Factors Associated With Advanced HIV and Poor Nutrition Among People Living With HIV

NCT ID: NCT06852430

Last Updated: 2025-02-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-02-22

Study Completion Date

2027-02-01

Brief Summary

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Aim of the work:

1. To determine the frequency of advanced HIV among PLWH in Assiut University Hospital.
2. To assess the nutritional patterns and frequency of poor nutrition among PLWH.
3. To evaluate factors associated with advanced HIV disease and poor nutrition among PLWH.

Detailed Description

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Human immunodeficiency virus (HIV) is an RNA virus that attacks the human body's immune system, which results, in advanced cases, in expression of opportunistic infections (1). HIV infection represents a global public health burden (2, 3). In Egypt, in 2022, about 34,000 people (\<0.1%) were positive for HIV (4). There is 25-30% annual increase of newly confirmed HIV cases in Egypt over the last 10 years (5).

The WHO defines advanced HIV disease as having CD4+ T-cell count \<200 cell/mm3 or having an acquired immune deficiency syndrome (AIDS)-related infection (stage 3 or 4 of HIV infection) regardless of the CD4+ T-cell count (1).

The WHO reported, in 2022, that 630,000 people living with HIV (PLWH) died from AIDS-related diseases worldwide (which is 51% fewer than those in 2010) (2, 3, 6). In Egypt, the AIDS-related deaths increased from \<100 PLWH in 1990 to \<1000 PLWH in 2021 (5).

PLWH are usually malnourished due to opportunistic infections, poor food intake, changes in metabolic activity or chronic illnesses. Malnutrition leads to more impairment of the immune system and further disease progression (7).

According to 2023 Global Hunger index, Egypt is at a moderate level of food insecurity, ranking 57 out of 125 countries. 14.4% of the Egyptian population are food insecure (8).

In Egypt, there is lack of data about the frequency of advanced HIV disease and the nutritional status among PLWH and associated factors. Monitoring these factors could help in early treatment of HIV infection, prevention of further virus transmission and enhancement of the nutritional pattern among PLWH.

Conditions

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Advanced HIV Disease Poor Nutriyion Among HIV Patients

Keywords

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Advanced HIV disease AIDS Acquired immunodeficiency syndrome Nutrition in HIV disease People living with HIV PLWH

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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People living with Advanced HIV disease

Factors associated with advanced HIV disease

No interventions assigned to this group

People with Early HIV disease

Factors associated with early HIV disease

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* (1) Newly diagnosed people living with HIV (PLWH), (2) Patients previously diagnosed with HIV but non-compliant to treatment.

Exclusion Criteria

* (1) PLWH compliant on ART, (2) PLWH who refuse to participate in the study
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Salma Hussein Badry

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Haidi KaramAllah Ramadan, Assisstant professor

Role: STUDY_DIRECTOR

Assiut University

Ehab Fawzy Abdou, Professor

Role: PRINCIPAL_INVESTIGATOR

Assiut University

Central Contacts

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Salma Hussein Badry, Resident doctor

Role: CONTACT

Phone: +201123254745

Email: [email protected]

References

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Boutros S, Skordis J. HIV/AIDS surveillance in Egypt: current status and future challenges. East Mediterr Health J. 2010 Mar;16(3):251-8.

Reference Type RESULT
PMID: 20795437 (View on PubMed)

Rezazadeh L, Ostadrahimi A, Tutunchi H, Naemi Kermanshahi M, Pourmoradian S. Nutrition interventions to address nutritional problems in HIV-positive patients: translating knowledge into practice. J Health Popul Nutr. 2023 Sep 8;42(1):94. doi: 10.1186/s41043-023-00440-z.

Reference Type RESULT
PMID: 37684634 (View on PubMed)

Ghazy RM, Al Awaidy S, Taha SHN. Trends of HIV indicators in Egypt from 1990 to 2021: time-series analysis and forecast toward UNAIDS 90-90-90 targets. BMC Public Health. 2023 Apr 1;23(1):625. doi: 10.1186/s12889-023-15490-5.

Reference Type RESULT
PMID: 37005670 (View on PubMed)

Study Documents

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Document Type: Study Protocol

View Document

Related Links

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https://www.who.int/news-room/fact-sheets/detail/hiv-aids?gad_source=1&gclid=Cj0KCQjwvb-zBhCmARIsAAfUI2sL_nGP-V-oca55dZe0OroljeQgljfFO5_s1FhbC6xFMxF_mWBCrFMaAhNAEALw_wcB

WHO page about HIV, available at: https://www.who.int/news-room/fact-sheets/detail/hiv-aids?gad\_source=1\&gclid=Cj0KCQjwvb-zBhCmARIsAAfUI2sL\_nGP-V-oca55dZe0OroljeQgljfFO5\_s1FhbC6xFMxF\_mWBCr

https://www.who.int/data/gho/data/indicators/indicator-details/GHO/number-of-deaths-due-to-hiv-aids#:~:text=An%20estimated%20380%20000%20%5B300,by%20almost%2056%25%20since%202010

WHO 2022, available at: https://www.who.int/news-room/fact-sheets/detail/hiv-aids?gad\_source=1\&gclid=Cj0KCQjwvb-zBhCmARIsAAfUI2sL\_nGP-V-oca55dZe0OroljeQgljfFO5\_s1FhbC6xFMxF\_mWBCr

Other Identifiers

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Advanced HIV, poor nutrition

Identifier Type: -

Identifier Source: org_study_id