Current HIV/AIDS Reports

, Volume 9, Issue 4, pp 351–363 | Cite as

Interventions to Address Chronic Disease and HIV: Strategies to Promote Exercise and Nutrition Among HIV-Infected Individuals

  • Diana Botros
  • Gabriel Somarriba
  • Daniela Neri
  • Tracie L. Miller
Behavioral Aspects of HIV Management (RJ DiClemente and JL Brown, Section Editors)

Abstract

Food insecurity, micronutrient deficits, dyslipidemia, insulin resistance, obesity, cardiovascular disease, and bone disorders complicate the treatment of HIV infection. Nutrition and exercise interventions can be effective in ameliorating these symptoms that are associated with HIV and antiretroviral therapy (ART). In this literature review, we examine the most recent nutrition and exercise interventions for HIV-infected patients. Macronutrient supplementation can be useful in treating malnutrition and wasting. Multivitamin (vitamin B complex, vitamin C, and vitamin E) supplements and vitamin D may improve quality of life and decrease morbidity and mortality. Nutritional counseling and exercise interventions are effective for treating obesity, fat redistribution, and metabolic abnormalities. Physical activity interventions improve body composition, strength, and fitness in HIV-infected individuals. Taken collectively, the evidence suggests that a proactive approach to nutrition and physical activity guidance and interventions can improve outcomes and help abrogate the adverse metabolic, cardiovascular, and psychological consequences of HIV and its treatments.

Keywords

HIV Chronic disease and HIV Nutrition Physical activity Interventions Cardiometabolic disease Malnutrition Antiretroviral therapy (ART) Multivitamin supplementation Vitamin D 

Notes

Acknowledgments

This work was supported by grants from National Institutes of Health (NHLBI 1 R01 HL095127, NICHD 1 R01 HD060325, 1R01 NR012885), the Micah Batchelor Award for Research Excellence, and the Coulter Jones Foundation.

Disclosure

No potential conflicts of interest relevant to this article were reported.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Diana Botros
    • 1
  • Gabriel Somarriba
    • 1
  • Daniela Neri
    • 1
  • Tracie L. Miller
    • 1
  1. 1.Division of Pediatric Clinical Research, Department of Pediatrics (D820)University of Miami, Miller School of Medicine, Batchelor Children’s Research InstituteMiamiUSA

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