Evidence map›Paper›PMID 40460180›Full record

SynthesisPloS one2025

Effects of nutritional interventions on nutritional and immunological status and adherence to antiretroviral treatment among adults living with HIV in low- and middle-income countries: Systematic review and meta-analysis.

Alain Nahaskida, Jérome W Somé, Befikadu Tariku Gutema, Nele S Pauwels, Stefaan De Henauw, Souheila Abbeddou

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alain NahaskidaDépartement de la Nutrition, Direction de la Nutrition et des Technologies Alimentaires, Ndjamena, Chad.ORCID https://orcid.org/0000-0003-0825-5174
Jérome W SoméCentre National de la Recherche Scientifique et Technologique, Institut de Recherche en Sciences de la Santé, Unité Nutrition et Maladies Métaboliques, Ouagadougou, Burkina Faso.
Befikadu Tariku GutemaSchool of Public Health, Arba Minch University, Arba Minch, Ethiopia.ORCID https://orcid.org/0000-0003-0574-6074
Nele S PauwelsKnowledge Center for Health Ghent, Ghent University and Ghent University Hospital, Ghent, Belgium.ORCID https://orcid.org/0000-0002-1862-1927
Stefaan De HenauwDepartment of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Souheila AbbeddouDepartment of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0000-0002-1363-0170

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHIV/AIDS may cause malnutrition, both directly and indirectly, through common infections. This systematic review and meta-analysis aim to evaluate the effects of nutritional interventions on nutritional status, immunological status, adherence to antiretroviral treatment (ART), and food security among people living with HIV/AIDS (PLWHA) in low- and middle-income countries (LMICs).

methodFive databases-MEDLINE, Embase, Scopus, Web of Science, and CENTRAL-were searched for articles on August 17, 2021, with an updated search conducted on September 30, 2023 to identify new records. Studies were considered eligible if they included adults living with HIV/AIDS who recently initiated ART, if they were controlled trials that provided nutritional interventions, and if they assessed the relevant nutritional, immunological and adherence outcomes. The effects of nutritional interventions were analyzed using a random-effects model.

resultsThe systematic review comprised 22 articles from 12 LMICs, while the meta-analysis included 19 articles. The interventions provided lipid-based nutrient supplements, corn-soy blends, food baskets, conditional cash, prepared meals, micronutrient supplementation, and functional foods to PLWHA. Compared to controls, nutritional interventions for PLWHA significantly improved their body mass index (standardized mean difference, 95% confidence interval) (SMD 0.42; 95% CI: 0.03, 0.81; p =  0.03), fat mass (SMD 0.21; 95% CI: 0.07, 0.34; p =  0.002), fat-free mass (SMD 0.33; 95% CI: 0.19, 0.46; p <  0.0001), and CD4 (SMD 0.54; 95% CI: 0.01, 1.07; p =  0.05), but had no effect on their weight, viral load, or adherence to ART. The baseline nutritional and immunological characteristics of PLWHA, as well as the intervention characteristics, further modified these effects.

conclusionNutritional interventions improved some nutritional and immunological indicators but not ART adherence among PLWHA. Additionally, their effects were modified by some baseline characteristics and the type and duration of interventions which require consideration before its scaling up.

Indexed as

Anti-Retroviral AgentsHIV InfectionsMedication AdherenceNutritional StatusAdultDeveloping CountriesDietary SupplementsHumansNutrition TherapyAnti-Retroviral Agents

Identifiers

PMID40460180
PMCPMC12132990

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.