Weight gain in children from birth to 10 years on antiretroviral treatment

Southern African Journal of HIV Medicine

Field Value
Title Weight gain in children from birth to 10 years on antiretroviral treatment
Creator Scholtz, Janine Ellis, Susanna M. Kruger, Herculina S.
Subject HIV Medicine; Nutrition; Dietetics HIV; infants; children; weight; height; ART; growth monitoring; nutritional assessment; WAZ; catch-up growth
Description Background: Inadequate weight gain could indicate clinical deterioration in infants and children living with HIV (CLHIV). The World Health Organization’s (WHO) weight-for-age z-score (WAZ) growth standards and reference charts are currently used in South Africa to assess weight gain in CLHIV on antiretroviral treatment (ART).Objectives: To assess weight gain patterns of infants and children initiated on ART and to compare weight gain patterns between the WHO WAZ growth standards and population-specific curves constructed from data of CLHIV on ART.Method: A quantitative, retrospective and descriptive-comparative design was used. The weight gain patterns of 98 infants and children from birth to 10 years old during the 24-month period following ART initiation were recorded and assessed using two different growth charts.Results: The children’s rate of weight and length gain improved significantly over 24 months since ART initiation, but complete catch-up growth was never achieved. Most (69%) of the children had increased weight gain according to the WAZ growth standard and reference charts versus only 16% according to the HIV-specific weight gain curves.Conclusion: Antiretroviral treatment improved weight and height gain in CLHIV, but the interpretations of weight gain differed significantly between the WHO chart and HIV-specific weight gain curves. Population- and treatment-specific references could improve weight monitoring in CLHIV and assist in the timeous identification of malnutrition.
Publisher AOSIS
Contributor North-West University, South Africa
Date 2022-10-28
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quantitative, descriptive-comparative design with a retrospective design.
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v23i1.1413
Source Southern African Journal of HIV Medicine; Vol 23, No 1 (2022); 8 pages 2078-6751 1608-9693
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajhivmed.org.za/index.php/hivmed/article/view/1413/2906 https://sajhivmed.org.za/index.php/hivmed/article/view/1413/2907 https://sajhivmed.org.za/index.php/hivmed/article/view/1413/2908 https://sajhivmed.org.za/index.php/hivmed/article/view/1413/2909
Coverage South Africa South African Black infants/children between 2 to 10 years
Rights Copyright (c) 2022 Janine Scholtz, Susanna M. Ellis, Herculina S. Kruger https://creativecommons.org/licenses/by/4.0