Nutrition assessment, counseling, and support interventions to improve health-related outcomes in people living with HIV/AIDS: a systematic review of the literature

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Alice M TangChristine A Wanke

Abstract

Although numerous studies have shown that severe to moderate wasting at the time of antiretroviral therapy initiation is strongly predictive of mortality, it remains unclear whether nutritional interventions at or before antiretroviral therapy initiation will improve outcomes. This review examines data on nutrition assessment, counseling, and support interventions in resource-limited settings. We identified articles published between 2005 and 2014 on the effectiveness of nutrition assessment, counseling, and support interventions, particularly its impact on 5 outcomes: mortality, morbidity, retention in care, quality of life, and/or prevention of ongoing HIV transmission. We rated the overall quality of individual articles and summarized the body of evidence and expected impact for each outcome. Twenty-one articles met all inclusion criteria. The overall quality of evidence was weak, predominantly because of few studies being designed to directly address the question of interest. Only 2 studies were randomized trials with no food support control groups. The remainder were randomized studies of one type of food support versus another, cohort (nonrandomized) studies, or single-arm studies. Ratings of individual study quality rang...Continue Reading

References

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Jun 16, 2011·The Journal of Infectious Diseases·Enju LiuWafaie Fawzi
Dec 12, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Rahul RawatSuneetha Kadiyala
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Mar 15, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jonathan E KaplanMoses H Bateganya

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Citations

Aug 17, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Edmond K KabagambeWafaie Fawzi
Jun 8, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Henrik FriisSuzanne Filteau
Apr 27, 2016·Tropical Medicine & International Health : TM & IH·Markos TesfayeHenrik Friis
Feb 6, 2020·Revista latino-americana de enfermagem·Flor Yesenia Musayón-OblitasAna Beatriz Graña Espinoza
May 15, 2020·MMW Fortschritte der Medizin·Hans Hauner
May 16, 2021·International Journal of STD & AIDS·Elizabeth S BastRobert Gross

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