Growth Failure as the First Expression of Malnutrition in Children with Human Immunodeficiency Virus Infection

Vicki B. Peters, Joel R. Rosh, Lisa Mugrditchian, Audrey H. Birnbaum, Keith J. Benkov, David S. Hodes, Neal S. Leleiko

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background: To define the onset, pattern, and earliest manifestations of malnutritioN related to HIV infection. Methods: A retrospective cross-sectional analysis of changes in weight and growth in a group of 54 children with perinatally acquired HIV infection was conducted Eight children had asymptomatic HIV infection, 26 had symptomatic infection, and 20 had symptomatic infection and were referred for nutritional support. Results: We found an early decline in the rate of linear growth with a relative preservation of the weight-for-age. Weight-for-height measurements were preserved until there was advanced HIV-related disease. Conclusions: This pattern can result in a false impression of adequate nutrition and emphasizes the importance of longitudinal growth data of the child with HIV infection. Evidence of linear growth failure before clinical wasting is apparent is an absolute indication for aggressive nutritional support.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalMount Sinai Journal of Medicine
Volume65
Issue number1
StatePublished - Jan 1998

Keywords

  • Growth failure
  • Human immunodeficiency virus
  • Malnutrition

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