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The role of the nutritional therapist for people living with HIV
Tomanová, Michaela ; Starnovská, Tamara (advisor) ; Procházka, Ivo (referee)
Nutrition is one of the prognostic, predictive and also modifiable risk factors for the development of civilization diseases, which unequivocally cause the highest mortality in our territory. Obesity, metabolic syndrome, cardiovascular disease, hypertension, and type 2 diabetes mellitus have been shown to progress earlier and more progressively among people living with human immunodeficiency virus (PLWH) rather than in the HIV-negative population. Thanks to the modernization of antiretroviral therapy (ART), the incidence of wasting or lipodystrophic syndrome among adherent individuals is very low, if not zero. However, HIV infection together with the ART and unhealthy lifestyle now represent a certain risk of undesirable comorbidities in the form of civilization diseases. The complex topic of nutritional care for PLWH should be part of the professional knowledge of every nutritional therapist. Questionnaire surveys intended for qualified nutritional therapists and educational institutions, which were applied for the first section of the practical part of this thesis, confirmed all formulated hypotheses. The result of this part is the finding of insufficient education and the absence of deeper knowledge in the field of nutrition for PLWH among almost 95 % of the interviewed nutrition therapists,...
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Nutritional care and eating habits of people living with HIV
Tomanová, Michaela ; Starnovská, Tamara (advisor) ; Procházka, Ivo (referee)
The relationships between nutritional status, infectious diseases, and the immune system suggest that nutrition is an indisputable cofactor in the progression of human immunodeficiency virus (HIV) infection. One of the main complications of HIV infection is multifactorial malnutrition, however, overweight and obesity have become more frequent. A specialized nutritional intervention should be an integral part of routine medical care for people living with HIV. It has been shown that the incidence of wasting syndrome and critical malnutrition among people living with HIV has significantly decreased simultaneously with the side effects of modern antiretroviral drugs. The side effects of modern antiretroviral therapy are much less common than previous generations of drugs. On the other hand, the prevalence of obesity and other chronic diseases associated with it has increased significantly among people living with HIV. The practical part describes and evaluates the monitoring of eating habits of 10 people living with HIV. The aim of this work was to provide a summary of information about proper nutritional care for this population, to evaluate the eating habits of the respondents and to come up with a potentional nutritional intervention and education. Lack of macro and micronutrients and poor eating...
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