Document Detail


Use of diet, nutritional supplements and exercise in HIV-infected patients receiving combination antiretroviral therapies: a systematic review.
MedLine Citation:
PMID:  18505167     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The use of combination antiretroviral therapy (cART) has improved the prognosis of HIV infection, but it has also been linked to a spectrum of body composition changes and metabolic alterations known as the lipodystrophy syndrome. Nutritional status could influence body composition changes. METHODS: We performed a systematic search of published peer-reviewed data on the effects of diet, nutrition support and exercise on body composition and metabolic complications in patients receiving cART. RESULTS: Few controlled studies, most of them with small sample size, were found. Oral nutritional support increases protein and energy intake, and results in body weight and fat mass gains. Resistance exercise, with or without an aerobic component, increases lean mass and can improve insulin resistance. Low-fat diets or exercise can result in loss of fat mass, and they should be used with caution in subjects with lipoatrophy. CONCLUSIONS: Nutritional support and exercise result in small but significant body composition changes and can be used as complementary interventions. There is a need for further research on nutritional interventions in HIV-infected patients receiving cART.
Authors:
Pere Leyes; Esteban Martínez; Maria de Talló Forga
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Antiviral therapy     Volume:  13     ISSN:  1359-6535     ISO Abbreviation:  Antivir. Ther. (Lond.)     Publication Date:  2008  
Date Detail:
Created Date:  2008-05-28     Completed Date:  2008-06-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815705     Medline TA:  Antivir Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  149-59     Citation Subset:  IM    
Affiliation:
Nutrition and Dietetics Unit, Endocrinology Service, Hospital Clinic de Barcelona, 08036 Barcelona, Spain. pleyes@clinic.ub.es
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MeSH Terms
Descriptor/Qualifier:
Anti-HIV Agents / adverse effects,  therapeutic use*
Body Composition
Diet*
Dietary Supplements*
Double-Blind Method
Drug Therapy, Combination
Exercise*
HIV Infections / drug therapy*
HIV-Associated Lipodystrophy Syndrome / prevention & control*
Humans
Nutritional Status
Randomized Controlled Trials as Topic
Reverse Transcriptase Inhibitors / adverse effects,  therapeutic use*
Chemical
Reg. No./Substance:
0/Anti-HIV Agents; 0/Reverse Transcriptase Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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