RESEARCH PAPER
‘Let Food Be Your Medicine’: a model for HIV nutrition services
Submission date: 2016-09-12
Final revision date: 2017-03-22
Acceptance date: 2017-03-24
Publication date: 2017-05-29
HIV & AIDS Review 2017;16(2):124-129
KEYWORDS
TOPICS
ABSTRACT
Introduction: The positive impact of optimal nutrition on human immunodeficiency virus (HIV) outcomes is well established however there are few examples of HIV being used as a complimentary treatment in outpatient care. The aim of this study is to evaluate the effectiveness of an HIV nutrition project in educating healthcare providers, stimulating the development of provincial nutrition services and building nutritional capacity of people living with HIV (PLHIV).
Material and methods: Healthcare providers (HCP) attending a nutrition study trip and demonstration camp were evaluated for their satisfaction and knowledge of HIV nutrition. These interventions were then replicated on a provincial level with the development of hospital nutrition services and camps that in turn were evaluated for attendance, satisfaction and attendee HIV nutrition knowledge.
Results: Training of 13 HCP resulted in the instigation of six provincial nutrition camps, one HCP conference, and the establishment of nutrition services and classes attended by over 3111 PLHIV and family members. Satisfaction scores reported by participants in the camps varied from 89% to 98% with HIV nutrition knowledge improving in all instances.
Conclusions: This project study demonstrates that HCP and PLHIV are very receptive to the inclusion of nutrition education as part of outpatient HIV care, and that educational interventions can effectively snowball to reach a large number of PLHIV and their families, and improve HIV nutrition knowledge.
Material and methods: Healthcare providers (HCP) attending a nutrition study trip and demonstration camp were evaluated for their satisfaction and knowledge of HIV nutrition. These interventions were then replicated on a provincial level with the development of hospital nutrition services and camps that in turn were evaluated for attendance, satisfaction and attendee HIV nutrition knowledge.
Results: Training of 13 HCP resulted in the instigation of six provincial nutrition camps, one HCP conference, and the establishment of nutrition services and classes attended by over 3111 PLHIV and family members. Satisfaction scores reported by participants in the camps varied from 89% to 98% with HIV nutrition knowledge improving in all instances.
Conclusions: This project study demonstrates that HCP and PLHIV are very receptive to the inclusion of nutrition education as part of outpatient HIV care, and that educational interventions can effectively snowball to reach a large number of PLHIV and their families, and improve HIV nutrition knowledge.
REFERENCES (34)
1.
Erlandson KM, Li X, Abraham AG, et al. Long-term impact of HIV wasting on physical function. AIDS Lond Engl 2016; 30: 445-454.
2.
Grinspoon S, Mulligan K; Department of Health and Human Services Working Group on the Prevention and Treatment of Wasting and Weight Loss. Weight loss and wasting in patients infected with human immunodeficiency virus. Clin Infect Dis 2003; 36 (Suppl 2): S69-78.
3.
Wanke CA, Silva M, Knox TA, et al. Weight loss and wasting remain common complications in individuals infected with human immunodeficiency virus in the era of highly active antiretroviral therapy. Clin Infect Dis 2000; 31: 803-805.
4.
Kotler DP. Wasting syndrome: nutritional support in HIV infection. AIDS Res Hum Retroviruses 1994; 10: 931-934.
5.
Balog DL, Epstein ME, Amodio-Groton MI. HIV wasting syndrome: treatment update. Ann Pharmacother 1998; 32: 446-458.
6.
Tang AM, Forrester J, Spiegelman D, et al. Weight loss and survival in HIV-positive patients in the era of highly active antiretroviral therapy. J Acquir Immune Defic Syndr 2002; 31: 230-236.
7.
National Center for Infectious Diseases Division of HIV/AIDS. 1993 revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. Center for Disease Control, 1993.
8.
Mangili A, Murman DH, Zampini AM, et al. Nutrition and HIV infection: review of weight loss and wasting in the era of highly active antiretroviral therapy from the nutrition for healthy living cohort. Clin Infect Dis 2006; 42: 836-842.
9.
Gasparis AP, Tassiopoulos AK. Nutritional support in the patient with HIV infection. Nutrition 2001; 17: 981-982.
10.
Anuurad E, Semrad A, Berglund L. Human immunodeficiency virus and highly active antiretroviral therapy-associated metabolic disorders and risk factors for cardiovascular disease. Metab Syndr Relat Disord 2009; 7: 401-409.
11.
Barbaro G. Metabolic and cardiovascular complications of highly active antiretroviral therapy for HIV infection. Curr HIV Res 2006; 4: 79-85.
12.
Brown TT, Glesby MJ. Management of the metabolic effects of HIV and HIV drugs. Nat Rev Endocrinol 2011; 8: 11-21.
13.
Reust CE. Common adverse effects of antiretroviral therapy for HIV disease. Am Fam Physician 2011; 83: 1443-1451.
14.
Jones R, Sawleshwarkar S, Michailidis C, et al. Impact of antiretroviral choice on hypercholesterolaemia events: the role of the nucleoside reverse transcriptase inhibitor backbone. HIV Med 2005; 6: 396-402.
15.
Suttajit M. Advances in nutrition support for quality of life in HIV+/AIDS. Asia Pac J Clin Nutr 2007; 16 Suppl 1: 318-322.
16.
Manfredi R, Chiodo F. Disorders of lipid metabolism in patients with HIV disease treated with antiretroviral agents: frequency, relationship with administered drugs, and role of hypolipidaemic therapy with bezafibrate. J Infect 2001; 42: 181-188.
17.
Santos AS, Silveira EA, Falco MO, et al. Effectiveness of nutritional treatment and synbiotic use on gastrointestinal symptoms reduction in HIV-infected patients: Randomized clinical trial. Clin Nutr 2016; doi: 10.1016/j.clnu.2016.06.005.
18.
Ouattara E, Danel C, Moh R, et al. Early upper digestive tract side effects of zidovudine with tenofovir plus emtricitabine in West African adults with high CD4 counts. J Int AIDS Soc 2013; 16: 18059.
19.
de Pee S, Semba RD. Role of nutrition in HIV infection: review of evidence for more effective programming in resource-limited settings. Food Nutr Bull 2010; 31: S313-344.
20.
Hsu J, Pencharz P, Macallan D, et al. Macronutrients and HIV/AIDS: A Review of Current Evidence. WHO, Geneva 2005.
21.
Reid C, Courtney M. A randomized clinical trial to evaluate the effect of diet on quality of life and mood of people living with HIV and lipodystrophy. J Assoc Nurses AIDS Care JANAC 2007; 18: 3-11.
22.
Thapa R, Amatya A, Pahari DP, et al. Nutritional status and its association with quality of life among people living with HIV attending public anti-retroviral therapy sites of Kathmandu Valley, Nepal. AIDS Res Ther 2015; 12: 14.
23.
Sherlekar S, Udipi SA. Role of nutrition in the management of HIV infection/AIDS. J Indian Med Assoc 2002; 100: 385-390.
24.
Guidelines for nutrition support in AIDS. Task Force on Nutrition Support in AIDS. Gastroenterol Nurs Off J Soc Gastroenterol Nurses Assoc 1989; 12: 28-36.
25.
Somarriba G, Neri D, Schaefer N, et al. The effect of aging, nutrition, and exercise during HIV infection. HIVAIDS Auckl NZ 2010; 2: 191-201.
26.
Chotivichien S, Arab L, Prasithsirikul W, et al. Effect of nutritional counseling on low-density lipoprotein cholesterol among Thai HIV-infected adults receiving antiretroviral therapy. AIDS Care 2016; 28: 257-265.
27.
Thuita FM, Mirie W. Nutrition in the management of acquired immunodeficiency syndrome. East Afr Med J 1999; 76: 507-509.
28.
Rodas-Moya S, Pengnonyang S, Kodish S, et al. Psychosocial factors influencing preferences for food and nutritional supplements among people living with HIV in Bangkok, Thailand. Appetite 2017; 108: 498-505.
29.
Tesfaye M, Kaestel P, Olsen MF, et al. The effect of nutritional supplementation on quality of life in people living with HIV: a randomised controlled trial. Trop Med Int Health TM IH 2016; 21: 735-742.
30.
Food and Nutrition Technical Assistance II Project. Review of Kenya’s Food by Prescription Program. FANTA-2, FHI360; Washington, 2009.
31.
Sadler K, Bontrager E, Rogers B, et al. Food by Prescription: Measuring the Impact and Cost-Effectiveness of Prescribed Food on Recovery from Malnutrition and HIV Disease Progression Among HIV+ Adult Clients in Ethiopia. Feinstein International Center, Boston 2012.
32.
Bravo P, Edwards A, Rollnick S, et al. Tough decisions faced by people living with HIV: a literature review of psychosocial problems. AIDS Rev 2010; 12: 76-88.
33.
Hodgson I, Plummer ML, Konopka SN, et al. A systematic review of individual and contextual factors affecting ART initiation, adherence, and retention for HIV-infected pregnant and postpartum women. PLoS One 2014; 9: e111421.
34.
Rochat TJ, Bland R, Coovadia H, et al. Towards a family-centered approach to HIV treatment and care for HIV-exposed children, their mothers and their families in poorly resourced settings. Future Virol 2011; 6: 687-696.
| eISSN: | 1732-2707 |
| ISSN: | 1730-1270 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
