Impact of a nutritional counseling program on prevention of HAART-related metabolic and morphologic abnormalities

Almeida, Luara Bellinghausen; Segurado, Aluísio Cotrim; Duran, Ana Clara; Jaime, Patrícia Constante

doi:10.1080/09540121.2010.525789

Cited by 21 publications

(51 citation statements)

References 33 publications

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“…Participants in the intervention group decreased their intake of carbohydrates by 24 weeks of follow-up (−38.3 ± 16.7 g/day, p=0.03). In contrast to our study, a 12-month randomized controlled trial in Brazil of 53 HIV-infected patients receiving ART showed a reduction in fat consumption at the end of the study, but no significant differences in lipid levels between the intervention and control groups (Almeida, Segurado, Duran, & Jaime, 2011). Similar to our findings, they demonstrated no significant changes in waist circumference or blood pressure between groups.…”

Section: Discussioncontrasting

confidence: 99%

Effect of nutritional counseling on low-density lipoprotein cholesterol among Thai HIV-infected adults receiving antiretroviral therapy

Chotivichien

Arab²,

Prasithsirikul

et al. 2015

AIDS Care

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HIV-infected patients receiving antiretroviral therapy have increased risk of metabolic syndrome, including dyslipidemia. In this study, we determined whether individual nutritional counseling reduced dyslipidemia, particularly LDL cholesterol, among HIV-infected patients with dyslipidemia not currently taking lipid-lowering medication. We conducted a randomized 24-week trial among HIV-infected patients with dyslipidemia who were on ART and were eligible to initiate therapeutic lifestyle changes according to the Thai National Cholesterol Education Program. Participants were randomly assigned to an intervention group that received individual counseling with a nutritionist for 7 sessions (baseline, weeks 2, 4, 8, 12, 18 and 24) and a control group that received standard verbal diet information at baseline and nutritional counseling only at week 24. A 24-hr recall technique was used to assess dietary intake for both groups at baseline and week 24. Lipid profile (total cholesterol, LDL, HDL and triglyceride) was measured at baseline and after 12 and 24 weeks of therapy. An intention-to-treat and linear mixed model were used. Seventy-two patients were randomly assigned, and 62 (86%) participants completed their lipid profile test. After 12 weeks of follow-up, there were significant reductions in the intervention group for total cholesterol (−14.4 ± 4.6 mg/dL, P=0.002), LDL cholesterol (−13.7 ± 4.1 mg/dL, P=0.001), and triglyceride (−30.4 ± 13.8 mg/dL, P=0.03). A significant reduction in LDL cholesterol was also observed in the control group (−7.7 ± 3.8 mg/dL, P=0.04), but there were no significant differences in change of mean lipid levels between groups at 12 weeks of follow-up. After 24 weeks, participants assigned to the intervention group demonstrated significantly greater decreases in serum total cholesterol (−19.0 ± 4.6 vs 0.2 ± 4.3 mg/dL, P=0.003) and LDL cholesterol (−21.5 ± 4.1 vs −6.8 ± 3.8 mg/dL, P=0.009). There were no significant changes in HDL cholesterol or triglycerides levels in either group.

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Section: Discussioncontrasting

confidence: 99%

Effect of nutritional counseling on low-density lipoprotein cholesterol among Thai HIV-infected adults receiving antiretroviral therapy

Chotivichien

Arab²,

Prasithsirikul

et al. 2015

AIDS Care

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“…Twenty‐seven RCTs met the eligibility criteria and were included in the review, as shown in Figure .…”

Section: Resultsmentioning

confidence: 99%

Quality of development and reporting of dietetic intervention studies in primary care: a systematic review of randomised controlled trials

Ball

Sladdin

Mitchell

et al. 2017

J Human Nutrition Diet

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Background: High-quality research methodologies and clear reporting of studies are essential to facilitate confidence in research findings. The aim of the present study was to conduct an in-depth examination of the methodological quality and reporting of studies included in a recent systematic review of dietitians' effectiveness at providing individualised nutrition care to adult patients. Methods: The methodological quality and reporting of 27 Randomised Controlled Trials (RCTs) were appraised using the UK Medical Research Council (MRC) Guidelines for complex interventions and the CONSORT checklist for reporting RCTs. A quality appraisal checklist was developed for each guideline/assessment tool aiming to evaluate the extent to which each study met the designated criteria. Excerpts from studies that best addressed criteria were collated to provide exemplary accounts of how criteria may be achieved in future studies. Results: None of the reviewed studies met more than half of the MRC Guidance criteria, indicating that there is clear room for improvement in reporting the methodological underpinnings of these studies. Similarly, no studies met all criteria of the CONSORT checklist, suggesting that there is also room for improvement in the design and reporting of studies in this field. Conclusions: Dietitians, researchers and journal editors are encouraged to use the results and exemplary accounts from this review to identify key aspects of studies that could be improved in future research. Improving future research will enhance the quality of the evidence-base that investigates the outcomes of dietary interventions involving dietitians.

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“…After one year, only 21% of patients who received nutritional counseling had lipid profiles compatible with dyslipidemia compared with 68% of controls. In another 12-month randomized clinical trial with 53 adults on HAART, an individualized nutritional counseling program based on a client-centered approach led to a reduction in fat consumption and increase in fiber intake [82]. These dietary changes did not translate into improved biochemical metabolic status.…”

Section: Nutritional Interventionsmentioning

confidence: 99%

Interventions to Address Chronic Disease and HIV: Strategies to Promote Exercise and Nutrition Among HIV-Infected Individuals

et al. 2012

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Food insecurity, micronutrient deficits, dyslipidemia, insulin resistance, obesity, cardiovascular disease, and bone disorders complicate the treatment of HIV infection. Nutrition and exercise interventions can be effective in ameliorating these symptoms that are associated with HIV and antiretroviral therapy (ART). In this literature review, we examine the most recent nutrition and exercise interventions for HIV-infected patients. Macronutrient supplementation can be useful in treating malnutrition and wasting. Multivitamin (vitamin B complex, vitamin C, and vitamin E) supplements and vitamin D may improve quality of life and decrease morbidity and mortality. Nutritional counseling and exercise interventions are effective for treating obesity, fat redistribution, and metabolic abnormalities. Physical activity interventions improve body composition, strength, and fitness in HIV-infected individuals. Taken collectively, the evidence suggests that a proactive approach to nutrition and physical activity guidance and interventions can improve outcomes and help abrogate the adverse metabolic, cardiovascular, and psychological consequences of HIV and its treatments.

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Impact of a nutritional counseling program on prevention of HAART-related metabolic and morphologic abnormalities

Cited by 21 publications

References 33 publications

Effect of nutritional counseling on low-density lipoprotein cholesterol among Thai HIV-infected adults receiving antiretroviral therapy

Effect of nutritional counseling on low-density lipoprotein cholesterol among Thai HIV-infected adults receiving antiretroviral therapy

Quality of development and reporting of dietetic intervention studies in primary care: a systematic review of randomised controlled trials

Interventions to Address Chronic Disease and HIV: Strategies to Promote Exercise and Nutrition Among HIV-Infected Individuals

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