[Isolated dietary counselling program versus supplement and dietary counselling in patients with human immunodeficiency virus infection]. / Consejo nutricional aislado frente a suplemento y consejo nutricionales en pacientes con infección por el virus de la inmunodeficiencia humana.
Med Clin (Barc)
; 120(15): 565-7, 2003 Apr 26.
Article
em Es
| MEDLINE
| ID: mdl-12729523
ABSTRACT
BACKGROUND AND OBJECTIVE:
Nutritional intervention is a controversial area. The aim of the study was to compare the influence on nutritional status of nutritional supplementation with a standard polymeric formula as well as nutritional counselling versus isolated nutritional counselling in a group of HIV-infected patients. PATIENTS ANDMETHOD:
There were 70 patients, 66 of whom were fully evaluated for each study end point after application of prospectively determined evaluability criteria. Of these, 35 were randomized to group I (standard formula) and 35 were randomized to unsupplemented group II. Group I patients received standard enteral formula (3 cans/day, 250 ml per can). Patients were submitted to a prospective serial assessment of their nutrition status (anthropometric and biochemical status) and the nutritional intake was determined by means of 24-hours written food records. Determinations were performed at baseline and at 3 months.RESULTS:
Treatment with oral supplements in group I resulted in a significant and sustained increase in weight (2.75%; p < 0.05) which was mostly due to fat mass (10.8%; p < 0.05). In contrast, no changes were detected in group II patients. The increase in body weight and tricipital skinfold was significant in group I. Total body water and fat free-mass remained without changes. CD4 counts and viral load remained stable in both groups.CONCLUSIONS:
Oral nutritional supplements for a 3-months period resulted in body weight gain in HIV-infected patients, increasing the fat mass. An isolated nutritional counselling did not result in such an increase.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Soropositividade para HIV
/
Suplementos Nutricionais
/
Aconselhamento
/
Dieta
Tipo de estudo:
Clinical_trials
/
Evaluation_studies
/
Observational_studies
Limite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
Es
Ano de publicação:
2003
Tipo de documento:
Article