Dept. of Health Research Govt. of India
World Health Organization
Name of the Project Nutritional status of HIV positive and HIV negative Injection Drug Users in Chennai, India
Principal Investigator Dr. Alice Tang – USA; Dr. R. Ramakrishnan - India
Co-Principal Investigator(s) Dr. Tarun Bhatnagar
Other Investigator(s) -
Collaboration / Participating Centers Tufts University, USA
Funding Agency / Sponsor NIH, USA
Budget $107,673/year
Study Period 4 years, ending 2012
  1. To determine the effect of HIV, co-morbidities, HAART use and drug use on the prevalence and incidence of nutritional and metabolic abnormalities among IDUs in Chennai.
  2. To determine the consequences of co-morbidities and poor nutritional and metabolic status on clinical outcomes, by HIV status and/or HAART use.
  3. To examine the independent contributions of adherence to HIV medications, psychosocial factors, and socioeconomic factors to the development or persistence of nutritional and metabolic abnormalities.
Description Study population includes 100 HIV-positive and 100 HIV-negative eligible IDUs (based on the cross-sectional study) attending Hopers Foundation clinics in Chennai. They were seen every six months for three years. HIV-negative participants had HIV testing every 6 months. All participants were administered a Lifestyle questionnaire, including a 24 hour dietary recall, and measurements of body composition. Approximately 15 ml of blood was drawn and analysed for HIV specific assays (Elisa, CD4 and viral load), complete blood counts, albumin, glucose, insulin, lipid profile, Hepatitis B, Hepatitis C, and serum micronutrient levels.
Quarterly Reports (5-10 lines) Data entry and cleaning has been completed and the analysis of the data is in progress.
Significant achievements Have successfully followed up a cohort of Injection Drug Users for three years at 6 monthly intervals and have a good longitudinal data base. Planning two or three manuscripts from this study. 
Publications Malnutrition in a population of HIV-positive and HIV-negative drug users living in Chennai, South India.
Tang AM, Bhatnagar T, Ramachandran R, Dong K, Skinner S, Kumar MS, Wanke CA
Drug Alcohol Depend. 2011 Mar 18. [Epub ahead of print