HIV AIDS patient nutrition: Difference between revisions
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Regarding individual vitamin and mineral supplement ation, research shows mixed results. Vitamin A supplementation has been shown to reduce mortality and morbidity rates among African children suffering from HIV. The [[World Health Organization]] (WHO) recommends vitamin A supplements for all young children 6 to 59 months old that are at high risk of vitamin A [[deficiency]] every 4 to 6 months<ref>World Health Organization (WHO).(1998) [http://whqlibdoc.who.int/hq/1998/WHO_EPI_GEN_98.07.pdf "Integration of Vitamin A Supplementation with Immunization: Policy and Program Implications"].</ref> | Regarding individual vitamin and mineral supplement ation, research shows mixed results. Vitamin A supplementation has been shown to reduce mortality and morbidity rates among African children suffering from HIV. The [[World Health Organization]] (WHO) recommends vitamin A supplements for all young children 6 to 59 months old that are at high risk of vitamin A [[deficiency]] every 4 to 6 months<ref>World Health Organization (WHO).(1998) [http://whqlibdoc.who.int/hq/1998/WHO_EPI_GEN_98.07.pdf "Integration of Vitamin A Supplementation with Immunization: Policy and Program Implications"].</ref> | ||
In contrast, a trial from Tanzania found that the use of vitamin A supplements increased the risk of mother-to-child transmission by 40%<ref> Coutsoudis A et al. The effects of vitamin A supplementation on the morbidity of children born | |||
to HIV-infected women. American Journal of Public Health, 1995, 85:1076-1081.</ref><ref>Semba RD et al. Maternal vitamin A deficiency and mother-to-child transmission of HIV-1. | |||
Lancet, 1994, 343:1593-1597.</ref>. | |||
==Reference== | ==Reference== | ||
Revision as of 19:36, 29 February 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editors-in-Chief: Ujjwal Rastogi, MBBS [2]
Overview
People living with HIV/AIDS face increased challenges in maintaining proper nutrition. Despite developments in medical treatment, nutrition remains a key component in managing this condition. The challenges that those living with HIV/AIDS face can be the result of the viral infection itself or from the effects of anti-HIV therapy (HAART).[1]
Some of the side effects from HAART that may affect how the body absorbs and utilizes nutrients include fatigue, nausea, and poor appetite.[2] As well, the nutritional needs of people with HIV/AIDS are greater due to their immune system fighting off opportunistic infections that do not normally cause disease in people with healthy immune systems.[3] Medication along with proper nutrition is a major component of maintaining good health and quality of life for people living with HIV/AIDS.
Nutritional need of the HIV/AIDS patient
Energy requirements
For people with HIV/AIDS, energy requirements often increase in order to maintain their regular body weight.[4]. Monitoring caloric intake is important in ensuring that energy needs are met.
Classification
A classification system revised by the Centers for Disease Control and Prevention (CDC), categorizes HIV-infection into 3 clinical stages and addresses the suggested caloric requirements for each stage.
- 1. Clinical Category A: Asymptomatic HIV
- This stage is characterized by Acute HIV. People in this category have estimated needs of 30-35 kcals/kg.
- 2. Clinical Category B: Symptomatic HIV
- This stage is characterized by complications that arise from HIV symptoms. People in this category have estimated needs of 35-40 kcals/kg.
- 3. Clinical Category C: Presence of AIDS condition
- This stage is characterized by having a T-cell count under 200, signaling the presence of an AIDS defining condition and/or an opportunistic infection. People in this category have estimated needs of 40-50 kcals/kg and are at an increased risk of malnourishment.
Multivitamins and supplementation
There is no consensus regarding the effects of multivitamins and nutrient supplementation on HIV positive individuals. This is partly due to a lack of strong scientific evidence that would support the supplementation of any particular micronutrient.
Some studies have looked into the use of implementing daily multivitamins into the diet regimens of HIV/AIDS patients.
- One study done in Tanzania involved a trial group with one thousand HIV positive pregnant women. Findings showed that daily multivitamins benefited both the mothers and their babies. After four years, the multivitamins were found to reduce the women’s risk of AIDS and death by approximately 30%.[5]
- Another trial in Thailand revealed that the use of multivitamins led to fewer deaths, but only among people in advanced stages of HIV.[6] However, not all studies have provided a positive correlation.
- A small trial done in Zambia found no benefits from multivitamins after one month of use[7].
Regarding individual vitamin and mineral supplement ation, research shows mixed results. Vitamin A supplementation has been shown to reduce mortality and morbidity rates among African children suffering from HIV. The World Health Organization (WHO) recommends vitamin A supplements for all young children 6 to 59 months old that are at high risk of vitamin A deficiency every 4 to 6 months[8]
In contrast, a trial from Tanzania found that the use of vitamin A supplements increased the risk of mother-to-child transmission by 40%[9][10].
Reference
- ↑ Johansen, Diana. (2007). "Practical Guide to Nutrition for People Living with HIV", Canadian Aids Treatment Information Exchange
- ↑ Riddler, Sharon A. (2003) "Impact of HIV Infection and HAART on Serum Lipids in Men ", Journal of American Medical Association.(28):4-16.
- ↑ Thomson, Caspar (2010) retrieved from: "AIDS map".
- ↑ Parento, Joy. USDA(2009). Diet and Disease. Retrieved from http://fnic.nal.usda.gov/nal_display/index.php?info_center=4&tax_level=2&tax_subject=278&topic_id=1380
- ↑ Fawzi WW et al., for the Tanzania Vitamin and HIV Infection Trial Team. Randomized trial of effects of vitamin supplements on pregnancy outcomes and T cell counts in HIV-1-infected women in Tanzania. Lancet, 1998, 351:1477-1482.
- ↑ Friis, H. (2006). “Micronutrient interventions and HIV infection: a review of current evidence”, Tropical medicine & international health. 11(12):1849-57.
- ↑ Megazzini KM, Sinkala M, Vermund SH, Redden DT, Krebs DW, Acosta EP, Mwanza J, Goldenberg RL, Chintu N, Bulterys M, Stringer JSA. A cluster-randomized trial of enhanced labor ward-based PMTCT services to increase nevirapine coverage in Lusaka, Zambia. Aids 2010;24(3):447-455.
- ↑ World Health Organization (WHO).(1998) "Integration of Vitamin A Supplementation with Immunization: Policy and Program Implications".
- ↑ Coutsoudis A et al. The effects of vitamin A supplementation on the morbidity of children born to HIV-infected women. American Journal of Public Health, 1995, 85:1076-1081.
- ↑ Semba RD et al. Maternal vitamin A deficiency and mother-to-child transmission of HIV-1. Lancet, 1994, 343:1593-1597.
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