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

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dc.contributor.authorHussien, F.M.
dc.contributor.authorMebratu, W.
dc.contributor.authorAhmed, A.Y.
dc.contributor.authorMekonnen, T.C.
dc.contributor.authorHassen, A.M.
dc.contributor.authorAsfaw, Z.A.
dc.contributor.authorHassen, H.Y.
dc.contributor.authorAbate, K.H.
dc.date.issued2021
dc.description.abstractThere 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 middleincome 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.
dc.description.statementofresponsibilityFoziya Mohammed Hussien, Wondwosen Mebratu, Aragaw Yimer Ahmed, Tefera Chane Mekonnen, Anissa Mohammed Hassen, Zinet Abegaz Asfaw, Hamid Yimam Hassen, Kalkidan Hassen Abate
dc.identifier.citationScientific Reports, 2021; 11(1):18681-1-18681-9
dc.identifier.doi10.1038/s41598-021-98202-6
dc.identifier.issn2045-2322
dc.identifier.issn2045-2322
dc.identifier.orcidMekonnen, T.C. [0000-0003-4680-3645]
dc.identifier.urihttps://hdl.handle.net/2440/146554
dc.language.isoen
dc.publisherNature Portfolio
dc.rights© The Author(s) 2021. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
dc.source.urihttps://doi.org/10.1038/s41598-021-98202-6
dc.subjectDiseases; Health care; Medical research; Risk factors
dc.subject.meshHumans
dc.subject.meshHIV Infections
dc.subject.meshMalnutrition
dc.subject.meshDiet
dc.subject.meshReproducibility of Results
dc.subject.meshEthiopia
dc.titlePerformance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia
dc.typeJournal article
pubs.publication-statusPublished

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