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This is NOT a medical presentation |
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This material is not meant to substitute for
medical advice |
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The opinions expressed here are solely of the
person who gives them |
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The HIV Council does not endorse or oppose any
products mentioned. |
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There are no simple solutions to complex
problems |
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Each person has an idea of what healthy means,
and that is their goal. |
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The goal of medicine should be to help a person
look and feel better, as well as live for as long as possible. |
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It is possible to live long and well with
HIV/AIDS |
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Good Health Occurs when the body, mind, and
spirit are in harmony with one another and the environment. |
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Medicine supports one or all of these axes to
assist in natural healing processes. |
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“An ounce of
prevention is worth a pound of cure” |
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The Humpty Dumpty Syndrome: (Dr. Lark Lands,
Ph.D.) |
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Physical Fatigue |
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Mental Fatigue |
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Motivational Fatigue |
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A subjective (personal) experience of: |
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Low energy |
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Tired |
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Muscles feel heavy |
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Everything is an effort |
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Weakness |
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Or you just could be, plain tired |
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Don’t blow it off. |
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Get It Checked out |
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Find the CAUSE(s). |
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It is often Multi-Factorial (cause by more than
one thing) |
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Poor diet (food and water) |
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Drug/Alcohol |
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Lifestyle (exercise) |
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Not enough quality sleep |
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Psychological – Mental |
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HIV itself |
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HIV Medications |
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Infections |
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Glandular, Hormonal problems |
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Anemia (more of a symptom) |
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Muscle wasting (syndrome) |
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Get a full check up |
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Eat better, pure water |
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Get more sleep, and make sure your getting a
good nights rest. |
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Exercise |
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Lifestyle adjustments |
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Medical Treatments |
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Find and Treat the causes |
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Psychological, Physical, and/or Environmental |
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You Don’t Have to Feel This Way: The facts about HIV – related fatigue |
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Unintentional Weight Loss |
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More than 5% of body weight |
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Like 8.5 lbs for 170 lbs. |
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Not just about weight loss |
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Muscle tissue is burned instead of fat. |
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Related to fat redistribution |
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Fat moving toward the middle of the body from
the periphery. |
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Starts before it becomes visible. |
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“...The people who have died from HIV died not
from the causes listed on their death certificates, but in fact, from
wasting — starvation from within.” |
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Dr. Mary Romeyn, M.D. |
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Nutrition and HIV: A New Model For Treatment,
1998. |
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Researchers
demonstrated a clear relation between weight loss and an increased
risk of individual opportunistic complications. |
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“Our data demonstrate that weight loss of as
little as 5% to 10% of body weight over 4 months is predictive of death and
an increased risk of opportunistic complications, even those with no
history of a previous or concurrent opportunistic complications.” |
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Wheeler DA, Gibert CL, Launer CA, et al. Weight
Loss as a Predictor of Survival and Disease Progression in HIV Infection. J
Acqui Immune Defic Syndr Hum Retrovirol 1998;18:80-5 |
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HIV |
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Infections, parasites |
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HIV Medications |
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Hormonal deficiencies |
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Anything that effects your ability to ingest
(eat) and digest (absorb) food. |
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Problems in the mouth and throat |
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GI infections, issues |
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Lifestyle: exercise, diet, addictions, habits,
attitudes. |
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Monitor body weight |
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Body composition analysis |
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Bio-electric Impedance Analysis (BIA) |
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Measures muscle to fat ratios |
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Estimates Body Cell Mass (Lean Body Mass) |
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Estimates extracelluar and intracellular water. |
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In 1989 researchers concluded that the timing of
death from AIDS wasting is related to the magnitude of body-cell-mass
depletion. “We concluded that the
timing of death from wasting in AIDS is related to the magnitude of
body-cell-mass depletion rather than the identity of the specific disease
process that causes the depletion.”1 |
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In 1994 researchers have found that
Bioelectrical Impedance Analysis is one of the best predictors of survival
in AIDS patients. “In our model the phase angle— was a better single
predictor of survival than any other nutritional parameter tested (body
weight, BMI, serum nutritional parameters) and was also superior to widely
used CD4+ cell count.”2 |
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Monitor weight and muscle to fat ratios |
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Good Nutrition |
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Quality Medical Management of HIV and related
infections |
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Exercise |
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Plenty of R&R |
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Reduce negative stress |
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Lifestyle Adjustments |
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Treat HIV and infections |
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Boost nutrition and ability to absorb nutrients |
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Quality Protein |
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Micro Nutrients (Vitamins) |
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Amino Acids (L-Glutamine…) |
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Digestive Enzymes |
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Friendly Bacteria (Acidophilus) |
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Anabolic Therapies |
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Growth Hormone |
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The good news is that there is a lot you can do
to prevent and/or treat fatigue and unintentional weight loss. |
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The Goal is to stay out of the hospital. |
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Stay Healthy |
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Stay Strong |
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Keep Positive |
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Romeyn, Mary MD. Nutrition and HIV: A New Model for Treatment. 1998 |
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Kaiser, Jon D. MD. Healing HIV: How to Rebuild Your Immune System. 1999 |
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Mooney, Michael and Vergel, Nelson. Built To Survive: A Comprehensive Guide
to the Medical Use of Anabolic Steroids, Nutrition and Exercise for HIV (+)
Men and Women. 1999 |
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This presentation was made possible by an unrestricted educational grant from
Unimed Laboratories. |
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Notes