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Nutrition and HIV

August 2013

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Ways to Improve Nutritional Status

Maintain a Healthy Weight

With a chronic infection like HIV, your body burns more energy (calories). If you are using more than you are bringing in, you may lose weight. It is also possible to eat more calories than you are using, and thus gain weight. Either way, if you are not eating healthy foods, you can suffer from malnutrition and hurt your health.

Some HIV+ people need a higher daily calorie intake to prevent weight loss. Hunger is not always a reliable guide, because you can feel nauseous or turned off by food, even when you need it. If this is case, speak to your health care provider about ways to manage your nausea or stimulate your appetite.

Eat More Complex Carbohydrates

Carbohydrates are a good source of energy, but can be a problem if you have diabetes. They are found in foods like:

  • Bread
  • Pasta
  • Rice
  • Cereal
  • Potatoes
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Carbohydrates come in different forms. Simple carbohydrates are more easily digested, but can cause your blood sugar to rise sharply. Simple carbohydrates include sugar (as in sweets, soft drinks), white rice, and white flour. They also occur naturally in fruits and milk.

Complex carbohydrates (also called starches) take longer for your body to digest, and often contain more fiber and other nutrients than simple carbohydrates. Complex carbohydrates include whole grains, beans (legumes), starchy vegetables like corn and potatoes, and brown rice. Because they take longer to digest, complex carbohydrates do not cause blood sugar to rise as sharply as simple carbohydrates and are therefore recommended for people with diabetes.

Eat More Protein to Fight Muscle Loss

Protein (along with exercise) helps your body build and maintain muscles. During times of infection, protein stored in muscles can get burned as a fuel source. This can lead to loss of muscle, also called muscle wasting.

HIV+ people may need up to two times as much protein as HIV-negative people. It is important to try to eat at least three servings of protein every day. A good estimate of a "serving" is the amount of food the size of your fist. Foods high in protein include:

  • Lean meats, including beef, chicken, and pork
  • Fish
  • Cottage cheese and yogurt
  • Eggs
  • Beans, chickpeas, soybeans, and nuts

Animal sources of protein can be high in saturated fats, and should be used in moderation -- especially if you have elevated cholesterol or you are at risk for heart disease.

Fiber, Water, Fruits, and Vegetables for Gut Health

A healthy gut is necessary in order for your body to get what it needs from foods, supplements, and medications. Foods high in fiber can help keep your bowel movements regular and support gut health. These include:

  • Oats
  • Whole grain bread
  • Lentils
  • Chickpeas
  • Beans
  • Fruits and vegetables
  • Prunes and apricots

Water (8-10 8 oz cups a day), juices, fresh fruits, and vegetables can help you digest and eliminate waste. Drinking more water can help you avoid dehydration and constipation, and reduce the side effects of medications. Animal fat, especially dairy, can make diarrhea worse. If diarrhea is a problem, you may need to cut back on animal fat, fried foods, and sugary foods.

Supplements

HIV+ people need more vitamins to build and repair tissue. It may not always be possible to get all the micronutrients (vitamins and minerals) from foods you eat. Not getting enough micronutrients can cause problems such as anemia.

While supplements do not replace a well-balanced diet, they can help you get the additional micronutrients you need. Most nutritionists treating HIV+ people recommend at a minimum:

  • Regular use of a multivitamin (with trace elements)
  • B Complex vitamins
  • Additional supplementation as needed in individuals (such as calcium pills for women who do not get enough dairy)

Speak to your health care provider and see a registered dietician for a nutritional evaluation. They can help you determine what combination of diet changes and supplementation can correct any micronutrient shortages you have.

Practice Food Safety

It is very important to protect yourself against infections that can be carried by food or water:

  • Wash your hands before preparing or eating food
  • Wash all fruits and vegetables carefully
  • Do not eat raw or undercooked eggs or meat
  • Use bottled water if the public water supply is not totally safe


Taking Care of Yourself

It is not always easy to stick to a well-balanced and healthy diet. However, the benefits of good nutrition are clear. Well-nourished people have a healthier immune system and are better prepared to fight off infections. In addition, many HIV+ people use food and supplements to manage a variety of complications and side effects.

Your diet and supplements are key parts of your total strategy to fight HIV and stay healthy. Although there are no US nutritional guidelines with specific recommendations for HIV+ people, a well-balanced and varied diet that includes all vitamins and minerals seems to be the best way to go. Work with your health care provider and a dietician or nutritionist on a regular basis to develop the best plan for you.

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This article was provided by The Well Project. Visit The Well Project's Web site to learn more about their resources and initiatives for women living with HIV. The Well Project shares its content with TheBody.com to ensure all people have access to the highest quality treatment information available. The Well Project receives no advertising revenue from TheBody.com or the advertisers on this site. No advertiser on this site has any editorial input into The Well Project's content.
 
See Also
An Introduction to Dietary Supplements for People Living With HIV/AIDS
Ask a Question About Diet or Nutrition at TheBody.com's "Ask the Experts" Forums
More on Diet, Nutrition and HIV/AIDS

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