HIV

Question 1

it is estimated that ___________ million people in the world are living with HIV

Answer 1

34

Question 2

HIV invades the DNA of what 2 types of cells? why is this bad?

Answer 2

1. CD4
2. T helper lymphocytes

**these are the main cells involved with fighting off infection

Question 3

what is the overall result of HIV?

Answer 3

immunodeficiency

Question 4

what are the 2 phases of HIV? what is the CD4 count like in each?

Answer 4

1. clinical asymptomatic (CD4 count above 500)

2. crisis(AIDS)( with

Question 5

what is the main nutritional goal of AIDS MNT? what are 3 ways to accomplish this specifically?

Answer 5

increased food/kcal

1. small frequent meals
2. nutrient dense foods(nuts, milkshakes, cheese, sugar)
3. appetite stimulant meds

Question 6

often times, AIDS patients experience pain while eating from mucosal damage. what can you tell them to try? (3)

Answer 6

foods that are:

• soft/moist
• room temp
• NOT spicy

Question 7

what is lipodystrophy?

Answer 7

pattern of abnormal fat metabolism with wasting of face and limbs, but accumulation of fat under skin/in body cavity it abnormally would not(Ex. between shoulder blades)

Question 8

lipodystrophy causes what to show up on a lipid panel?

Answer 8

increase in chol, TG

Question 9

t/f: lipodystrophy affects CHO metabolism

Answer 9

true(indirectly)–> causes insulin resistance

Question 10

lipodystrophy is most commonly reported among patients taking ____________(meds)

Answer 10

protease inhibitors

Question 11

what is HAART?

Answer 11

highly active antiretroviral therapy

Question 12

what type of fats should be emphasized for patients with lipodystrophy?

Answer 12

omega 3s

Question 13

what are 3 main goals for CHO intake of lipodystrophy patients?

Answer 13

1. whole grain, low glycemic
2. TEN fruits + veg daily
3. 1 serving nuts daily

Question 14

besides “humpback” what are 2 other appearance symptoms HIV patients experience?

Answer 14

central adiposity and facial lipoatrophy (face wasting)