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Integrating Nutrition Therapy into Medical Management of HIV


A special supplement to Clinical Infectious Diseases, a journal of The Infectious Diseases Society of America, was published today, April 1, 2003 (Clinical Infectious Diseases, Volume 36, Supplement 2). It contains a special report on current issues related to nutrition management and HIV infection.

The supplement is a collaborative work of more than 50 authorities representing a wide range of expertise in conjunction with 5 federal agencies: the Health Resources and Services Administration, the Food and Drug Administration, the Centers for Disease Control and Prevention, the National Institutes of Health, and the Department of Veterans Affairs.

Nutrition is an important, but often overlooked aspect of HIV disease management. John Bartlett, of the Johns Hopkins University School of Medicine, states in the supplement's introduction: "...modern management of HIV infection now requires substantial expertise in dealing with nutritional issues and access to this expertise, despite the fact that there have been virtually no guidelines that specifically target the nutritional care of the HIV-infected population. This report on the nutrition management and concerns of HIV infection is consequently most welcome as timely, authoritative, and greatly needed."

is now available at
(Available to IDSA subscribers)

The topics covered in this special supplement are:

Introduction: Integrating Nutrition Therapy into Medical Management of Human Immunodeficiency Virus
John G. Bartlett

General Nutrition Management in Patients Infected with Human Immunodeficiency Virus
Judith Nerad, Mary Romeyn, Ellyn Silverman, Jackie Allen-Reid, Doug
Dieterich, Jill Merchant, Veronique A. Pelletier, Donna Tinnerello, and
Marcy Fenton

Assessment of Nutritional Status, Body Composition, and Human
Immunodeficiency Virus-Associated Morphologic Changes
Tamsin A. Knox, Melissa Zafonte-Sanders, Cade Fields-Gardner, Karol Moen,
Diana Johansen, and Nicholas Paton

Weight Loss and Wasting in Patients Infected with Human Immunodeficiency Virus
Steven Grinspoon, and Kathleen Mulligan, for the Department of Health and
Human Services Working Group on the Prevention and Treatment of Wasting and
Weight Loss

Lipid Abnormalities
Michael Dube and Marcy Fenton

Body Habitus Changes Related to Lipodystrophy
Fred Sattler

Insulin and Carbohydrate Dysregulation
Marie C. Gelato

Lactic Acidemia in Infection with Human Immunodeficiency Virus
Andrew Carr

Emerging Bone Problems in Patients Infected with Human Immunodeficiency Virus
Kristin Mondy and Pablo Tebas

Food and Water Safety for Persons Infected with Human Immunodeficiency Virus
Celia Hayes, Elisa Elliot, Edwin Krales, and Goulda Downer

To subscribe to CID or to order single copies of the supplement, see

Richard Klein
Office of Special Health Issues
Food and Drug Administration

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