Miller Tracie L
Pediatric Gastroenterology and Nutrition, Box 667, University of Rochester Medical Center, Rochester, New York 14642, USA.
AIDS. 2003 Apr;17 Suppl 1:S130-40. doi: 10.1097/00002030-200304001-00016.
The presentation of the nutritional problems of HIV-infected children is changing over time with improved antiretroviral regimens. Early reports of HIV infection in the 1980s, included such problems as malnutrition and wasting. However, as treatment and prophylactic regimens improve, the current nutritional problems of HIV-infected children in developed countries include truncal obesity and insulin resistance in addition to malnutrition. Background data on the wasting syndrome, etiology of malnutrition, nutritional effects of highly active antiretroviral therapies, and nutritional intervention strategies for HIV-infected children will be presented.
随着抗逆转录病毒治疗方案的改进，感染HIV儿童的营养问题表现也在随时间发生变化。20世纪80年代关于HIV感染的早期报告中，包括营养不良和消瘦等问题。然而，随着治疗和预防方案的改善，发达国家感染HIV儿童目前的营养问题除了营养不良外，还包括腹部肥胖和胰岛素抵抗。将介绍有关消瘦综合征的背景数据、营养不良的病因、高效抗逆转录病毒疗法的营养影响以及针对感染HIV儿童的营养干预策略。
