HIV, AIDS and Malnutrition


© Stephanie Hembree

Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) target the immune system, leaving the infected person open to infection and unable to mount an adequate immune response. Malnutrition can further complicate the situation leaving the infected person susceptible to opportunistic infection and reduced effectiveness of medications and other therapies. Antiretroviral treatments have decreased death rates in the United States. Now, patients face a lifetime of difficult medication compliance and associated complications. Malnutrition and risk of additional chronic disease have become central issues in the treatment

Studies have demonstrated that severe, progressive malnutrition occurs in AIDS patients. Malnutrition has been shown to have a harmful affect upon the course of this disease. It has been suggested that successful attempts to maintain body weight could prolong survival. Getting enough calories, proteins, carbohydrates, fats, vitamins and minerals are important. This can be a problem for many living with this disease. Complications from the medications and the infections include but are not limited to stomach upset, mouth and throat sores, diarrhea and lack of appetite. All of which can lead to wasting syndrome. Taking medications revolves around eating. Some medications must be taken with food, while others on an empty stomach. Following instructions when taking medication is important, but further complicates the eating issue. There are some guidelines that can help.

An important guideline is to eat more. Extra muscle will help you fight HIV. Protein and complex carbohydrates help build and maintain muscle. Fat stores energy and protects your vital organs. Limiting your fat below 30% could make it difficult for you to get enough calories. It is vital to pay attention to the nutritional value of food. If you have a limited appetite what you eat is even more important. High calorie, nutritionally dense foods can help. Some good protein choices are cheese, meat, fish, beans, nuts and seeds. Some good carbohydrate choices are whole grains, cereals, fruits and vegetables. The best fat choices are olive oil, canola oil and butter. Getting enough liquids is critical. Extra water can reduce the side effects of some medications. Also, many of the complications cause dehydration.

Another guideline is to practice food safety. Protect yourself from infections carried by food and water. Washing your hands before and after preparing foods and keeping your kitchen tools clean are your first steps. Next, do not eat raw or undercooked food. Promptly refrigerate leftovers and throw them out after three days. The food science motto is "when in doubt, throw it out". Finally, remember to check the expiration date of food you are buying.

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