Nutrition and Physical Exercise in Older Patients with HIV

Mussi, Chiara

doi:10.1007/978-3-319-20131-3_12

Cited by 2 publications

(4 citation statements)

References 25 publications

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“…food insecurity, inability to obtain nutritious food) challenges that contribute to poor nutrition, increasing their risk of developing of comorbid conditions, higher risk for illness and injury, and can interfere with successful healing from acute health events (e.g. fractures, surgical procedures) (Feldman, Alexy, Thomas, Gambone, & Irvine, 2015; Mussi, 2016; Palar et al, 2015). Nutritional deficiencies and poor diet choices contribute to malnutrition, obesity, bone loss, and their associated comorbidities (Shiau, Arpadi, & Yin, 2015).…”

Section: Promotion Of Self-management Behaviormentioning

confidence: 99%

People Living With HIV: Implications for Rehabilitation Nurses

Perazzo¹,

Webel²,

McGough³

et al. 2018

Rehabilitation Nursing

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Purpose To present a brief overview of challenges faced by people living with HIV (PLHIV) as they age, to discuss the relevance of HIV to rehab nurses, and to provide evidence-based recommendations for rehabilitation professionals working with PLHIV. Design Current Issues Article Methods Literature review related to age-related comorbidities in PLHIV with implications for rehabilitation nurses. Conclusions PLHIV experience higher rates of age-related comorbidities compared to the general population and will require rehabilitation expertise in their healthcare. Understanding unique characteristics of PLHIV as well as applying focused assessment and tailored interventions in PLHIV will give rehabilitation nurses the tools to successfully guide PLHIV through the rehabilitation process and optimize clinical outcomes. Clinical Relevance As people with HIV age and experience acute and chronic comorbidities, they will require the clinical expertise of rehabilitation nurses in the process to successfully transition through acute and sub-acute healthcare and regain function.

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Section: Promotion Of Self-management Behaviormentioning

confidence: 99%

People Living With HIV: Implications for Rehabilitation Nurses

Perazzo¹,

Webel²,

McGough³

et al. 2018

Rehabilitation Nursing

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show abstract

“…Previous studies showed that nutrition can enhance the immune system response to HIV replication and that malnourished PLWH were more likely to develop opportunistic infections than those with adequate nutrition [ 4 , 5 ]. It is widely believed that malnutrition, the immune system of PLWH, and HIV infection are intertwined and that the former two factors affect the outcome of the latter [ 5 , 6 ]. Additionally, malnutrition is type of geriatric syndrome.…”

Section: Introductionmentioning

confidence: 99%

“…Aging increases the nutritional risk in older adults and eventually leads to increased mortality [ 7 ]. The concomitant health conditions, level of activity, and ability to consume food are key factors affecting nutritional risk and nutritional status in older adults [ 6 , 7 ]. Therefore, maintaining an optimal nutrition status is important for HIV/AIDS management older PLWH.…”

Section: Introductionmentioning

confidence: 99%

“…Screening for nutritional risk and evaluating nutritional status at an early stage allows the implementation of more effective interventions. Nutritional risk is an indicator of prognosis based on nutritional factors [ 6 ]. Nutritional risk screening tools, such as the NRS-2002, are very helpful for detecting potential malnutrition [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Nutritional risk and nutritional status in hospitalized older adults living with HIV in Shenzhen, China: a cross-sectional study

et al. 2021

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Background Nutrition is a crucial factor that can impact morbidity and mortality in older people living with HIV (PLWH). Studies on nutritional risk and nutritional status in all age groups in PLWH have been conducted. However, few studies have focused on nutritional risk in older PLWH. This study aimed to describe the nutritional risk and nutritional status in older PLWH, and explore factors associated with nutritional risk and undernutrition status. Methods We conducted a cross-sectional study. We recruited participants aged 50 years or older from the Third People’s Hospital of Shenzhen from January 2016 to May 2019. Nutritional risk and nutritional status were evaluated by the Nutritional Risk Screening 2002 (NRS 2002) tool, body mass index (BMI), albumin level, and prealbumin level on the first day of admission. Logistic regression models were used to identify the factors associated with undernutrition based on the BMI, albumin, and prealbumin criteria. Results A total of 196 older PLWH were included in the analysis. We found that 36% of hospitalized older PLWH had nutritional risk, and 12–56% of them had undernutrition based on the BMI, albumin, and prealbumin criteria. An increased nutritional risk score was associated with older age (β = 0.265 CI [0.021, 0.096], P = 0.002), a higher viral load (β = − 0.186 CI [− 0.620, − 0.037], P = 0.028), a lower BMI (β = − 0.287 CI [− 0.217, − 0.058], P = 0.001), and a lower albumin level (β = − 0.324 CI [− 8.896, − 1.230], P = 0.010). The CD4 count was associated with the prevalence of undernutrition based on the albumin criterion (OR = 15.637 CI [2.742, 89.178], P = 0.002). Conclusion Our study indicated that nutritional screening, assessment, and management should be routinely performed in hospitalized older PLWH. HIV-specific measures should be used to assess nutritional risk, and albumin, BMI, and other assessments should be used in combination to identify undernutrition in older PLWH.

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Nutrition and Physical Exercise in Older Patients with HIV

Cited by 2 publications

References 25 publications

People Living With HIV: Implications for Rehabilitation Nurses

People Living With HIV: Implications for Rehabilitation Nurses

Nutritional risk and nutritional status in hospitalized older adults living with HIV in Shenzhen, China: a cross-sectional study

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