on people and societies, 2006.

 

[iii] Hunter,S. and Williamson,J.: Children on the brink;Strategies to Support Children Isolated

by HIV/AIDS,Arlindton, Virgina, 2002.

 

[iv] Monasch, J. and Ties Boerma: Orphanhood and child care patterns in sub-Saharan Africa. An analysis of National Surveys from 40 countries. AIDS 18 (suppl. 2); 2004;. Pg 555-565

 

[v] De Wagt, A. and Conndly, M.: Orphan and the impact of HIV/AIDS in sub-Saharan Africa. Food nutrition and agriculture 2005; 34;pg 24-31

 

[vi] Rivers, J, Silverstre,E., Mason,J.: Nutritional and Food Security Status of orphans and vulnerable children, report of  a research supported by UNICEF, IFPRI, and WFP, 2004.

 

[vii] Piwoz, E.G.: Nutrition and HIV/AIDS; evidence, gaps and priority actions, 2004.

 

[viii] Suttajit,M.: Advances in nutrition support for quality of life in HIV/AIDS, Asia Pac. J Clin. Nutr. 2007; 16, suppl., pp318-322,

 

[ix] Beisel,W.R.: Nutrition and immune function; overview. Nutri. 1996; 126, pg 26115-26155

 

[x] Kroon,F.P.,van Dissel,J.T.,de Jong, J.C., and van Forth,R.: Antibody response to influenza,

tetanus, and pneumococcal vaccines in HIV-seropositive individuals in relation to the

 

[xi] Gillespie, S. and Kadayila,S.: HIV/AIDS and food nutrition security, from evidence in action, food policy review no 7, Washington, DC,IFPRI,2005.

 

[xii] Alban, A. and Anderson, N.B.: Putting it together; AIDS and the millennium development goals, 2005

 

[xiii]  Barnett,A. and Rugalema,G.: HIV/AIDS, International Food Policy Research Institute,2020 focus no 05, brief no 09, Washington, DC, IFPRI,2001.

 

[xiv] Grant, F.: Nutrition interventions for PLWHAs and the use of Ready-to-use Therapeutic Foods, presentation at the FANTA project, academy for Educational Development, Washington, DC, 2006.

[xv] Greenaway, K. Greenblott,K.,Hagens,K.: Targeted Food Help in the context of HIV/AIDS, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) learning centre,2004.

 

[xvi]  Kayira,K., Greenaway, K., Greenblott, K: Food for assents; adopting programming to an HIV/AIDS context, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) learning centre,2004.

 

[xvii] Dacie JV & Lewis SM  Practical Haematology, p 10. London.

ChurchillLivingstone  (1984

 

[xviii]  Gornall AG, Bardwill CJ, David M.M: Determination of serum proteins by

means of the biuret reaction. J Biol Chem 1949; 177: 751-756.

 

[xix] Doumas B.T., Watson W.A and Biggs H.G: Albumin standards and the measurement of serum albumin with bromcresol green. Clin. Chim. Acta 1971; 31: 87.

 

[xx] Stern J. and Lewis W.H.P: The colorimetric estimation of calcium in serum with o-cresolphthalein Complexone. Clin. Chim. Acta 1957; 2: 576

 

[xxi] Fiske C. H. and SubbaRow Y:. The colorimetric determination of phosphorus. J.Biol.Chem. 1925; 66: 375

INTRODUCTION

Two types of retrovirus (HIV 1 and HIV 2) were known to cause AIDS worldwide; predominantly HIV 1.transmission in both could be by sexual contact, transfusion of blood or blood products, contact with sharp objects and vertically from mother to child. But, HIV 2 is transmitted less early and has a longer period between infection and development of AIDS [i]. Worldwide, more than fifty million children under 18 years have been orphaned due to AIDS, more that twelve million of these children leave in sub-Sahara Africa [ii].

The concept of orphan varies from one cultural context to another but refers to children (age 0-14) whose either or both parents have died [iii]. The age of orphan is honestly constant across countries with 15% being 0-4 years ancient, 35% 5-9 years ancient and 50% 10-14 years ancient [iv] .The vulnerability of children to health and social mishaps increase long before the death of their parents or guardians. Children watch their parents deteriorate and eventually die. They are often confronted with loss of family identity, increased malnutrition, reduced education opportunity, exploitative child labour and child abuse, and increased susceptibility to HIV infection [v]

Inconsistent findings in nutritional status of orphan and other children make vulnerable by HIV/AIDS make it hard to assess if orphaned and other vulnerable children have specific nutritional needs separate from invulnerable children [vi] .Malnutrition and HIV have similar deleterious effect on the immune system [vii] . In both malnutrition and HIV, there is reduced CD4 and CD8 T-lymphocytes [viii], delayed cutaneous sensitivity, reduced bactericidal properties [ix] and impaired serological response after immunizations [x]..HIV/AIDS have a detrimental impact on household food security and nutrition in endemic areas. Household problems start as soon as the first adult become sick which results in a decline or loss in the productive capacity of individuals and households, decline or complete loss of household incomes  [xi].

Concurrently, there is increase in household expenses as a result of increase health care costs [xii] .Household assets are often sold to offset there effects resulting in more poverty and more food insecurity [xiii]. Children might be forced to discontinue their schooling due to household engagements and inability to afford school expenses.

Thus, food help can have multiple objectives in supporting food-insecure households and this can enable them to participate in treating or preventing malnutrition [xiv]. Linking participation in food help program with nutrition education and skills training can foster self reliance [xv]

 

 

 

MATERIALS AND METHODS

Fifty HIV/AIDS orphaned children whose parents were attending Sagamu Community Centre (a non-governmental organization) were used for the study. The children were all screened for HIV/AIDS and they were all non-reactive (seronegative). The control group comprises of fifty children who were not orphaned, selected randomly amongst the 1,495 people that attended the centre during the period of this study. They were all HIV negative

Structured questionnaire were administered to the parents of the children in the control group as well as guardians of the orphaned children to obtain additional information on their nutritional status. Certain anthropometrics measures were taken to assess the nutritional status; these include height, weight, mid-upper arm circumference, and the head circumference. The BMI was computed in both the orphaned and non-orphaned children.

Five millilitres of blood were aseptically collected from both the subjects and the control group with minimum stasis, using pyrogen-free needles and disposable plastic syringes. Two millilitres of the collected blood was place in an EDTA bottle for the determination of haemoglobin concentration while the remaining three millilitres was dispensed into heparinized bottle for the determination of total protein, albumin, calcium, and phosphate levels.

Serum haemoglobin was determined by standard method [xvi] other parameters were estimated as described  total protein [xvii], albumin [xviii], calcium [xix] and phosphate [xx] in both subject and control groups. The obtained data were analyzed using SPSS version 10.0 chi-square was used to determine differences between the subject and control groups.

 

 

 

 

RESULT

Table 1 shows anthropometric measurements of the subjects and the control. There was no significant difference in the anthropometric measurements the subjects and the control (p>0.05)   Significant difference in the height for age which is a measure of stunted growth was observed between the orphan and control (p<0.05), but no significant difference in weight for age and weight for height. (Table 2).

Table 3 shows mean concentration of haemoglobin, total protein, albumin, calcium phosphate and globulin. Significant difference in mean between the orphan and control (p<0.05) was observed for all parameters

Table 4 shows type of nutrition taken for breakfast, lunch, and dinner in both orphan and control group. 3.8% of orphan did not take breakfast, 77.3% of breakfast meal was carbohydrate while .protein was 18.9%. 82.0% of lunch meal was carbohydrate while .protein was 18.0%, 85.5% of breakfast meal was carbohydrate while .protein was 14.5%

Table 5 reveals Mean body mass index in stratified age groups in subjects and controls There was no significant difference (p > 0.05) between the age groups < 6 years, 7 – 11 and > 12 years of subjects compared to the control groups.

From the data obtained, it was observed that paternal orphan was the commonest (60%), while double orphan was the least (4%), maternal orphan constitute only 36%. The sponsorship of education of the orphans was done mainly by their mothers (50%), while sponsorship by the father and other relatives constitute 26% and 16% respectively.

 

 

 

 

 

 

 

DISCUSSION

Nutritional status in children, are usually assessed by determining their weight, height, head circumference, and mid-upper arm circumference. Values obtained that are below the normal range for individual age group is considered to reflect a malnutrition state. Lack of social support for orphan from family members as a result of stigmatization and discrimination contribute to reduced food availability and hence inadequate dietary intake by orphans

There were no significant differences observed in the anthropometrics between the orphaned and non-orphaned children. But, there were significant differences in their plasma levels of hemoglobin, total protein, albumin, globulin, calcium and inorganic phosphate. These biochemical parameters were significantly lower (p < 0.05) in orphaned children than non-orphaned children. The reduction in the above parameters amongst orphan children is a reflection of the poor nutritional status exhibited by the orphaned children in comparison to non-orphaned children.

Households affected by HIV/AIDS are usually confronted by severe decline in food availability (qualitatively and quantitatively) or food insecurity due to complete loss of the socio-economic contributions of either or both of their parents. The necessary home needs of such orphaned children are catered for by the grandparents or often by the guardians, who also have their immediate family to take care of.

The stunted growth observed in these orphans might contribute to further stigmatization and discrimination by fellow community people. Most times, the orphans with stunted growth are often tagged HIV/AIDS infected individuals, after all both malnutrition and HIV/AIDS have similar presentation. In this situation, a diet rich in protein, energy, micronutrients especially vitamin A is essential to bring about drastic changes in the health and physical appearances of such orphans.

The significantly low globulin level (p < 0.05) in the orphans measures the immune status. It suggests that there are some degrees of immunosuppression in the orphaned children and they are thus vulnerable to multiple infections. The decreased immunity associated with malnutrition lead to increased susceptibility to infections (including HIV infection) which in turn lead to increased nutrient requirements. If these requirements are not adequately met, it may lead to more malnutrition state. As HIV/AIDS prone orphans to malnutrition, malnutrition makes orphan susceptible to HIV/AIDS.

 

 

 

REFERECES

[i] HIV/AIDS care and treatment: In a clinical course for people caring for persons living with HIV/AIDS ,2003;  pp 24.

 

[ii] UNIAIDS: Report on the global AIDS epidemic, chapter 4, the impact of AIDS on people and societies, 2006.

 

[iii] Hunter,S. and Williamson,J.: Children on the brink;Strategies to Support Children Isolated

by HIV/AIDS,Arlindton, Virgina, 2002.

 

[iv] Monasch, J. and Ties Boerma: Orphanhood and child care patterns in sub-Saharan Africa. An analysis of National Surveys from 40 countries. AIDS 18 (suppl. 2); 2004;. Pg 555-565

 

[v] De Wagt, A. and Conndly, M.: Orphan and the impact of HIV/AIDS in sub-Saharan Africa. Food nutrition and agriculture 2005; 34;pg 24-31

 

[vi] Rivers, J, Silverstre,E., Mason,J.: Nutritional and Food Security Status of orphans and vulnerable children, report of  a research supported by UNICEF, IFPRI, and WFP, 2004.

 

[vii] Piwoz, E.G.: Nutrition and HIV/AIDS; evidence, gaps and priority actions, 2004.

 

[viii] Suttajit,M.: Advances in nutrition support for quality of life in HIV/AIDS, Asia Pac. J Clin. Nutr. 2007; 16, suppl., pp318-322,

 

[ix] Beisel,W.R.: Nutrition and immune function; overview. Nutri. 1996; 126, pg 26115-26155

 

[x] Kroon,F.P.,van Dissel,J.T.,de Jong, J.C., and van Forth,R.: Antibody response to influenza,

tetanus, and pneumococcal vaccines in HIV-seropositive individuals in relation to the

 

[xi] Gillespie, S. and Kadayila,S.: HIV/AIDS and food nutrition security, from evidence in action, food policy review no 7, Washington, DC,IFPRI,2005.

 

[xii] Alban, A. and Anderson, N.B.: Putting it together; AIDS and the millennium development goals, 2005

 

[xiii]  Barnett,A. and Rugalema,G.: HIV/AIDS, International Food Policy Research Institute,2020 focus no 05, brief no 09, Washington, DC, IFPRI,2001.

 

[xiv] Grant, F.: Nutrition interventions for PLWHAs and the use of Ready-to-use Therapeutic Foods, presentation at the FANTA project, academy for Educational Development, Washington, DC, 2006.

[xv] Greenaway, K. Greenblott,K.,Hagens,K.: Targeted Food Help in the context of HIV/AIDS, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) learning centre,2004.

 

[xvi]  Kayira,K., Greenaway, K., Greenblott, K: Food for assents; adopting programming to an HIV/AIDS context, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) learning centre,2004.

 

[xvii] Dacie JV & Lewis SM  Practical Haematology, p 10. London.

ChurchillLivingstone  (1984

 

[xviii]  Gornall AG, Bardwill CJ, David M.M: Determination of serum proteins by

means of the biuret reaction. J Biol Chem 1949; 177: 751-756.

 

[xix] Doumas B.T., Watson W.A and Biggs H.G: Albumin standards and the measurement of serum albumin with bromcresol green. Clin. Chim. Acta 1971; 31: 87.

 

[xx] Stern J. and Lewis W.H.P: The colorimetric estimation of calcium in serum with o-cresolphthalein Complexone. Clin. Chim. Acta 1957; 2: 576

 

[xxi] Fiske C. H. and SubbaRow Y:. The colorimetric determination of phosphorus. J.Biol.Chem. 1925; 66: 375

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About the Author:

Ogundahunsi  O. A., 1 Adenuga  A.O.,2 Odewabi A.O., 2*, Olooto  W.E1.,  Jeminusi  A.O3.

1.Department of Chemical Pathology, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ogun State; 2.Department of Chemical Pathology Olabisi Onabanjo University Teaching Hospital, Ogun State; 3. Department of Community Health Medicine, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ogun State

*Author to whom correspondence should be addressed.

E-mail: aoodewabi@yahoo.co.uk

P.O.Box 1092,

Sagamu.

08058861972

]]>

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Nutritional issues of HIV/AIDS Orphan in Sagamu South West, Nigeria

Background/Aims: More than 12 million children under the age of 18 years have been orphaned worldwide, as a result of HIV/AIDS, with Nigeria having the largest number of HIV/AIDS orphan in Africa, as more people dies from AIDS the problem of orphan and vulnerable children will increase. Small is known about the health and nutrition of those HIV/AIDS orphan and inconsistent findings make it hard to assess if orphan and other vulnerable children have specific nutritional needs.
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Ogundahunsi  O. A., 1 Adenuga  A.O.,2 Odewabi A.O., 2*, Olooto  W.E1.,  Jeminusi  A.O3.

1.Department of Chemical Pathology, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ogun State; 2.Department of Chemical Pathology Olabisi Onabanjo University Teaching Hospital, Ogun State; 3. Department of Community Health Medicine, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ogun State

*Author to whom correspondence should be addressed.

E-mail: aoodewabi@yahoo.co.uk

P.O.Box 1092,

Sagamu.

08058861972

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Nutritional issues of HIV/AIDS Orphan in Sagamu South West, Nigeria

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INTRODUCTION

Two types of retrovirus (HIV 1 and HIV 2) were known to cause AIDS worldwide; predominantly HIV 1.transmission in both could be by sexual contact, transfusion of blood or blood products, contact with sharp objects and vertically from mother to child. But, HIV 2 is transmitted less early and has a longer period between infection and development of AIDS [i]. Worldwide, more than fifty million children under 18 years have been orphaned due to AIDS, more that twelve million of these children leave in sub-Sahara Africa [ii].

The concept of orphan varies from one cultural context to another but refers to children (age 0-14) whose either or both parents have died [iii]. The age of orphan is honestly constant across countries with 15% being 0-4 years ancient, 35% 5-9 years ancient and 50% 10-14 years ancient [iv] .The vulnerability of children to health and social mishaps increase long before the death of their parents or guardians. Children watch their parents deteriorate and eventually die. They are often confronted with loss of family identity, increased malnutrition, reduced education opportunity, exploitative child labour and child abuse, and increased susceptibility to HIV infection [v]

Inconsistent findings in nutritional status of orphan and other children make vulnerable by HIV/AIDS make it hard to assess if orphaned and other vulnerable children have specific nutritional needs separate from invulnerable children [vi] .Malnutrition and HIV have similar deleterious effect on the immune system [vii] . In both malnutrition and HIV, there is reduced CD4 and CD8 T-lymphocytes [viii], delayed cutaneous sensitivity, reduced bactericidal properties [ix] and impaired serological response after immunizations [x]..HIV/AIDS have a detrimental impact on household food security and nutrition in endemic areas. Household problems start as soon as the first adult become sick which results in a decline or loss in the productive capacity of individuals and households, decline or complete loss of household incomes  [xi].

Concurrently, there is increase in household expenses as a result of increase health care costs [xii] .Household assets are often sold to offset there effects resulting in more poverty and more food insecurity [xiii]. Children might be forced to discontinue their schooling due to household engagements and inability to afford school expenses.

Thus, food help can have multiple objectives in supporting food-insecure households and this can enable them to participate in treating or preventing malnutrition [xiv]. Linking participation in food help program with nutrition education and skills training can foster self reliance [xv]

 

 

 

MATERIALS AND METHODS

Fifty HIV/AIDS orphaned children whose parents were attending Sagamu Community Centre (a non-governmental organization) were used for the study. The children were all screened for HIV/AIDS and they were all non-reactive (seronegative). The control group comprises of fifty children who were not orphaned, selected randomly amongst the 1,495 people that attended the centre during the period of this study. They were all HIV negative

Structured questionnaire were administered to the parents of the children in the control group as well as guardians of the orphaned children to obtain additional information on their nutritional status. Certain anthropometrics measures were taken to assess the nutritional status; these include height, weight, mid-upper arm circumference, and the head circumference. The BMI was computed in both the orphaned and non-orphaned children.

Five millilitres of blood were aseptically collected from both the subjects and the control group with minimum stasis, using pyrogen-free needles and disposable plastic syringes. Two millilitres of the collected blood was place in an EDTA bottle for the determination of haemoglobin concentration while the remaining three millilitres was dispensed into heparinized bottle for the determination of total protein, albumin, calcium, and phosphate levels.

Serum haemoglobin was determined by standard method [xvi] other parameters were estimated as described  total protein [xvii], albumin [xviii], calcium [xix] and phosphate [xx] in both subject and control groups. The obtained data were analyzed using SPSS version 10.0 chi-square was used to determine differences between the subject and control groups.

 

 

 

 

RESULT

Table 1 shows anthropometric measurements of the subjects and the control. There was no significant difference in the anthropometric measurements the subjects and the control (p>0.05)   Significant difference in the height for age which is a measure of stunted growth was observed between the orphan and control (p<0.05), but no significant difference in weight for age and weight for height. (Table 2).

Table 3 shows mean concentration of haemoglobin, total protein, albumin, calcium phosphate and globulin. Significant difference in mean between the orphan and control (p<0.05) was observed for all parameters

Table 4 shows type of nutrition taken for breakfast, lunch, and dinner in both orphan and control group. 3.8% of orphan did not take breakfast, 77.3% of breakfast meal was carbohydrate while .protein was 18.9%. 82.0% of lunch meal was carbohydrate while .protein was 18.0%, 85.5% of breakfast meal was carbohydrate while .protein was 14.5%

Table 5 reveals Mean body mass index in stratified age groups in subjects and controls There was no significant difference (p > 0.05) between the age groups < 6 years, 7 – 11 and > 12 years of subjects compared to the control groups.

From the data obtained, it was observed that paternal orphan was the commonest (60%), while double orphan was the least (4%), maternal orphan constitute only 36%. The sponsorship of education of the orphans was done mainly by their mothers (50%), while sponsorship by the father and other relatives constitute 26% and 16% respectively.

 

 

 

 

 

 

 

DISCUSSION

Nutritional status in children, are usually assessed by determining their weight, height, head circumference, and mid-upper arm circumference. Values obtained that are below the normal range for individual age group is considered to reflect a malnutrition state. Lack of social support for orphan from family members as a result of stigmatization and discrimination contribute to reduced food availability and hence inadequate dietary intake by orphans

There were no significant differences observed in the anthropometrics between the orphaned and non-orphaned children. But, there were significant differences in their plasma levels of hemoglobin, total protein, albumin, globulin, calcium and inorganic phosphate. These biochemical parameters were significantly lower (p < 0.05) in orphaned children than non-orphaned children. The reduction in the above parameters amongst orphan children is a reflection of the poor nutritional status exhibited by the orphaned children in comparison to non-orphaned children.

Households affected by HIV/AIDS are usually confronted by severe decline in food availability (qualitatively and quantitatively) or food insecurity due to complete loss of the socio-economic contributions of either or both of their parents. The necessary home needs of such orphaned children are catered for by the grandparents or often by the guardians, who also have their immediate family to take care of.

The stunted growth observed in these orphans might contribute to further stigmatization and discrimination by fellow community people. Most times, the orphans with stunted growth are often tagged HIV/AIDS infected individuals, after all both malnutrition and HIV/AIDS have similar presentation. In this situation, a diet rich in protein, energy, micronutrients especially vitamin A is essential to bring about drastic changes in the health and physical appearances of such orphans.

The significantly low globulin level (p < 0.05) in the orphans measures the immune status. It suggests that there are some degrees of immunosuppression in the orphaned children and they are thus vulnerable to multiple infections. The decreased immunity associated with malnutrition lead to increased susceptibility to infections (including HIV infection) which in turn lead to increased nutrient requirements. If these requirements are not adequately met, it may lead to more malnutrition state. As HIV/AIDS prone orphans to malnutrition, malnutrition makes orphan susceptible to HIV/AIDS.

 

 

 

REFERECES

[i] HIV/AIDS care and treatment: In a clinical course for people caring for persons living with HIV/AIDS ,2003;  pp 24.

 

[ii] UNIAIDS: Report on the global AIDS epidemic, chapter 4, the impact of AIDS on people and societies, 2006.

 

[iii] Hunter,S. and Williamson,J.: Children on the brink;Strategies to Support Children Isolated

by HIV/AIDS,Arlindton, Virgina, 2002.

 

[iv] Monasch, J. and Ties Boerma: Orphanhood and child care patterns in sub-Saharan Africa. An analysis of National Surveys from 40 countries. AIDS 18 (suppl. 2); 2004;. Pg 555-565

 

[v] De Wagt, A. and Conndly, M.: Orphan and the impact of HIV/AIDS in sub-Saharan Africa. Food nutrition and agriculture 2005; 34;pg 24-31

 

[vi] Rivers, J, Silverstre,E., Mason,J.: Nutritional and Food Security Status of orphans and vulnerable children, report of  a research supported by UNICEF, IFPRI, and WFP, 2004.

 

[vii] Piwoz, E.G.: Nutrition and HIV/AIDS; evidence, gaps and priority actions, 2004.

 

[viii] Suttajit,M.: Advances in nutrition support for quality of life in HIV/AIDS, Asia Pac. J Clin. Nutr. 2007; 16, suppl., pp318-322,

 

[ix] Beisel,W.R.: Nutrition and immune function; overview. Nutri. 1996; 126, pg 26115-26155

 

[x] Kroon,F.P.,van Dissel,J.T.,de Jong, J.C., and van Forth,R.: Antibody response to influenza,

tetanus, and pneumococcal vaccines in HIV-seropositive individuals in relation to the

 

[xi] Gillespie, S. and Kadayila,S.: HIV/AIDS and food nutrition security, from evidence in action, food policy review no 7, Washington, DC,IFPRI,2005.

 

[xii] Alban, A. and Anderson, N.B.: Putting it together; AIDS and the millennium development goals, 2005

 

[xiii]  Barnett,A. and Rugalema,G.: HIV/AIDS, International Food Policy Research Institute,2020 focus no 05, brief no 09, Washington, DC, IFPRI,2001.

 

[xiv] Grant, F.: Nutrition interventions for PLWHAs and the use of Ready-to-use Therapeutic Foods, presentation at the FANTA project, academy for Educational Development, Washington, DC, 2006.

[xv] Greenaway, K. Greenblott,K.,Hagens,K.: Targeted Food Help in the context of HIV/AIDS, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) learning centre,2004.

 

[xvi]  Kayira,K., Greenaway, K., Greenblott, K: Food for assents; adopting programming to an HIV/AIDS context, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) learning centre,2004.

 

[xvii] Dacie JV & Lewis SM  Practical Haematology, p 10. London.

ChurchillLivingstone  (1984

 

[xviii]  Gornall AG, Bardwill CJ, David M.M: Determination of serum proteins by

means of the biuret reaction. J Biol Chem 1949; 177: 751-756.

 

[xix] Doumas B.T., Watson W.A and Biggs H.G: Albumin standards and the measurement of serum albumin with bromcresol green. Clin. Chim. Acta 1971; 31: 87.

 

[xx] Stern J. and Lewis W.H.P: The colorimetric estimation of calcium in serum with o-cresolphthalein Complexone. Clin. Chim. Acta 1957; 2: 576

 

[xxi] Fiske C. H. and SubbaRow Y:. The colorimetric determination of phosphorus. J.Biol.Chem. 1925; 66: 375

INTRODUCTION

Two types of retrovirus (HIV 1 and HIV 2) were known to cause AIDS worldwide; predominantly HIV 1.transmission in both could be by sexual contact, transfusion of blood or blood products, contact with sharp objects and vertically from mother to child. But, HIV 2 is transmitted less early and has a longer period between infection and development of AIDS [i]. Worldwide, more than fifty million children under 18 years have been orphaned due to AIDS, more that twelve million of these children leave in sub-Sahara Africa [ii].

The concept of orphan varies from one cultural context to another but refers to children (age 0-14) whose either or both parents have died [iii]. The age of orphan is honestly constant across countries with 15% being 0-4 years ancient, 35% 5-9 years ancient and 50% 10-14 years ancient [iv] .The vulnerability of children to health and social mishaps increase long before the death of their parents or guardians. Children watch their parents deteriorate and eventually die. They are often confronted with loss of family identity, increased malnutrition, reduced education opportunity, exploitative child labour and child abuse, and increased susceptibility to HIV infection [v]

Inconsistent findings in nutritional status of orphan and other children make vulnerable by HIV/AIDS make it hard to assess if orphaned and other vulnerable children have specific nutritional needs separate from invulnerable children [vi] .Malnutrition and HIV have similar deleterious effect on the immune system [vii] . In both malnutrition and HIV, there is reduced CD4 and CD8 T-lymphocytes [viii], delayed cutaneous sensitivity, reduced bactericidal properties [ix] and impaired serological response after immunizations [x]..HIV/AIDS have a detrimental impact on household food security and nutrition in endemic areas. Household problems start as soon as the first adult become sick which results in a decline or loss in the productive capacity of individuals and households, decline or complete loss of household incomes  [xi].

Concurrently, there is increase in household expenses as a result of increase health care costs [xii] .Household assets are often sold to offset there effects resulting in more poverty and more food insecurity [xiii]. Children might be forced to discontinue their schooling due to household engagements and inability to afford school expenses.

Thus, food help can have multiple objectives in supporting food-insecure households and this can enable them to participate in treating or preventing malnutrition [xiv]. Linking participation in food help program with nutrition education and skills training can foster self reliance [xv]

 

 

 

MATERIALS AND METHODS

Fifty HIV/AIDS orphaned children whose parents were attending Sagamu Community Centre (a non-governmental organization) were used for the study. The children were all screened for HIV/AIDS and they were all non-reactive (seronegative). The control group comprises of fifty children who were not orphaned, selected randomly amongst the 1,495 people that attended the centre during the period of this study. They were all HIV negative

Structured questionnaire were administered to the parents of the children in the control group as well as guardians of the orphaned children to obtain additional information on their nutritional status. Certain anthropometrics measures were taken to assess the nutritional status; these include height, weight, mid-upper arm circumference, and the head circumference. The BMI was computed in both the orphaned and non-orphaned children.

Five millilitres of blood were aseptically collected from both the subjects and the control group with minimum stasis, using pyrogen-free needles and disposable plastic syringes. Two millilitres of the collected blood was place in an EDTA bottle for the determination of haemoglobin concentration while the remaining three millilitres was dispensed into heparinized bottle for the determination of total protein, albumin, calcium, and phosphate levels.

Serum haemoglobin was determined by standard method [xvi] other parameters were estimated as described  total protein [xvii], albumin [xviii], calcium [xix] and phosphate [xx] in both subject and control groups. The obtained data were analyzed using SPSS version 10.0 chi-square was used to determine differences between the subject and control groups.

 

 

 

 

RESULT

Table 1 shows anthropometric measurements of the subjects and the control. There was no significant difference in the anthropometric measurements the subjects and the control (p>0.05)   Significant difference in the height for age which is a measure of stunted growth was observed between the orphan and control (p<0.05), but no significant difference in weight for age and weight for height. (Table 2).

Table 3 shows mean concentration of haemoglobin, total protein, albumin, calcium phosphate and globulin. Significant difference in mean between the orphan and control (p<0.05) was observed for all parameters

Table 4 shows type of nutrition taken for breakfast, lunch, and dinner in both orphan and control group. 3.8% of orphan did not take breakfast, 77.3% of breakfast meal was carbohydrate while .protein was 18.9%. 82.0% of lunch meal was carbohydrate while .protein was 18.0%, 85.5% of breakfast meal was carbohydrate while .protein was 14.5%

Table 5 reveals Mean body mass index in stratified age groups in subjects and controls There was no significant difference (p > 0.05) between the age groups < 6 years, 7 – 11 and > 12 years of subjects compared to the control groups.

From the data obtained, it was observed that paternal orphan was the commonest (60%), while double orphan was the least (4%), maternal orphan constitute only 36%. The sponsorship of education of the orphans was done mainly by their mothers (50%), while sponsorship by the father and other relatives constitute 26% and 16% respectively.

 

 

 

 

 

 

 

DISCUSSION

Nutritional status in children, are usually assessed by determining their weight, height, head circumference, and mid-upper arm circumference. Values obtained that are below the normal range for individual age group is considered to reflect a malnutrition state. Lack of social support for orphan from family members as a result of stigmatization and discrimination contribute to reduced food availability and hence inadequate dietary intake by orphans

There were no significant differences observed in the anthropometrics between the orphaned and non-orphaned children. But, there were significant differences in their plasma levels of hemoglobin, total protein, albumin, globulin, calcium and inorganic phosphate. These biochemical parameters were significantly lower (p < 0.05) in orphaned children than non-orphaned children. The reduction in the above parameters amongst orphan children is a reflection of the poor nutritional status exhibited by the orphaned children in comparison to non-orphaned children.

Households affected by HIV/AIDS are usually confronted by severe decline in food availability (qualitatively and quantitatively) or food insecurity due to complete loss of the socio-economic contributions of either or both of their parents. The necessary home needs of such orphaned children are catered for by the grandparents or often by the guardians, who also have their immediate family to take care of.

The stunted growth observed in these orphans might contribute to further stigmatization and discrimination by fellow community people. Most times, the orphans with stunted growth are often tagged HIV/AIDS infected individuals, after all both malnutrition and HIV/AIDS have similar presentation. In this situation, a diet rich in protein, energy, micronutrients especially vitamin A is essential to bring about drastic changes in the health and physical appearances of such orphans.

The significantly low globulin level (p < 0.05) in the orphans measures the immune status. It suggests that there are some degrees of immunosuppression in the orphaned children and they are thus vulnerable to multiple infections. The decreased immunity associated with malnutrition lead to increased susceptibility to infections (including HIV infection) which in turn lead to increased nutrient requirements. If these requirements are not adequately met, it may lead to more malnutrition state. As HIV/AIDS prone orphans to malnutrition, malnutrition makes orphan susceptible to HIV/AIDS.

 

 

 

REFERECES

[i] HIV/AIDS care and treatment: In a clinical course for people caring for persons living with HIV/AIDS ,2003;  pp 24.

 

[ii] UNIAIDS: Report on the global AIDS epidemic, chapter 4, the impact of AIDS on people and societies, 2006.

 

[iii] Hunter,S. and Williamson,J.: Children on the brink;Strategies to Support Children Isolated

by HIV/AIDS,Arlindton, Virgina, 2002.

 

[iv] Monasch, J. and Ties Boerma: Orphanhood and child care patterns in sub-Saharan Africa. An analysis of National Surveys from 40 countries. AIDS 18 (suppl. 2); 2004;. Pg 555-565

 

[v] De Wagt, A. and Conndly, M.: Orphan and the impact of HIV/AIDS in sub-Saharan Africa. Food nutrition and agriculture 2005; 34;pg 24-31

 

[vi] Rivers, J, Silverstre,E., Mason,J.: Nutritional and Food Security Status of orphans and vulnerable children, report of  a research supported by UNICEF, IFPRI, and WFP, 2004.

 

[vii] Piwoz, E.G.: Nutrition and HIV/AIDS; evidence, gaps and priority actions, 2004.

 

[viii] Suttajit,M.: Advances in nutrition support for quality of life in HIV/AIDS, Asia Pac. J Clin. Nutr. 2007; 16, suppl., pp318-322,

 

[ix] Beisel,W.R.: Nutrition and immune function; overview. Nutri. 1996; 126, pg 26115-26155

 

[x] Kroon,F.P.,van Dissel,J.T.,de Jong, J.C., and van Forth,R.: Antibody response to influenza,

tetanus, and pneumococcal vaccines in HIV-seropositive individuals in relation to the

 

[xi] Gillespie, S. and Kadayila,S.: HIV/AIDS and food nutrition security, from evidence in action, food policy review no 7, Washington, DC,IFPRI,2005.

 

[xii] Alban, A. and Anderson, N.B.: Putting it together; AIDS and the millennium development goals, 2005

 

[xiii]  Barnett,A. and Rugalema,G.: HIV/AIDS, International Food Policy Research Institute,2020 focus no 05, brief no 09, Washington, DC, IFPRI,2001.

 

[xiv] Grant, F.: Nutrition interventions for PLWHAs and the use of Ready-to-use Therapeutic Foods, presentation at the FANTA project, academy for Educational Development, Washington, DC, 2006.

[xv] Greenaway, K. Greenblott,K.,Hagens,K.: Targeted Food Help in the context of HIV/AIDS, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) learning centre,2004.

 

[xvi]  Kayira,K., Greenaway, K., Greenblott, K: Food for assents; adopting programming to an HIV/AIDS context, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) learning centre,2004.

 

[xvii] Dacie JV & Lewis SM  Practical Haematology, p 10. London.

ChurchillLivingstone  (1984

 

[xviii]  Gornall AG, Bardwill CJ, David M.M: Determination of serum proteins by

means of the biuret reaction. J Biol Chem 1949; 177: 751-756.

 

[xix] Doumas B.T., Watson W.A and Biggs H.G: Albumin standards and the measurement of serum albumin with bromcresol green. Clin. Chim. Acta 1971; 31: 87.

 

[xx] Stern J. and Lewis W.H.P: The colorimetric estimation of calcium in serum with o-cresolphthalein Complexone. Clin. Chim. Acta 1957; 2: 576

 

[xxi] Fiske C. H. and SubbaRow Y:. The colorimetric determination of phosphorus. J.Biol.Chem. 1925; 66: 375

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About the Author:

Ogundahunsi  O. A., 1 Adenuga  A.O.,2 Odewabi A.O., 2*, Olooto  W.E1.,  Jeminusi  A.O3.

1.Department of Chemical Pathology, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ogun State; 2.Department of Chemical Pathology Olabisi Onabanjo University Teaching Hospital, Ogun State; 3. Department of Community Health Medicine, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ogun State

*Author to whom correspondence should be addressed.

E-mail: aoodewabi@yahoo.co.uk

P.O.Box 1092,

Sagamu.

08058861972

]]>

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Ogundahunsi  O. A., 1 Adenuga  A.O.,2 Odewabi A.O., 2*, Olooto  W.E1.,  Jeminusi  A.O3.

1.Department of Chemical Pathology, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ogun State; 2.Department of Chemical Pathology Olabisi Onabanjo University Teaching Hospital, Ogun State; 3. Department of Community Health Medicine, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Ogun State

*Author to whom correspondence should be addressed.

E-mail: aoodewabi@yahoo.co.uk

P.O.Box 1092,

Sagamu.

08058861972

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