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Recommendations Summary

H/A: Assess Food/Nutrition-Related History 2010

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  • Recommendation(s)

    HIV/AIDS: Assess Food/Nutrition-Related History

    The registered dietitian (RD) should assess the food and nutrition-related history of people with HIV infection, including but not limited to:

    • Food and nutrient intake, focusing on energy, protein, fat,  fiber,  sodium, calcium and vitamin D 
    • Medications/drugs, herbal/dietary supplements and their potential negative interactions 
    • Knowledge, beliefs and attitudes
    • Behavior
    • Factors affecting access to food and food and nutrition-related supplies
    • Physical activity and function
    • Nutrition-related patient and client-centered measures

    Several studies report variations in energy and nutrient intake in people with HIV infection, some were under- and over-estimated requirements. A clear understanding of food and nutrient intake will form the basis for the nutrition diagnosis, prescription and intervention.

    Rating: Strong

    • Risks/Harms of Implementing This Recommendation


    • Conditions of Application


    • Potential Costs Associated with Application

      Costs of medical nutrition therapy (MNT) sessions and reimbursement vary; however, MNT sessions are essential for improved outcomes.

    • Recommendation Narrative

      • 15 articles were reviewed to evaluate the monitoring of food intake in people with HIV infection
      • Several studies report variations in energy and nutrient intake and weight changes (Chlebowski et al, 1995; Luder et al, 1995; Woods et al, 2002; Hendricks et al, 2006)
      • Special considerations are needed for children (Henderson et al, 1997; Melvin et al, 1997; Heller et al, 2000), as well as individuals with fat deposition (Hendricks et al, 2003; Dong et al, 2006), those taking protease inhibitors (Woods et al, 2003; Shah et al, 2005), those with a history of drug abuse (Forrester et al, 2000; Forrester et al, 2004) and those with metabolic abnormalities (Joy et al, 2007)
      • One study reported that three-day food records may be more valid than food frequency questionnaires when reporting food intake in the HIV-infected population (Hendricks et al, 2005)
      • Further research is needed regarding frequency of food intake monitoring.  

    • Recommendation Strength Rationale

      Conclusion statement received Grade II.

    • Minority Opinions

      Consensus reached.