Position of the American Dietetic Association: Nutrition Intervention and Human Immunodeficiency Virus Infection
Position of the American Dietetic Association: Nutrition Intervention and Human Immunodeficiency Virus Infection
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DOI：
10.1016/j.jada.2010.05.020
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发表时间：
2010-07-01
影响因子：
--
通讯作者：
Campa, Adriana
中科院分区：
文献类型：
--
作者：
Fields-Gardner, Cade;Campa, Adriana
美国饮食协会的立场是，通过个体化医疗营养治疗、确保食品和营养安全以及营养教育来优化营养状况的努力，对于整个护理过程中为人类免疫缺陷病毒(HIV)感染者提供的整个卫生保健系统至关重要。改善卫生保健获得和治疗的广泛努力稳定了世界许多地区的艾滋病毒流行水平，并延长了艾滋病毒感染者的生存时间。错综复杂的临床和社会问题，如药物相互作用、合并症、消瘦、脂肪营养不良、食物不安全、衰老和其他相关情况，进一步使疾病管理复杂化。随着人们对艾滋病毒疾病的机制及其对身体功能的影响有了更深入的了解，新的治疗方法的开发，以及更广泛的受影响人群，对慢性艾滋病毒感染的管理继续变得更加复杂和苛刻。实现粮食和营养安全以及管理与艾滋病毒感染有关的营养并发症仍然是艾滋病毒感染者和保健专业人员面临的重大挑战。已注册的注册营养师和饮食技术员应将他们的努力融入整体卫生保健战略，以优化他们对艾滋病毒感染者的临床和社会影响。美国饮食协会。2010；110：1105-1119。
It is the position of the American Dietetic Association that efforts to optimize nutritional status through individualized medical nutrition therapy, assurance of food and nutrition security, and nutrition education are essential to the total system of health care available to people with human immunodeficiency virus (HIV) infection throughout the continuum of care. Broad-based efforts to nnprove health care access and treatment have stabilized HIV prevalence levels in many parts of the world and led to longer survival for people living with HIV infection. Confounding clinical and social issues, such as medication interactions, comorbidities, wasting, lipodystrophy, food insecurity, aging, and other related conditions further complicate disease management. With greater understanding of the mechanisms of HIV disease and its impact on body function, development of new treatments, and wider ranges of populations affected, the management of chronic HIV infection continues to become more complex and demanding. Achievement of food and nutrition security and management of nutrition-related complications of HIV infection remain significant challenges for clients with HIV infection and health care professionals. Registered dietitians and dietetic technicians, registered, should integrate their efforts into the overall health care strategies to optimize their clinical and social influence for people living with HIV infection. J Am Diet Assoc. 2010;110: 1105-1119.