Performance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia

Abstract There is a lack of uniformity in developing and validating indicators of nutritional status among People Living with Human Immunodeficiency Virus (PLHIV). Experiences from low and middle-income countries are scant, and differences in methodological and analytical approaches affect the compa...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Foziya Mohammed Hussien, Wondwosen Mebratu, Aragaw Yimer Ahmed, Tefera Chane Mekonnen, Anissa Mohammed Hassen, Zinet Abegaz Asfaw, Hamid Yimam Hassen, Kalkidan Hassen Abate
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5de120d5b5a043c28c70b615d4d6be6a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5de120d5b5a043c28c70b615d4d6be6a
record_format	dspace
spelling	oai:doaj.org-article:5de120d5b5a043c28c70b615d4d6be6a2021-12-02T18:14:00ZPerformance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia10.1038/s41598-021-98202-62045-2322https://doaj.org/article/5de120d5b5a043c28c70b615d4d6be6a2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98202-6https://doaj.org/toc/2045-2322Abstract There is a lack of uniformity in developing and validating indicators of nutritional status among People Living with Human Immunodeficiency Virus (PLHIV). Experiences from low and middle-income countries are scant, and differences in methodological and analytical approaches affect the comparability and generalizability of findings. Therefore, this study investigated the performance of individual diversity score (IDDS) as a proxy indicator of nutritional status among PLHIV. We conducted a facility-based cross-sectional study among 423 PLHIV who were under Antiretroviral Treatment (ART) at clinics in Bahir-Dar, Ethiopia. We collected data on sociodemographic, dietary, clinical, and anthropometric measures. Dietary intake was assessed using 24-Hour dietary recall. Body Mass Index (BMI) was calculated to assess the nutritional status of study subjects. The receiver operating characteristic (ROC) curve analysis was used to assess the ability of the IDDS and Minimum Dietary Diversity for Women (MDD-W) to detect poor nutritional status. Furthermore, sensitivity, specificity, Predictive Values (PPs), and Likelihood Ratios (LRs) were calculated at different cut-off points. IDDS showed good reliability with Cronbach’s Alpha of 0.76. The Area Under the Curve (AUC) of IDDS was 78.5 (95%CI 73.9–83.4). At the IDDS cut-off of 4, the sensitivity and specificity of IDDS to indicate nutritional status were 88.0% (95%CI 81.0–93.0) and 71.0% (95%CI 66.0–76.0), respectively. The AUC of MDD-W was 74.1%, and at the cut-off of 4 the sensitivity and specificity of MDD-W to indicate undernutrition were 73.0% and 72.0%, respectively. Both IDDS and MDD-W have good accuracy as a proxy indicator for measuring the nutritional status of PLHIV. In the prevention of undernutrition among PLHIV especially in a resource-limited setting, IDDS and MDD-W can be used to assess nutritional status.Foziya Mohammed HussienWondwosen MebratuAragaw Yimer AhmedTefera Chane MekonnenAnissa Mohammed HassenZinet Abegaz AsfawHamid Yimam HassenKalkidan Hassen AbateNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Foziya Mohammed Hussien Wondwosen Mebratu Aragaw Yimer Ahmed Tefera Chane Mekonnen Anissa Mohammed Hassen Zinet Abegaz Asfaw Hamid Yimam Hassen Kalkidan Hassen Abate Performance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia
description	Abstract There is a lack of uniformity in developing and validating indicators of nutritional status among People Living with Human Immunodeficiency Virus (PLHIV). Experiences from low and middle-income countries are scant, and differences in methodological and analytical approaches affect the comparability and generalizability of findings. Therefore, this study investigated the performance of individual diversity score (IDDS) as a proxy indicator of nutritional status among PLHIV. We conducted a facility-based cross-sectional study among 423 PLHIV who were under Antiretroviral Treatment (ART) at clinics in Bahir-Dar, Ethiopia. We collected data on sociodemographic, dietary, clinical, and anthropometric measures. Dietary intake was assessed using 24-Hour dietary recall. Body Mass Index (BMI) was calculated to assess the nutritional status of study subjects. The receiver operating characteristic (ROC) curve analysis was used to assess the ability of the IDDS and Minimum Dietary Diversity for Women (MDD-W) to detect poor nutritional status. Furthermore, sensitivity, specificity, Predictive Values (PPs), and Likelihood Ratios (LRs) were calculated at different cut-off points. IDDS showed good reliability with Cronbach’s Alpha of 0.76. The Area Under the Curve (AUC) of IDDS was 78.5 (95%CI 73.9–83.4). At the IDDS cut-off of 4, the sensitivity and specificity of IDDS to indicate nutritional status were 88.0% (95%CI 81.0–93.0) and 71.0% (95%CI 66.0–76.0), respectively. The AUC of MDD-W was 74.1%, and at the cut-off of 4 the sensitivity and specificity of MDD-W to indicate undernutrition were 73.0% and 72.0%, respectively. Both IDDS and MDD-W have good accuracy as a proxy indicator for measuring the nutritional status of PLHIV. In the prevention of undernutrition among PLHIV especially in a resource-limited setting, IDDS and MDD-W can be used to assess nutritional status.
format	article
author	Foziya Mohammed Hussien Wondwosen Mebratu Aragaw Yimer Ahmed Tefera Chane Mekonnen Anissa Mohammed Hassen Zinet Abegaz Asfaw Hamid Yimam Hassen Kalkidan Hassen Abate
author_facet	Foziya Mohammed Hussien Wondwosen Mebratu Aragaw Yimer Ahmed Tefera Chane Mekonnen Anissa Mohammed Hassen Zinet Abegaz Asfaw Hamid Yimam Hassen Kalkidan Hassen Abate
author_sort	Foziya Mohammed Hussien
title	Performance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia
title_short	Performance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia
title_full	Performance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia
title_fullStr	Performance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia
title_full_unstemmed	Performance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia
title_sort	performance of individual dietary diversity score to identify malnutrition among patients living with hiv in ethiopia
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5de120d5b5a043c28c70b615d4d6be6a
work_keys_str_mv	AT foziyamohammedhussien performanceofindividualdietarydiversityscoretoidentifymalnutritionamongpatientslivingwithhivinethiopia AT wondwosenmebratu performanceofindividualdietarydiversityscoretoidentifymalnutritionamongpatientslivingwithhivinethiopia AT aragawyimerahmed performanceofindividualdietarydiversityscoretoidentifymalnutritionamongpatientslivingwithhivinethiopia AT teferachanemekonnen performanceofindividualdietarydiversityscoretoidentifymalnutritionamongpatientslivingwithhivinethiopia AT anissamohammedhassen performanceofindividualdietarydiversityscoretoidentifymalnutritionamongpatientslivingwithhivinethiopia AT zinetabegazasfaw performanceofindividualdietarydiversityscoretoidentifymalnutritionamongpatientslivingwithhivinethiopia AT hamidyimamhassen performanceofindividualdietarydiversityscoretoidentifymalnutritionamongpatientslivingwithhivinethiopia AT kalkidanhassenabate performanceofindividualdietarydiversityscoretoidentifymalnutritionamongpatientslivingwithhivinethiopia
_version_	1718378454288695296

Performance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia

Ejemplares similares