Relationship Between The Compliance of Antiretroviral Therapy and The Occurrence of Underweight Conditions, Calf Circumference, Handgrip Strength, and Triceps Skinfold in HIV/AIDS Patients at RSSA Malang

Authors

  • Niniek Budiarti Department of Internal Medicine, Universitas Brawijaya, Dr. Saiful Anwar General Hospital Province of East Java, Indonesia
  • Fitto Kurniawan Faculty of Medicine, Universitas Brawijaya, Saiful Anwar General Hopsital, Malang, East Java
  • Sri Soenarti Department of Internal Medicine, Faculty of Medicine, Universitas Brawijaya, Saiful Anwar General Hopsital, Malang, East Java

DOI:

https://doi.org/10.11594/jk-risk.04.1.4

Keywords:

HIV, ARV therapy, body mass index, underweight, skinfold, handgrip

Abstract

Background: Human Immunodeficiency Virus or commonly known as HIV is a virus that infects CD4 cells thereby impaired the human immune system. The number of new HIV cases in Indonesia in 2019 was reported to have reached 50,282 cases and tends to increase from year to year. What often happens in people with HIV/AIDS (PLWHA) tends to experience weight loss accompanied by opportunistic infections that do not occur in normal people. Adherence to therapy is the main factor that must be emphasized by PLWHA in order to achieve treatment success. However, ARV therapy adherence rates are reported to be <80%. This number can be a predictor of therapy failure. One indicator of the success of therapy is when there is clinical improvement in the patient's condition, such as no opportunistic infections or weight gain.

Aim: The aim of this study was to determine whether there is a relationship between adherence to antiretroviral therapy and underweight conditions in HIV/AIDS patients.

Methods: This study used a cross sectional design with an analytical observational nature and the research subjects were patients at RSSA Malang who visited from June to August 2023.

Results: The results of the study showed that there was a significant relationship between adherence to taking ARVs and being underweight (p=0.018) and there was no significant relationship between adherence to taking ARVs with calf circumference, handgrip strength, and triceps skinfold.

Conclusion: The conclusion of this study is that the more compliant the patient is with ARV therapy, the higher the increase in body mass index and the smaller the possibility of becoming underweight.

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References

Pusdatin Kemkes. Infodatin Situasi Umum HIV/AIDS [Internet]. 2020 [cited 2022 Sep 18]. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-2020-HIV.pdf

WHO. Summary of the global HIV Epidemic [Internet]. 2022 [cited 2022 Sep 18]. Available from: https://www.who.int/data/gho/data/themes/hiv-aids#:~:text=Globally%2C%2038.4%20million%20%5B33.9%E2%80%93,considerably%20between%20countries%20and%20regions

Li X, Ding H, Geng W, Liu J, Jiang Y, Xu J, et al. Predictive effects of body mass index on immune reconstitution among HIV-infected HAART users in China. BMC Infect Dis [Internet]. 2019 May 2 [cited 2022 Nov 12];19(1):1–9. Available from: https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-019-3991-6

Hilman, Cliff C, Suzana N. Profil Penderita HIV / AIDS di RSUD Koja. Jurnal Kedokteran Meditek [Internet]. 2019 [cited 2022 Nov 12];25(2):81–7. Available from: http://ejournal.ukrida.ac.id/ojs/index.php/Meditek/article/view/1730/1800

Thai TT, Jones MK, Harris LM, Heard RC. Prevalence and Correlates of Probable HIV-Associated Dementia in HIV Outpatients in Ho Chi Minh City, Vietnam. http://dx.doi.org/101177/2325957417701195 [Internet]. 2017 Apr 3 [cited 2023 Nov 26];16(4):366–75. Available from: https://journals.sagepub.com/doi/full/10.1177/2325957417701195

Karyadi TH. Keberhasilan Pengobatan Antiretroviral (ARV). Jurnal Penyakit Dalam Indonesia . 2017;4(1).

Chen Y, Chen K, Kalichman SC. Barriers to HIV Medication Adherence as a Function of Regimen Simplification. 2016 [cited 2022 Oct 26]; Available from: https://academic.oup.com/abm/article/51/1/67/4562721

Silavanichd X, Xsurakit Nathisuwand X, Xarintaya X, Xunchalee X. Relationship of medication adherence and quality of life among heart failure patients. Heart & Lung [Internet]. 2019 [cited 2022 Nov 2];48:105–10. Available from: https://doi.org/10.1016/j.hrtlng.2018.09.009

Olowookere SA, Fatiregun AA, Ladipo MMA, Abioye-Kuteyi EA, Adewole IF. Effects of adherence to antiretroviral therapy on body mass index, immunological and virological status of Nigerians living with HIV/AIDS. Alexandria Journal of Medicine. 2016 Mar 1;52(1):51–4.

Kemenkes RI. LAPORAN EKSEKUTIF PERKEMBANGAN HIV AIDS DAN PENYAKIT INFEKSI MENULAR SEKSUAL (PIMS) TRIWULAN I TAHUN 2022. 2022;

Puspasari D, Wisaksana R, Ruslami R. Gambaran Efek Samping dan Kepatuhan Terapi Antiretroviral pada Pasien HIV di Rumah Sakit Dr. Hasan Sadikin Bandung tahun 2015. Jurnal Sistem Kesehatan [Internet]. 2018 Jun 29 [cited 2023 Nov 25];3(4). Available from: https://journal.unpad.ac.id/jsk_ikm/article/view/18495

Seid A, Seid O, Workineh Y, Dessie G, Bitew ZW. Prevalence of undernutrition and associated factors among adults taking antiretroviral therapy in sub-Saharan Africa: A systematic review and meta-analysis. PLoS One [Internet]. 2023 Mar 1 [cited 2023 Nov 26];18(3). Available from: /pmc/articles/PMC10038308/

Onayemi O, Maduagwu SM, Johnson O. Hand grip strength and functional status of persons living with HIV/AIDS. 2017 [cited 2023 Aug 12]; Available from: https://www.researchgate.net/publication/328450744

Chiappini F, Teicher E, Saffroy R, Pham P, Falissard B, Barrier A, et al. Prospective evaluation of blood concentration of mitochondrial DNA as a marker of toxicity in 157 consecutively recruited untreated or HAART-treated HIV-positive patients. Laboratory Investigation 2004 84:7 [Internet]. 2004 May 3 [cited 2023 Aug 12];84(7):908–14. Available from: https://www.nature.com/articles/3700113

Nduka CU, Uthman OA, Kimani PK, Stranges S. Body Fat Changes in People Living with HIV on Antiretroviral Therapy. AIDS Rev. 2016;18(4).

Plankey M, Bacchetti P, Jin C, Grimes B, Hyman C, Cohen M, et al. Self-Perception of Body Fat Changes and HAART Adherence in the Women’s Interagency HIV Study. AIDS Behav [Internet]. 2009 Feb [cited 2023 Aug 11];13(1):53. Available from: /pmc/articles/PMC2902995/

Finkelstein JL, Gala P, Rochford R, Glesby MJ, Mehta S. HIV/AIDS and lipodystrophy: Implications for clinical management in resource-limited settings. J Int AIDS Soc [Internet]. 2015 Jan 15 [cited 2023 Aug 11];18(1). Available from: /pmc/articles/PMC4297925/

Wang PC, Yeh WC, Tsai YW, Chen JY. Calf circumference has a positive correlation with physical performance among community-dwelling middle-aged, older women. Front Public Health. 2022 Dec 9;10:1038491.

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Published

2024-10-25

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Original Article

How to Cite

Budiarti, N., Kurniawan, F. ., & Soenarti, S. (2024). Relationship Between The Compliance of Antiretroviral Therapy and The Occurrence of Underweight Conditions, Calf Circumference, Handgrip Strength, and Triceps Skinfold in HIV/AIDS Patients at RSSA Malang. Jurnal Klinik Dan Riset Kesehatan, 4(1), 22-30. https://doi.org/10.11594/jk-risk.04.1.4

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