AI Article Synopsis
- Nutrition is vital for elderly HIV-positive patients, but existing screening tools often fail to identify issues related to visceral fat, protein loss, and lipodystrophy.
- A literature review revealed skepticism about relying on BMI and weight loss alone for assessing nutritional problems in this demographic.
- The authors propose developing a comprehensive screening test that combines BMI, weight loss, waist-to-hip ratio, and mid-arm circumference to better detect nutritional issues in elderly HIV-infected individuals, emphasizing the need for further research.
Article Abstract
Background: Nutrition is a crucial issue for elderly HIV-infected patients. Screening tools (''DETERMINE your nutrition health checklist'' [NSI], the Mini-Nutritional Assessment [MNA], the Malnutrition Universal Screening Tool [MUST] test, and the modified version of the Subjective Global Assessment [SGA]-HIV) might not detect problems in visceral fat accumulation, visceral protein loss, and lipodystrophy in elderly HIV-positive populations.
Methods: Literature review of articles in English, French, and Spanish published in Medline and Cochrane databases through January 2010.
Results: New studies question the use of body mass index (BMI) and weight loss as proxies for nutritional problems in HIV-positive patients. In the case of elderly HIV-infected patients, screening tools to deal with the aforementioned issues are currently being investigated.
Conclusion: The authors suggest that a unique nutritional screening test that contains measures including BMI, weight loss, waist-to-hip (W/H) ratio, and mid-arm circumference may be able to detect nutritional problems in elderly patients infected with HIV. Further trials combining these 4 anthropometric measures in elderly HIV-infected patients are needed.
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| http://dx.doi.org/10.1177/1545109710384504 | DOI Listing |
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