Effect Of Periodic Vitamin A Supplementation On Mortality And Morbidity Of Human Immunodeficiency Virus–Infected Children In Uganda: A Controlled Clinical Trial
dc.contributor.author | Semba, Richard D. | |
dc.contributor.author | Ndugwa, Christopher | |
dc.contributor.author | Perry, Robert T. | |
dc.contributor.author | Clark, Tamara D. | |
dc.contributor.author | Jackson, J. Brooks | |
dc.contributor.author | Melikian, George | |
dc.contributor.author | Tielsch, James | |
dc.contributor.author | Mmiro, Francis | |
dc.contributor.author | F.R.C.O.G. | |
dc.date.accessioned | 2022-01-24T20:12:37Z | |
dc.date.available | 2022-01-24T20:12:37Z | |
dc.date.issued | 2005 | |
dc.description.abstract | We investigated whether vitamin A supplementation would decrease mortality and morbidity rates in children infected with the human immunodeficiency virus (HIV).We conducted a randomized, double-blind, placebo-controlled clinical trial at Mulago Hospital, a large hospital that serves the urban and semiurban populations of Kampala, Uganda. One hundred eighty-one HIV-infected children were enrolled at 6 mo and randomized to receive vitamin A supplementation, 60 mg retinol equivalent, or placebo every 3 mo from ages 15 to 36 mo. Morbidity was assessed through a 7-d morbidity history every 3 mo, and vital events were measured. Children received daily trimethoprim-sulfamethoxazole prophylactic therapy.After age 15 mo, children were followed for a median of 17.8 mo (interquartile range = 11.1 to 21.0 mo). The trial was stopped when there was a new policy to implement a program of mass supplementation of vitamin A in the country. Mortality rates among 87 children in the vitamin A group and 94 children in the control group were 20.6% and 32.9%, respectively, yielding a relative risk of 0.54 (95% confidence interval, 0.30 to 0.98; P = 0.044) after adjusting for baseline weight-for-height Z score. Children who received vitamin A had lower modified point prevalences of persistent cough (odds ratio, 0.47; 95% confidence interval, 0.23 to 0.96; P = 0.038) and chronic diarrhea (odds ratio, 0.48; 95% confidence interval, 0.19 to 1.18; P = 0.11) and a shorter duration of ear discharge (P = 0.03). Vitamin A supplementation had no significant effect on modified point prevalences of fever, ear discharge, bloody stools, or hospitalizations.Vitamin A supplementation decreases mortality rate in HIV-infected children and should be considered in the care for these children in developing countries. | en_US |
dc.identifier.citation | Semba, R. D., Ndugwa, C., Perry, R. T., Clark, T. D., Jackson, J. B., Melikian, G., ... & Mmiro, F. (2005). Effect of periodic vitamin A supplementation on mortality and morbidity of human immunodeficiency virus–infected children in Uganda: a controlled clinical trial. Nutrition, 21(1), 25-31. https://doi.org/10.1016/j.nut.2004.10.004 | en_US |
dc.identifier.issn | 0899-9007 | |
dc.identifier.uri | https://nru.uncst.go.ug/xmlui/handle/123456789/1527 | |
dc.language.iso | en | en_US |
dc.publisher | Nutrition | en_US |
dc.subject | Children; Human immunodeficiency virus; Morbidity; Mortality; Retinol; Vitamin A deficiency | en_US |
dc.title | Effect Of Periodic Vitamin A Supplementation On Mortality And Morbidity Of Human Immunodeficiency Virus–Infected Children In Uganda: A Controlled Clinical Trial | en_US |
dc.type | Article | en_US |
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