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Review
. 2014 Sep;43(3):647-63.
doi: 10.1016/j.ecl.2014.05.004.

From wasting to obesity, changes in nutritional concerns in HIV/AIDS

Pavan K Mankal  1 , Donald P Kotler  2
Affiliations
Review

From wasting to obesity, changes in nutritional concerns in HIV/AIDS

Pavan K Mankal et al. Endocrinol Metab Clin North Am. 2014 Sep.

Abstract

Optimal nutrition is an important part of human immunodeficiency virus (HIV) care; to support the immune system, limit HIV-associated complications as well as maintain better quality of life and survival. The presentation and nature of malnutrition in patients with HIV has changed dramatically over the past 30 years from predominantly a wasting syndrome to lipodystrophy and, now, frailty. Nevertheless, we continue to see all 3 presentations in patient care today. The pathogenesis of poor nutrition in HIV-infected patients depends on caloric intake, intestinal nutrient absorption/translocation, and resting energy expenditure, which are features seen in all chronic diseases.

Keywords: AIDS wasting syndrome; Frailty; HAART; Lipodystrophy; Malnutrition.

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