This Academy member benefit temporarily has been made public to allow all practitioners access to content that may assist in patient care during the national pandemic response. Click here for information on joining the Academy. 

Quick Links

Recommendations Summary

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

Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.


  • 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
    Imperative

    • Risks/Harms of Implementing This Recommendation

      None.

    • Conditions of Application

      None.

    • 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.