Fields-Gardner Cade, Campa Adriana
TCE Consulting Group, Inc, Cary, IL, USA.
J Am Diet Assoc. 2010 Jul;110(7):1105-19. doi: 10.1016/j.jada.2010.05.020.
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 improve 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.
美国饮食协会的立场是，通过个体化医学营养治疗、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，对于在整个连续护理过程中为感染人类免疫缺陷病毒（HIV）的人提供的全面医疗保健系统至关重要。广泛开展的改善医疗保健可及性和治疗的努力已使世界许多地区的HIV流行率趋于稳定，并使HIV感染者的生存期延长。诸如药物相互作用、合并症、消瘦、脂肪代谢障碍、粮食不安全、老龄化及其他相关状况等复杂的临床和社会问题，使疾病管理更加复杂化。随着对HIV疾病机制及其对身体功能影响的深入了解、新治疗方法的开发以及受影响人群范围的扩大，慢性HIV感染的管理持续变得更加复杂且要求更高。实现食品和营养安全以及管理HIV感染的营养相关并发症，对HIV感染者和医疗保健专业人员而言仍是重大挑战。注册营养师和注册营养技师应将他们的努力融入整体医疗保健策略中，以优化他们对HIV感染者的临床和社会影响力。
