Abstract: . . .  nutritional status is an important feature of care and treatment of chronic HIV infection and related complications. A reasonable amount of body stores, especially of fluids, body cell mass (muscle and organ tissues), and adequate fat stores are essential to maintain body functions and support survival. Beyond these priorities, consider using micronutrients (vitamins and minerals) and non- nutrient antioxidants and other substances that are important for normal body metabolism. The most basic interventions will assure that the social and economic issues of adequate food access are addressed. Dietary modulation to complement other medical therapies and as palliative care to reduce adverse effects are examples of nutrition as an adjunctive therapy. Resources Fields-Gardner C, Salomon SB, Davis MA. Living Well with HIV/AIDS A Guide to Nutrition . 2 nd ed. 2003. ISBN 0-88091-322-3. Available through the American Dietetic Association, Chicago, IL. www.eatright.org Fields-Gardner C, Fergusson P; American Dietetic Association, Dietitians of Canada. Nutrition intervention in the care of persons with human immunodeficiency virus infection: position of the American Dietetic Association and Dietitians of Canada. J Am Diet Assoc 2004; 104(9):1425–1441. Available at: http://www.eatright.org/Member/PolicyInitiatives/index_21020.cfm. Page 5 Nutrition 551 References 1. Batterham MJ, Garsia R, Greenop P. Prevalence and predictors of HIV-associated weight loss in the era of highly active antiretroviral therapy. Int J STD AIDS 2002; 13(11):744–747. 2. Ferrando SJ, Rabkin JG, Lin SH, McElhiney M. Increase in body cell mass and decrease in wasting are associated with increasing potency of antiretroviral therapy for HIV infection. AIDS Patient Care STDS 2005; 19(4):216–223. 3. Centers for Disease Control and Prevention. Revision of the CDC surveillance case definition for acquired immunodeficiency syndrome. MMWR 1987; 36:3–15. 4. Dworkin MS, Williamson JM. AIDS wasting syndrome: trends, influence on opportunistic infections, and survival. Adult/Adolescent Spectrum of HIV Disease Project. J Acquir Immune Defic Syndr 2003; 33:267– 273. 5. Maas JJ, Dukers N, Krol A, van Amejiden EJ, van Leeuwen R, Roos MT, de Wolf F, Countinho RA, Keet JP. Body mass index course in asymptomatic HIV-infected homosexual men and the predictive value of a decrease of body mass index for progression to AIDS. J Acquir Immune Defic Syndr Hum Retrovirol 1998; 19(3):254–259. 6. Macallan DC, Noble C, Baldwin C, Jebb SA, Prentice AM, Coward WA, Sawyer MB, McManus TJ, Griffin GE. Energy expenditure and wasting in human immunodeficiency virus infection. NEJM 1995; 333(2):83–88. 7. Macallan DC. Wasting in HIV infection and AIDS. J Nutr  . . .
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