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Nutrition and HIV/AIDS: A Training Manual - Linkages Project

Nutrition and HIV/AIDS: A Training Manual - Linkages Project

Nutrition and HIV/AIDS: A Training Manual - Linkages Project

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• Offer tailored treatment <strong>and</strong> management based on the assessment results• Address concerns <strong>and</strong> fears about physical health statusBody measurements are increasingly used as screening tools in clinical trails.What to assess or measure? (slide 8)The following measurements are commonly used in nutritional assessments:• Measurement of body size or proportions, known as anthropometry (e.g.,weight, height)• Laboratory tests for blood sugar, lipids, cholesterol, protein, <strong>and</strong> micronutrientstatus (e.g., serum levels, Hb, B 12 )• Clinical assessment of symptoms <strong>and</strong> illnesses associated with <strong>HIV</strong>/<strong>AIDS</strong>infection such as oral thrush <strong>and</strong> diarrhea, often appropriate in the absence oflaboratory facilities• Review of dietary history such as appetite, food habits, <strong>and</strong> stress or depressionthat may affect eating• Lifestyle practices such as smoking, drinking alcohol <strong>and</strong> caffeine, <strong>and</strong> usingdrugs that may affect food intake or utilizationAnthropometric measurements in <strong>HIV</strong>/<strong>AIDS</strong> (slide 9)The following anthropometric measurements should be conducted regularly with<strong>HIV</strong>/<strong>AIDS</strong> patients to assess <strong>and</strong> monitor body weight <strong>and</strong> composition:• Percentage change in weight or BMI (body mass index) over time to gaugewasting• Lean body mass measurement to establish the proportion of body compositionthat is muscle. Body cell mass is a comparison of weight <strong>and</strong> volume.44

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