J Am Diet Assoc. 1994 Sep;94(9):1042-5. doi: 10.1016/0002-8223(94)92202-0.
The goals of medical nutrition therapy in HIV disease include early assessment and treatment of nutrient deficiencies, maintenance and restoration of lean body mass, and support for activities of daily living and quality of life. The maintenance and restoration of nutritional stores are closely interrelated and interdependent with each of the other recommended medical therapies. Therefore, it is vital to the health of persons with HIV/AIDS to have access to the services of a registered dietitian, who is the essential member of the health care team for providing medical nutrition, therapy (49). The registered dietitian should take an active role in developing nutrition care protocols for HIV/AIDS in their practice setting. Dietetics professionals must take responsibility for obtaining and maintaining current knowledge in this area and should take the lead in translating current knowledge and research into practical and realistic nutrition guidelines for persons with HIV/AIDS. Further research is needed in the area of HIV/AIDS and nutrition. Registered dietitians and other members of the health care team are encouraged to conduct nutrition research in the area of nutrition interventions and the outcomes of nutrition therapy. Additionally, government health-related agencies, national AIDS-related organizations, and private industry should be encouraged to provide funding sources and support to the issue of research in nutrition-related problems and interventions in HIV/AIDS.
感染HIV疾病时医学营养治疗的目标包括对营养缺乏进行早期评估和治疗、维持并恢复瘦体重,以及支持日常生活活动和生活质量。营养储备的维持和恢复与其他推荐的医学治疗密切相关且相互依存。因此,对于感染HIV/艾滋病的患者而言,能够获得注册营养师的服务至关重要,注册营养师是提供医学营养治疗的医疗团队中不可或缺的成员(49)。注册营养师应在其执业环境中积极参与制定针对HIV/艾滋病的营养护理方案。营养学专业人员必须负责获取并保持该领域的最新知识,且应带头将当前的知识和研究转化为针对感染HIV/艾滋病患者切实可行的营养指南。在HIV/艾滋病与营养领域还需要进一步的研究。鼓励注册营养师和医疗团队的其他成员开展营养干预及营养治疗效果方面的营养研究。此外,应鼓励政府卫生相关机构、国家艾滋病相关组织和私营企业为HIV/艾滋病相关营养问题及干预措施的研究提供资金来源和支持。