Nutritional care of HIV-infected children
Weight loss and undernutrition are common in people living with HIV/AIDS and are likely to accelerate disease progression, increase morbidity and reduce survival. In children with HIV/AIDS, growth impairment often occurs before opportunistic infections or other symptoms are present.
Adequate nutrition, which is best achieved through consumption of a balanced healthy diet, is vital for health and survival for all individuals regardless of HIV status. Children deserve special attention because of nutritional requirements necessary for growth and development, and because of their dependency on adults for adequate care.
Nutritional assessment and support should be integrated into the routine care of HIV-infected children. Dietary interventions should consider issues of food security, food quantity and food quality, as well as absorption and digestion of nutrients.
WHO recommendations
Children (6 months-14 years) living with HIV should be assessed, classified and managed according to a nutrition care plan to cover their nutrient needs associated with the presence of HIV and nutritional status and to ensure appropriate growth and development.
Additional information can be found in the guidance documents under 'WHO documents' below.
WHO documents
GRC-approved guidelines
Status: not currently available
Other guidance documents
-
Guidelines for an integrated approach to nutritional care of HIV-infected children (6 month-14 years)
Publication date: 2009
Evidence
Related Cochrane reviews
-
Nutritional interventions for reducing morbidity and mortality in people with HIV
Grobler L, Siegfried N, Visser ME, Mahlungulu SSN, Volmink J.
Cochrane Database of Systematic Reviews. 2013; Issue 2. Art. No.: CD004536. - Summary of this review
-
Podcast (Cochrane)
-
Micronutrient supplementation for children with HIV infection
Irlam JH, Siegfried N, Visser ME, Rollins NC.
Cochrane Database of Systematic Reviews. 2013; Issue 10. Art. No.: CD010666.