Table 3.
Outcomes in wasted adults with HIV at 14 weeks. Figures are means (SD) unless stated otherwise
Fortified spread (n=245) | Corn-soy blend (n=246) | Difference (95% CI) | |
---|---|---|---|
Anthropometric: | |||
Gain in BMI | 2.2 (1.9) | 1.7 (1.7) | 0.5 (0.2 to 0.8) |
Gain in fat-free body mass (kg) | 2.9 (3.2) | 2.2 (3.0) | 0.7 (0.2 to 1.2) |
Gain in mid-upper arm circumference (cm) | 2.2 (2.0) | 1.6 (1.7) | 0.6 (0.3 to 0.9) |
Weight gain (kg) | 5.6 (4.8) | 4.3 (4.0) | 1.3 (0.5 to 2.1) |
BMI (kg/m2) | 19.0 (2.1) | 18.4 (1.1) | 0.6 (0.3 to 0.9) |
Fat-free body mass (% of body composition) | 89.0 (8.0) | 91.0 (8.0) | 2.0 (0.6 to 3.4) |
No (%) by clinical/nutritional status: | |||
Severely malnourished | 10 (4) | 12 (5) | −1 (−5 to 2) |
Moderately malnourished | 53 (22) | 69 (28) | −6 (−14 to 1) |
Well nourished | 93 (38) | 85 (35) | 3 (−5 to 12) |
Died | 67 (27) | 64 (26) | 1 (−6 to 9) |
Alive nutritional status unknown | 11 (4) | 10 (4) | |
Lost to follow-up | 11 (4) | 6 (2) | |
Admitted to hospital in first 12 weeks | 30 (12) | 31 (13) | −1 (−6 to 5) |
Laboratory results: | |||
CD4 count (cells×106/l) | 289 (185) | 297 (447) | −8 (−69 to 53) |
Increase in CD4 count (cells×106/l) | 168 (145) | 150 (139) | 18 (−7 to 43) |
No (%) by HIV viral load: | |||
<50 copies/ml | 96 (39) | 97 (39) | P=0.98 for trend |
50-1000 copies/ml | 59 (24) | 62 (25) | |
>1000 copies/ml | 5 (2.0) | 4 (1.6) | |
Serum albumin (g/l) | 32 (7) | 32 (10) | 0 (−2 to 2) |
Increase in serum albumin (g/l) | 6 (7) | 6 (3) | 0 (−1 to 1) |
Haemoglobin (g/l) | 112 (17) | 113 (15) | −1 (−4 to 2) |
Increase in haemoglobin (g/l) | 15 (21) | 13 (20) | 2 (−2 to 6) |
Quality of life: | |||
General health (1=excellent, 5=poor) | 3.1 (1.0) | 3.0 (1.0) | 0.1 (−0.1 to 0.3) |
Physically unhealthy days/month | 5.5 (8.0) | 5.7 (8.4) | −0.2 (−1.7 to 1.3) |
Mentally unhealthy days/month | 2.6 (5.5) | 2.5 (5.7) | 0.1 (−0.9 to 1.1) |
Mental/physical limitation days/month | 4.2 (8.8) | 4.2 (8.8) | 0 (−1.6 to 1.6) |