Will you provide me exercise and nutrition protocols for special population such as HIV positive patients?
Our researchers will gladly supply you with a guideline; however, be sure to consult with your client's physician. As with all individuals, there is no such thing as "black and white" rules. Protocols simply encourage the thinking process.
An immune system that is already weakened from a shortage of nutrients will be less able to fight the HIV infection. Therefore, nutritious foods become essential in helping to maintain a strong immune system.
Research shows that if your client is HIV positive, he will need at least 18 to 20 calories per pound of body weight. If your client is losing weight, calculate 25 calories per pound.
General observation: If your client is NOT losing weight, and he is maintaining a stable weight, then enough calories are being ingested. However, a stable weight does not indicate whether your client is maintaining lean body mass. Therefore, you should perform the necessary calculations and assess his lean to fat body composition ratio. If the lean mass is diminishing, make sure your client is eating enough protein. Some literature shows that an individual with HIV should eat twice the RDA (Recommended Daily Allowances) of protein. Also, make sure that your client is eating good sources of protein at least five times a day.
Good sources include:
Additional high nutrient recommendations for your client include:
- Brown rice
- Leafy greens
- Cottage cheese
- Whole grains
- Wheat germ
Recommend for your client to invest in a multivitamin and mineral supplement without extra iron. This will ensure he gets the critical nutrients needed.
Be aware that your client may have poor fitness compared to the average population. Cardiovascular as well as resistance training can be beneficial for increasing his fitness level. Resistance training will benefit your client due to the increase in lean body mass that generally occurs when performing weight bearing activities. However, be cautious when prescribing intensity of exercise. Depending on the stage of the infection, your client may not have sufficient energy to complete an intense cardiovascular or resistance training session. Therefore, adjust as necessary. Always begin with a light, whole body approach and include exercises that enhance the general movement patterns (squat, lunge, push, pull, bend and lift, walk, etc.) of your client. Exercise will benefit your client's quality of sleep, sense of well being and bouts of depression. Just remember to tailor the program as needed.