[procaare] Nutrition Management and HIV infection

[Richard Klein <procaare@healthnet.org>]

Nutrition Management and HIV infection
- Richard Klein, USFDA
**************

A special supplement to Clinical Infectious Diseases, a journal of The Infectious Diseases
Society of America, was published on April 1, 2003 (Clinical Infectious Diseases, Volume
36, Supplement 2).  It contains a special report on current issues related to nutrition
management and HIV infection.

The supplement is a collaborative work of more than 50 authorities representing a wide
range of expertise in conjunction with 5 federal agencies: the Health Resources and
Services Administration, the Food and Drug Administration, the Centers for Disease Control
and Prevention, the National Institutes of Health, and the Department of Veterans Affairs.

Nutrition is an important, but often overlooked aspect of HIV disease management.  John
Bartlett, of the Johns Hopkins University School of Medicine, states in the supplement's
introduction: "...modern management of HIV infection now requires substantial expertise in
dealing with nutritional issues and access to this expertise, despite the fact that there
have been virtually no guidelines that specifically target the nutritional care of the
HIV-infected population. This report on the nutrition management and concerns of HIV
infection is consequently most welcome as timely, authoritative, and greatly needed. "


INTEGRATING NUTRITION THERAPY INTO MEDICAL MANAGEMENT OF HUMAN IMMUNODEFICIENCY VIRUS
is now accessible on the AIDSInfo.nih.gov website.  You will find it under the "What's
New" section of the homepage and under Guideline News on the guidelines section, at
http://aidsinfo.nih.gov
or
http://aidsinfo.nih.gov/guidelines/

The topics covered in this special supplement are:

Introduction: Integrating Nutrition Therapy into Medical Management of Human
Immunodeficiency Virus
John G. Bartlett

General Nutrition Management in Patients Infected with Human Immunodeficiency Virus
Judith Nerad, Mary Romeyn, Ellyn Silverman, Jackie Allen-Reid, Doug Dieterich, Jill
Merchant, Veronique A. Pelletier, Donna Tinnerello, and Marcy Fenton

Assessment of Nutritional Status, Body Composition, and Human Immunodeficiency
Virus-Associated Morphologic Changes
Tamsin A. Knox, Melissa Zafonte-Sanders, Cade Fields-Gardner, Karol Moen, Diana Johansen,
and Nicholas Paton

Weight Loss and Wasting in Patients Infected with Human Immunodeficiency Virus
Steven Grinspoon, and Kathleen Mulligan, for the Department of Health and Human Services
Working Group on the Prevention and Treatment of Wasting and Weight Loss

Lipid Abnormalities
Michael Dube and Marcy Fenton

Body Habitus Changes Related to Lipodystrophy
Fred Sattler

Insulin and Carbohydrate Dysregulation
Marie C. Gelato

Lactic Acidemia in Infection with Human Immunodeficiency Virus
Andrew Carr

Emerging Bone Problems in Patients Infected with Human Immunodeficiency Virus
Kristin Mondy and Pablo Tebas

Food and Water Safety for Persons Infected with Human Immunodeficiency Virus
Celia Hayes, Elisa Elliot, Edwin Krales, and Goulda Downer

Richard Klein
Office of Special Health Issues
Food and Drug Administration
E-mail: RKLEIN@OC.FDA.GOV
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