An imbalance of the oxidant-antioxidant equilibrium has been associated with disease progression in HIV-seropositive individuals. In vitro and in vivo studies have demonstrated the efficacy of antioxidant supplementation in reducing the concentrations of oxidative stress markers. The objectives of the present cross-sectional study were to evaluate the dietary intake and nutritional supplementation practices of 24 HIV-seropositive persons in Montreal and explore the relationship between dietary intakes of antioxidant micronutrients (ascorbic acid, vitamin E, $ beta$-carotene, zinc, selenium), oxidative stress (plasma malondialdehyde (MDA), leukocyte glutathione (GSH)) and immunological indices (absolute CD4+ counts, polymorphonuclear leukocytes (PMN)). Unexpectedly, and paradoxically, a tendency to higher MDA concentrations in subjects with higher CD4+ counts was observed (r = 0.39, p $<$ 0.10). Moreover, supplementation with vitamin E was associated with significantly higher MDA concentrations (p $<$ 0.05). Ascorbic acid intake, even at levels in excess of the tissue saturation (200 mg/d) did not significantly lower MDA concentrations. Neither GSH concentrations nor CD4+ counts were significantly different between supplement users and non-users. In general, the small sample size of this study may have been in part responsible for the failure to detect statistical significance in some associations, however, trends were noted. These included the observation that vitamin supplement users were more likely to have a history of a clinical event associated with HIV infection (opportunistic infection, neoplasm, unintentional weight loss), have a longer duration of IV-seropositivity and have significantly higher MDA concentrations (p $<$ 0.05). In this study, it appears that antioxidants, and vitamin E in particular, were ineffective in reducing the elevated levels of reactive oxygen species (ROS) associated with HIV infection.

No description available.

Weight loss is a common occurrence in patients with human immunodeficiency virus (HIV) and contributes to further debilitation in the acquired immune deficiency syndrome (AIDS). Wasting syndrome (WS) is defined as 10% or more unintentional weight loss from usual body weight. The etiology of WS includes alterations in metabolism, which contribute to loss of lean body mass. Cytokine driven oxidative stress may play a critical role in the metabolic pathways that lead to HIV wasting. Studies have shown that that patients infected with HIV may have a depleted antioxidant (AO) defense system, the integrity of which is needed to efficiently scavenge reactive oxygen species (ROS). It has been theorised that low AO intake may contribute to a depressed AO defense system, which drives oxidative stress (OS). In this study we examined 16 subjects who had documented WS but no active infectious process, stratified into 10 to 15% weight loss (n = 7) and over 15% weight loss (n = 9) groups, and reported on oxidative stress measures and AO intake. (Abstract shortened by UMI.)

No description available.

The purpose of this study was to develop a support programme for facilitating the integration of nutrition and food security with HIV prevention, treatment and care. The study was organised in three phases. Phase one was a quantitative cross-sectional survey that employed a structured interview with people living with HIV among selected two public hospitals and three health centres. The second phase employed focus group discussion with senior health experts to explore their perspective and experience in integrating nutrition and food security with HIV prevention, treatment, and care. The findings indicated that malnutrition and food insecurity were highly prevalent and significantly affected the treatment outcome and quality of life of PLWHA in the region. Socio-economic, clinical features and structural factors, such as educational status, place of residence, household income, source of drinking water, kind of toilet facility, inadequate dietary diversity, poor asset possession, opportunistic infections, duration on ART, CD4 cell count, and health system-related factors such as lack of viral and CD4 analysis laboratories and inconsistent antiretroviral medication supply were found as predictors of malnutrition and food insecurity. To cope up with the dire impact of malnutrition and food insecurity, short term, erosive and unsustainable food consumption coping strategies were employed. Based on the findings, the researcher developed a support programme for facilitating the integration of nutrition and food security with HIV prevention, treatment and care as phase three of the study. The developed programme is holistic and focuses on multi- and intersectoral collaboration to improve the treatment outcome, quality of life and overall wellbeing people living with HIV. / Health Studies / D. Litt. et Phil. (Health Studies)

The purpose of this study was to investigate the role of food gardens in influencing the vulnerability of women in rural communities to HIV-infections. The study was conducted at the Makotse Women's Club in rural Limpopo. Qualitative field research was used and five participants were purposefully selected for participation in face-to-face interviews. The study found that the women's involvement in the food gardens enabled them to take responsibility for their own lives. Participation in food gardens gave these women an opportunity for income generation, the chance to access healthy food sources to improve their and their families' diets and a sense of meaning and purpose in their lives. Financial independence from husbands and male partners freed them from poverty and male domination. Through exposure to HIV and AIDS education programmes offered at the food gardens the women were empowered with knowledge about sexual health, hence reducing their vulnerability to HIV-AIDS. / Sociology / M. A. ((Social Behaviour Studies in HIV/AIDS))

The purpose of this study was to investigate the role of food gardens in influencing the vulnerability of women in rural communities to HIV-infections. The study was conducted at the Makotse Women's Club in rural Limpopo. Qualitative field research was used and five participants were purposefully selected for participation in face-to-face interviews. The study found that the women's involvement in the food gardens enabled them to take responsibility for their own lives. Participation in food gardens gave these women an opportunity for income generation, the chance to access healthy food sources to improve their and their families' diets and a sense of meaning and purpose in their lives. Financial independence from husbands and male partners freed them from poverty and male domination. Through exposure to HIV and AIDS education programmes offered at the food gardens the women were empowered with knowledge about sexual health, hence reducing their vulnerability to HIV-AIDS. / Sociology / M. A. ((Social Behaviour Studies in HIV/AIDS))