H/A: Introduction (2010)
HIV/AIDS (2010) Evidence-Based Nutrition Practice Guideline
Guideline Narrative Overview
The focus of this guideline is on medical nutrition therapy (MNT) for individuals with HIV/AIDS.
The primary goals of MNT are:
- To delay HIV disease progression
- To prevent and treat malnutrition
- To maximize food and water safety practices
- To minimize the impact of other comorbidities on the progression of HIV infection, from birth through adulthood.
- Recommendations: Nineteen (19)
- Conclusion Statements: Thirteen (13)
- Evidence Summaries: Thirteen (13)
- Article Worksheets: One hundred and fifty-two (152).
See Project Team for the list of expert workgroup members, analysts and contributors for this project.
Application of the Guideline
This guideline will be accompanied by a set of companion documents to assist the practitioner in applying the guideline. A toolkit will contain materials such as the Medical Nutrition Therapy protocol, documentation forms, outcomes management tools, client education resources and case studies. The toolkit is currently under development and will undergo pilot-testing through the ADA's Dietetic Practice-Based Research Network prior to publication.
The literature search will be repeated for each guideline topic on an annual basis to identify new research that has been published since the previous search was completed. Based on the quantity and quality of new research, a determination will be made about whether the new information could change the published recommendation or rating.
When the analysis is completed, the expert workgroup will approve and re-grade the conclusion statements and recommendations. The guideline will undergo a complete revision every three to five years.
Medical Nutrition Therapy and HIV/AIDS
- Medical nutrition therapy and dietitian intervention
- Caloric needs
- Macronutrient composition
- Vitamin and mineral supplementation
- Treatment of hyperlipidemia
- Treatment of diarrhea/malabsorption
- Education on food and water safety
- Physical activity
This guideline applies to individuals with HIV/AIDS.
Other Guideline Overview Material
For more details on the guideline components, click on the following in the Introduction tab:
- Scope of Guideline
- Statement of Intent
- Guideline Methods
- Implementation of the Guideline
- Benefits and Harms of Implementing the Recommendations
Clinical judgment is crucial in the application of these guidelines. Careful consideration should be given to the application of these guidelines for patients with significant medical co-morbidities.