Poster Topical Area: Methods and Protocols
Location: Hall D
Poster Board Number: 692
Objective: To develop a protocol to change the preconceptions on nutrition interventions in people living with HIV (PLWH) as a chronic disease, and engage them in learning about diets and physical activity to decrease the risk of co-morbidities such as diabetes, cardiovascular disease and obesity. Originally HIV was considered a disease of rapid wasting and malnutrition, but antiretroviral therapy has changed the nutritional needs of these patients.
Approach: A nutrition intervention tailored to PLWH was developed to lower diabetes risk and other related comorbidities in this unique population. The intervention will be delivered during 6 months to be able to observe a significant change in attitude and biomarkers such as HbA1C, hs-CRP and BMI when compared with a group with the usual nutritional treatment once a year. Based on other successful interventions, participants will be seen once a month for approximately 45 minutes where medical nutrition therapy, nutrition counseling and nutrition education will be conducted one-on-one with the participant. Educational material topics include: 1) HIV and Antiretroviral Therapy; 2) Understanding BMI; 3) Fruits and Vegetables Intake, 4) Dietary Fat Intake, 5) Physical Activity; 6) Alcohol Intake. Stages of Change and Self-Efficacy will also be assessed with validated questionnaires which were slightly modified to be applicable to PLWH. A target sample population of 80 participants are being recruited from the MASH cohort and randomized into the intervention group (n=40) or the control group (n=40).
Findings: After assessing the eligibility and willingness of potential participants from the MASH cohort, approximately 50 participants are currently eligible; recruitment is ongoing. Most eligible participants were interested in the intervention with ~87% acceptance rate and expressed high receptivity of all of the educational material. Of the sessions, the participants seemed to be most interested in the Fruits and Vegetable session, acknowledging that they don't consume as much as they should and would like to consume more.
Lessons Learnt: The current protocol seems to be effective and accepted by the recruited participants. Having the MASH cohort available facilitated recruitment as the necessary information for eligibility was readily available.
Florida International University