Deficiencies of macronutrient intake among HIV-positive breastfeeding women in Dar es Salaam, Tanzania
Kim, F.; Neke, N.M.; Hendricks, K.; Wamsele, J.; Lukmanji, Z.; Waddell, R.; Maro, I.; Connor, R.; Mackenzie, T.; Matee, M.; Bakari, M.; Pallangyo, K.; von Reyn, C.F.
Journal of Acquired Immune Deficiency Syndromes 67(5): 569-572
2014
ISSN/ISBN: 1944-7884 PMID: 25230293 DOI: 10.1097/qai.0000000000000352Document Number: 625653
We compared macronutrient intake, food insecurity, and anthropometrics in breastfeeding women: 40 HIV-positive women not yet on antiretroviral therapy and 40 HIV-negative women. Calculated deficits at 2 weeks were 517 kcal per day for HIV-positive women vs 87 kcal per day surplus for HIV-negative women (P = 0.01) and 29 g protein per day for HIV-positive women vs 16 g protein per day for HIV-negative women (P = 0.04). Food insecurity scores were 11.3 for HIV-positive women vs 7.8 for HIV-negative women (P < 0.01). Enhanced dietary education together with macronutrient supplementation may be required to improve health outcomes in HIV-positive women and their infants.