General Nutrition Management in Patients Infected with Human Immunodeficiency Virus

Nerad, Judith L.; Romeyn, M; Silverman, Ellyn; Allen-Reid, Jackie; Dieterich, Doug; Merchant, Jill; Pelletier, Véronique; Tinnerello, D; Fenton, Marcy

doi:10.1086/367559

Cited by 40 publications

(22 citation statements)

References 93 publications

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“…More than half had detectable viral loads (54.0%), and were under HAART (58.0%). The mean duration (in months) since HAART initiation was 7.8 months (± 4.5; range [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19], and six patients (11.8%) were on a single tablet regimen. HIV diagnosis took place in 2015 for most patients (68.6%).…”

Section: Study Sample Characteristics: Sociodemographic and Clinical mentioning

confidence: 99%

“…Like with any other chronic disease, the risk for malnutrition in HIV is high (9) and, therefore, it is fundamental to assess the nutritional status of this population at regular intervals. Although it is well established that an improved nutritional status results in a better QoL in certain chronic diseases (10), this relationship is still unclear in HIV.…”

Section: Introductionmentioning

confidence: 99%

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Nutritional Status and Quality of Life in HIV-infected patients

2017

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Key words:HIV. Nutritional status. Quality of life. Palabras clave:VIH. Estado nutricional. Calidad de vida. ResumenIntroducción: el estado nutricional y la evolución del virus de inmunodefi ciencia humana (VIH) están interconectados. A pesar de que algunos estudios hayan visto el impacto del estado nutricional en la calidad de vida (CdV) en pacientes con enfermedades crónicas, pocos han estudiado sus efectos en pacientes infectados de VIH. Objetivo: investigar la relación entre el estado nutricional y la CdV en adultos recientemente diagnosticados de VIH. Métodos: cumplieron los criterios de inclusión los individuos diagnosticados de VIH en los 14 meses previos a una visita al hospital central de Lisboa. El estado nutricional fue evaluado por antropometría, análisis de la composición del cuerpo, y dieta, mientras que la CdV fue evaluada usando el cuestionario WHOQOL-HIV-BREF. También fueron considerados los datos sociodemográfi cos y clínicos. Resultados: fueron seleccionados 51 individuos, la mayoría de sexo masculino, caucásicos, empleados, solteros y en tratamiento antirretroviral de gran actividad (TARGA). Varias características sociodemográfi cas, como el nivel de educación, la edad, el sexo y el estado de salud actual, fueron importantes indicadores del nivel de CdV (p < 0,05). Se observaron niveles de CdV más bajos en individuos con dietas inadecuadas, pérdida de peso comprobada y elevado perímetro de cintura en análisis bivariado (p < 0,05). Las mismas variantes infl uenciaron negativamente la CdV tras haber ajustado los factores de confusión en análisis multivariado (p < 0,05). Conclusión: varios aspectos del estado nutricional infl uyeron en las variaciones observadas en la CdV, lo que sugiere que una intervención a nivel nutricional podría mejorar potencialmente la calidad de vida en esta población. AbstractIntroduction: Nutritional status and the progression of the human immunodefi ciency virus (HIV) are interlinked; though some studies have looked at the impact nutritional status has on quality of life (QoL) in patients with chronic diseases, few have studied this in HIV-infected individuals. Objective: To investigate the relationship between nutritional status and QoL in adults with a recent HIV diagnosis. Methods: Individuals with an HIV diagnosis performed in the fourteen months prior to a medical visit to one of Lisbon's central hospitals were eligible. Nutritional status was assessed by anthropometry, body composition analysis, and dietary intake. QoL was assessed using the WHOQOL-HIV-BREF questionnaire. Sociodemographic and clinical data were also considered. Results: Fifty-one subjects were eligible for enrolment; the majority were male, Caucasian, employed, single, and under highly active antiretroviral therapy (HAART). Lower QoL scores were observed in subjects with inadequate energy intakes, reported weight loss, and a high waist circumference in bivariate analysis (p < 0.05); the same variables infl uenced QoL negatively after adjusting for confounders in multivariate analysis (p < 0.05)...

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Section: Study Sample Characteristics: Sociodemographic and Clinical mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nutritional Status and Quality of Life in HIV-infected patients

2017

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“…Even after introduction of ART, nutritional counseling remains an important part of the care plan. 52 Therefore, sufficient attention should be given to training in nutritional counseling of healthcare workers at the district hospital level.…”

Section: Micronutrient Supplementation and Nutrition Counselingmentioning

confidence: 99%

Care and Treatment of HIV-Infected Children in Africa

Baets

Bulterys²,

Abrams³

et al. 2007

The Pediatric Infectious Disease Journal

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More than 90% of pediatric HIV infection occurs in sub-Saharan Africa and 75% of these children currently die before their fifth birthday. Most HIV-infected children in Africa rely on district hospitals for HIV treatment, but insufficient attention has been paid to improving HIV/AIDS care at this level. Considerable confusion exists about optimal use of combination antiretroviral treatment, prophylaxis for opportunistic infections and other rational healthcare interventions that can greatly improve the quality of life for these children. A simple and inexpensive infant HIV diagnostic assay and alternative laboratory markers of pediatric HIV disease progression would be highly beneficial. Routine anthropometric and neurodevelopmental assessments could help guide initiation and monitoring of antiretroviral therapy. Even in the absence of antiretroviral therapy, interventions such as immunizations, provision of micronutrients and nutrition counseling, prevention and treatment of opportunistic as well as endemic infections (such as helminths and malaria) can substantially reduce pediatric HIV-related morbidity and mortality. The need for pain relief, palliative care, counseling and emotional support is often underestimated. Surmounting the sense of hopelessness by providing district healthcare workers with training in basic pediatric HIV/AIDS care is an urgent priority.

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“…[9] This study did not indicate that the consumption of alcohol or marijuana are factors for concern as related to the dietary intake and nutritional status. Although it is recommended [10,11] that three moderately portioned meals should be consumed each day consisting of foods from all food groups, it was noted in this study that over forty percent of the respondents consumed only one to two meals each day along with only one snack. This group of patients may not be consuming adequate calories or a nutritionally balanced diet and hence may cause a decline in body weight with an increasing disposition for malnutrition.…”

Section: Discussionmentioning

confidence: 72%

Nutrition and AIDS in the Caribbean: Looking beyond survival

Simpson

Henry

2017

JER

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This study randomly selected HIV positive patients attending the largest hospital in Jamaica and analyzed their health, nutritional and socio-demographic profiles. Adherence to highly active antiretroviral therapy was good overall and patients reported to have good appetite and most consumed at least 1-2 meals daily with snacks despite financial challenges. The nutritional status findings largely mirrored the trends in the general population towards increasingly overweight and obesity. The results also showed low rates of weight loss and under-nutrition but relatively high rates of non-communicable diseases. The contrasting recommendations on energy intake for persons living with AIDS and those obese create a potential nutritional dilemma for treatment and rehabilitation. This study concludes that priority attention must be directed towards designing a comprehensive nutrition program for AIDS survivors in the Caribbean.

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General Nutrition Management in Patients Infected with Human Immunodeficiency Virus

Cited by 40 publications

References 93 publications

Nutritional Status and Quality of Life in HIV-infected patients

Nutritional Status and Quality of Life in HIV-infected patients

Care and Treatment of HIV-Infected Children in Africa

Nutrition and AIDS in the Caribbean: Looking beyond survival

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