|
Abstracts Of Featured Nutrition Research Articles Issues 14-26 |
 |
|
This issue is free in PDF Exercise Recommendations and HIV Jenna A. Bell, MS, RD, LD Doctoral Student in Exercise Science |
| Jenna is the consulting dietitian for Southwest CARE Center in Santa Fe, NM. (see Program Spotlight in Sept/Oct 1999 Review issue). She currently is pursuing a PhD in Exercise Science at the University of New Mexico, where she recently completed a Masters degree in Nutrition. Jenna also works as a Nutrition Support dietitian for a home infusion company and is the Director of Nutrition Services at New Mexico Sports and Wellness. She is a native of New Hampshire (NH) and a graduate from the University of NH. She has lived in New Mexico with her fiance, dog and two cats since 1996. |
|
Advances in antiretroviral therapy in the lives of those with HIV have provided improvements in virology, immune function and prognosis. With the improved quality of life and feelings of well-being has emerged the question of whether exercise can be detrimental or advantageous in the care of individuals with HIV. Along with the increased need for lean body tissue, information on the effects of exercise among HIV-positive people is especially needed since marathons have become a popular form of fund-raising in the HIV community. Known benefits of exercise to the general population include enhancements in cardiopulmonary fitness, improved body composition, increased strength and flexibility, and quality of life improvements. Exercise also reduces the risk of various health concerns including cancer, heart disease, hyperlipidemia, and hypertension. While the population with HIV has experienced improvements in quality of life from the advances in medication, they have also found unfavorable changes in body composition, cardiopulmonary limitations, and diminished exercise capacity. Clinicians, dietitians and exercise physiologists alike, are faced with the concern of what is the most appropriate exercise routine that would best suit a person with HIV. This article will summarize the research on HIV and exercise, discuss the benefits of exercise, and provide exercise recommendations from a practicing dietitian and student of exercise physiology for patients with HIV. This article was published in September 2000. |
|
|
|
Substance Abuse, HIV And Nutrition- Putting It All Together Renee Hoffinger, MHSE, RD/LD |
| Renee Hoffinger, MHSE, RD, LD, has worked at the Veterans Administration Medical Center in Gainesville, Florida (North Central Florida) for the past seven years. She serves as a clinical specialist on the Substance Abuse Treatment Team and as outpatient dietitian in the Infectious Diseases Clinic. In her spare time, she sees HIV-positive patients at the Alachua County Health Department, teaches nutrition at the Florida School of Traditional Midwifery and organizes a three way sister city program with the Mideast. |
| It is estimated that 25 % of HIV-positive Americans were infected via
injection drug use. The number of people who currently abuse illicit
drugs and/or alcohol is not known but is likely to be a disproportionately
larger percentage than in the general population. Substance abuse implies
a host of additional considerations in medical treatment in general and
nutritional management in particular. The aim of this review is to discuss
these considerations, give an overview of substance abuse treatment and
an example of how to integrate nutrition into such treatment.
This article was published in July 2000. |
|
|
|
This issue is free in PDF A Preliminary Look At Substance Abuse Sharon Ann Meyer, AA, AS, DTR |
| Sharon Ann Meyer, AS, AA, DTR, Certified HIV Counselor is the President of HIV ReSources, Inc., and Editor-In-Chief of the HIV ReSource Review. |
|
The impact of substance abuse extends far beyond that of individual concerns to encompass health-care expenditures, treatment, enforcement, incarceration and social damage. We know that many people living with HIV abuse caffeine, alcohol and tobacco; some use illicit drugs such as heroin, methamphetamine, or marijuana on a regular basis. Anabolic steroid abuse, particularly in HIV-positive people, is a growing concern. This article highlights various drug abuse issues and the negative effects
It was published in May 2000. |
|
|
|
This article is free in PDF Heart Healthy Food Choices In The Era Of HAART: Part Two Donna Tinnerello, MS, RD, CDN & Sharon Ann Meyer, AA, AS, DTR |
| Donna Tinnerello, MS, RD is an HIV specialist living in New York City. She works full time at Cabrini Medical Center, and is a consultant for A Better Place and Village Center for Care. Donna has been chairperson of Nutritionists in AIDS Care (NIAC) and is on the board of directors of the AIDS Wasting Foundation. Sharon Ann Meyer, AS, AA, DTR, Certified HIV Counselor is the President of HIV ReSources, Inc., and Editor-In-Chief of the HIV ReSource Review. |
| Part One of this article explored knowledge of the risk for cardiovascular
disease (CVD) in people living with HIV infection on HAART. It also highlighted
the research on food, nutrition and heart disease in the public. Part Two
presents highlights from recent research of CVD causes and treatment and
the results of a survey taken by nationwide HIV-savvy clinicians. The article
also offers a preliminary set of nutrition guidelines for those on HAART.
This article was published in March 2000. |
|
|
|
This article is free in PDF Rest of Issue 22 Heart Healthy Food Choices: In The Era Of HAART Donna Tinnerello, MS, RD, CDN & Suzanne Rostler, MS, MA |
| Donna Tinnerello, MS, RD is an HIV specialist living in New York City. She works full time at Cabrini Medical Center, and is a consultant for A Better Place and Village Center for Care. Donna has been chairperson of Nutritionists in AIDS Care (NIAC) and at the time of publication was on the board of directors of the AIDS Wasting Foundation. Suzanne Rostler, MS, MA is a Medical Writer for Reuters Health living in New York City. |
|
Lipodystrophy has become a prominent feature within the HIV population. Abnormal glucose and lipid metabolism are the predominant risk factors for coronary vascular disease (CVD) described in people living with HIV infection (PLWHIV) on highly active antiretroviral therapy (HAART) and partial immune reconstitution. Central visceral adiposity appears to be a distinctive feature of lipodystrophy associated with the metabolic changes described above. To date, the cause is not fully understood. Acknowledging the possible role however of dietary components in decreasing the risk of CVD may help limit the incidence of this disease. The manipulation of numerous dietary components may help to lessen the occurrence or severity of CVD. The purpose of this two-part article is to a make a statement on the current state of knowledge about the risk for CVD in PLWHIV or AIDS on HAART. Secondly, for an historical perspective, we have chosen to review the research on food, nutrition and heart disease in the general population. Since there is no published data on the outcome of nutrition interventions in PLWHIV or AIDS with these risk factors, the final component of this article presents the results of a survey conducted on selected HIV nutritionists across the country. The endpoint arrives at a preliminary set of nutrition guidelines (based on expert opinion and anecdotal evidence) to help walk people through still another step in the survival process in the battle against HIV/AIDS. This article was published in January 2000. |
|
|
|
This issue is free in PDF Vitamin B12 Revisited: Old Wine In New Bottles William J. Sarill, MA & Thomas F. Brennan, PhD |
| William J. Sarill holds a MA in physics. He has been a medical writing consultant to the Massachusetts Department of Public Health and has served as instructor of Research Methodology at the New England School of Acupuncture. He has researched and designed nutrient formulations for Argos Biologicals. Thomas F. Brennan, PhD, has held appointments as Assistant Professor of Biochemistry at Boston University Medical Center and Assistant Director of an endocrinology laboratory there. Currently he is Assistant Professor of Chemistry at CUNY Bronx Community College and serves as research director for Argos Biologicals. CobamaxTM is the vitamin B12 formulation they designed. |
| Over the past decade or so, many researchers have reported finding
vitamin B12 (cobalamin) deficiencies in conjunction with HIV infection.
A smaller number of reports have also linked B12 deficiency with such HIV-related
neuropathology as peripheral neuropathy and dementia. These findings were
summarized in a comprehensive survey in Issue 3 of the HIV ReSource Review.
The present paper discusses research on an enhanced uptake formulation
of vitamin B12, CobamaxTM, which sheds new light on the relationship
of vitamin B12 to HIV/AIDS.
This article explores the role of B12 deficiency in the pathogenesis
of HIV infection, progression to AIDS, and development of AIDS-related
neuropathology. The pharmacological effects of ultra-high dose (UHD)
We present published data as of November 1999 on the effects of CobamaxTM on HIV-related neuropathy and other symptoms as well. |
|
|
|
Treatments For Unintentional Weight Loss Sharon Ann Meyer, AA, AS, DTR |
| We know the process of body weight loss in HIV disease includes interactions
between a number of components including proinflammatory cytokines and
metabolic or hormonal abnormalities. When feeding is not enough to reverse
nutritional changes, in addition to nutritional therapies we use agents
that block the abnormal metabolism or drugs that directly stimulate lean
tissue synthesis. People living with HIV infection (PLWHIV), especially
those suffering from unintentional weight loss, are becoming increasingly
interested in treatments meant to improve nutritional status. They seek
out many avenues of information such as support groups and the World Wide
Web to educate themselves and others. The Web contains a glut of data on
anabolic steroids and other products used for weight gain. Since many PLWHIV
have Internet access, either at home or through public institutions such
as the library, it is easier to find both reliable and questionable sources
of information.
Like part one of this article, the following contains information from
peer- reviewed scientific journals, recent conferences, on-line resources
and the experience of experts. It may be used to weigh both
It was published in September 1999. |
|
|
|
This issue is free in PDF A Review Of Nutritional Treatments For Unintentional Weight Loss Sharon Ann Meyer, AA, AS, DTR |
| It is imperative that HIV-positive individuals understand the importance
of maintaining a healthy body weight. Despite this knowledge many people
living with HIV or AIDS will experience unintentional weight loss, an indicator
of poor prognosis and decreased survival. Although highly active antiretroviral
treatment (HAART) has helped many people living with HIV to increase both
their T-cell count and their quality of life, at the time of publication
(July 1999) malnutrition continued to be a major contributing factor in
the progression of HIV disease.
This comprehensive review highlights information on the process and
consequences of weight loss and provides information on nutritional treatments
for unintentional weight loss in HIV-positive people. Information on where
to obtain additional resources and free products
This article was published in 1999. The handout within the article was updated in 2007. |
|
|
|
This article is free in PDF Evolution of Nutrition Screening Services in a Community Based HIV Clinic Barbara J. Scott, RD, MPH, Trudy A. Larson, MD, Robert L. Brunner, Ph.D., Sandi Navarro, and Melissa Mathes, RD |
| This article is supported by a grant from the Health Resources and Services Administration (HRSA) Special Projects of National Significance (SPNS) Program. The article's contents are solely the responsibility of the authors and do not necessarily represent the official view of HRSA or the SPNS Program. |
| The Early Nutrition Intervention Program in HIV and AIDS in Reno, Nevada
was started in October of 1994 with Ryan White funding from HRSA.
It was one of 23 projects designated as SPNS intended to answer questions
important in the delivery of HIV care.
Findings from the projects have broad implications for effectiveness and design of HIV/AIDS services. Our project was the only nutrition project in the group. The goal of this nutrition SPNS project was to develop and integrate a model for HIV/AIDS nutritional services into the medical care system of a community based HIV clinic. The University of Nevada School of Medicine was granted funding for this project, which was operated as a research study requiring client informed consent and oversight from the university's institutional review board. Other SPNS projects include rural outreach and care, women’s projects, substance abuse outreach and managed care of HIV. This article was published in May 1999. |
|
|
|
This issue is free in PDF Assessing Barriers To Nutritional Services Sharon Ann Meyer, AA, AS, DTR |
| A variety of challenges face those who provide nutritional services
to people living with HIV infection (PLWHIV). These factors may include:
increasing nutrition awareness, reimbursement concerns, political issues,
and communication difficulties. After these challenges are successfully
faced the real task of educating and counseling those who have HIV is then
realized. This article discusses the above problems faced by clinicians
who provide nutritional services to HIV-positive people.
The history of Florida's Broward County struggle to increase nutrition awareness and therefore access to nutritional services notes possible challenges faced by providers and clinicians. Along with ways to successfully face challenges, methods to increase reimbursement rates and achieve recognition for both organizations and individual clinicians help those who wish to provide nutritional services. This article was published in March 1999. |
|
|
|
Lipodystrophy - Have Fat Will Travel Chester D. Myers, PhD |
| This two part research article explores nutritionally related issues
that may be involved in stresses caused by (a) multiple drug use, and (b)
changes to body chemistries as a result of rapid kill-off of HIV with an
accompanying change in the profile of the body's immune functions. A summary
of general nutritional issues that were present before current antiretroviral
programs is followed by some observations for the current scene. Then a
review of specific issues around liver enzymes and insulin insensitivity
is provided, with a final synopsis of areas whereby one may make dietary
modifications to possibly alleviate these problems. Issue 15 (Part One)
contains information on where to obtain additional lipodystrophy resources.
These articles were published in November 1998 (PartOne) and January 1999 (Part Two). They are still an excellent resource for those interested in HIV. |
|
|
|
This issue is free in PDF Geneva Highlights Sharon Ann Meyer, AA, AS, DTR |
| This review covers many of the sessions related to nutrition and HIV
that were presented at the 12th International AIDS Conference held in Geneva,
Switzerland. Topics include: Weight loss, Wasting, Body Composition, Testosterone,
Long Term Non-Progressors, Children And HIV, Micronutrient Deficiencies,
Diet And Nutrition, and Client Care And Alternatives. Information on where
to obtain resources for more data from this conference are included in
the Resources Section.
This article was published in September 1998 |
|
|
|
The HIV ReSource Review (issues 1-30) and HIV
Nutrition Update (issues 30-54) are peer-reviewed publications designed
for nutrition professionals and
First published on July 1, 1996, the newsletters still provide important, time-saving, HIV-related nutrition information. Feature articles are the result of original research, scientific literature searches, and searches on the World Wide Web. Article information is supplemented by reviewing conference proceedings and expert recommendations. |
|
|
|
|
| Nancy Spaulding Albright, RD, LD, CNSD, LD |
| Wendy Wittenbrook, MA, RD, LD |
| Donna Tinnerello, MS, RD, CDN
Web Site Affiliation(s)
|
| In Spirit- Chester Myers, PhD |
|
|
| Kevin Kelly, RD, LD
Web Site Affiliation(s)
|
| Jason Stevenson, BS, Medical Researcher |
| Denise Li, BS |
|
|
| Sharon
Ann Meyer, AA, AS, DTR, Certified HIV Counselor About
Sharon
Web Site Affiliation(s)
|
| Return to top of page |
|
|
|
|
|
|
|
|
|
|
PO Box 39385 Fort Lauderdale, FL 33339-9385 USA |
|
Any use of the information presented here is done strictly at your own risk. No responsibility is implied or intended on the part of HIV ReSources Inc, the editor, or the publisher. Information on this site should not be thought of as an endorsement of any kind. |
|
|
|
|
