What is included in the nutritional assessment of patients with HIV infection?

Updated: Apr 09, 2019
  • Author: Fazia Mir, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Answer

A complete Work up includes a thorough dietary history, physical examination and laboratory testing (see WHO guidelines for nutrition al assesment in HIV infected adults below). Other problems pertaining to food intake, for example nausea, dysphagia, gastroesophageal reflux, food security, and drug and food interactions, should also be considered. The stage of HIV should also be determined in accordance with the WHO criteria based on the history and physical examination. [21]

Baseline laboratory parameters required are a complete blood count, CD 4 count, plasma HIV RNA levels, lipid panel, serum albumin (results should be interpreted with keeping liver disease and sever illnesses in mind), transferrin, transthyretin, and prealbumin. Prealbumin is only useful for revealing short-term changes in nutritional status. Reductions in plasma HIV RNA levels from a patient's baseline have been associated with increased muscle mass.


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