Casey K M
J Assoc Nurses AIDS Care. 1997 May-Jun;8(3):24-32. doi: 10.1016/S1055-3290(97)80047-7.
A documented association exists between nutritional status and immunologic function, development, and outcome of infectious processes, and treatment-related toxicity and vital organ function. In persons with AIDS, nutritional deficits precipitate a cycle that results in a downward spiral of weight lost, malabsorption, diarrhea, anorexia, body image disturbance, and increased risk for morbidity and mortality. This article presents an overview of the malnutrition in HIV/AIDS patients. It critiques the current Centers for Disease Control's definitions of wasting syndrome, describes the incidence of weight loss, delineates the implications of untreated malnutrition, and traces the etiology of weight loss and contributing factors. This article serves as an introduction to HIV/AIDS related malnutrition. A subsequent article will review nursing implications and clinical management programs.
营养状况与免疫功能、发育、感染性疾病的转归以及治疗相关毒性和重要器官功能之间存在着已被证实的关联。在艾滋病患者中,营养缺乏会引发一个恶性循环,导致体重不断下降、吸收不良、腹泻、厌食、身体形象紊乱,以及发病和死亡风险增加。本文概述了艾滋病毒/艾滋病患者的营养不良情况。它对疾病控制中心目前关于消瘦综合征的定义进行了批判,描述了体重减轻的发生率,阐述了未经治疗的营养不良的影响,并追溯了体重减轻的病因及相关因素。本文作为艾滋病毒/艾滋病相关营养不良的介绍。后续文章将探讨护理问题及临床管理方案。