Can Micronutrient Supplementation Improve the Health of HIV Patients?

People infected with HIV may benefit fromgroup of HIV-negative healthy volunteers. At the end
micronutrient supplementation, according to a reportof the study, the levels of these nutrients were
published in the February 2007, issue of the Americannormal in the patients given supplementation and not
Journal of Clinical Nutrition. The main focus of thisin the placebo group. The study also showed that the
report was with HIV-infected persons not receivingsupplemented group had substantially better
highly active antiretroviral therapy (HAART), but alsoantioxidant defenses and lower levels of oxidative
reports that additional study of those receivingstress than the placebo group.
HAART may show benefits as well because HAARTBecause HIV medications have a direct effect on the
therapy is shown to deplete many micronutrients insynthesis and metabolism of micronutrients in the
the body.body, restoring these depleted levels through dietary
HIV medications are relatively easy to obtain insupplementation may also provide substantial benefit
developed countries, but only 1 in 7 in Asian countriesfor those on HAART therapy. A small study showed
and 1 in 10 in African countries have access to HIVthat greater intake of Vitamin E in adults receiving
antiviral drugs. Micronutrient deficiencies are commonlyHAART reduced the outcome of HAART-related
observed in those with advanced HIV disease andcomplications which include body fat redistribution,
are associated with higher risk of disease progressiondyslipidemia and insulin resistance. Other studies have
and mortality. In those receiving HAART, immunologicbeen shown to stimulate glutathione peroxidase
function is restored but these drugs do not eliminateactivity and reduction of oxidative stress.
weight loss and wasting. Because of these factors,Such studies demonstrate the significant need for
micronutrient supplementation can be an inexpensiveoptimal nutritional support in HIV-infected people. It
way to improve quality of life and possibly reducealso calls for the need of further studies to provide
health care expenditures in those suffering fromadditional validation and solutions for people not able
advanced stages of HIV disease as well as thoseto receive HAART therapy as well as to support and
who continue to suffer from disease effects notimprove the overall health of those who are on
treated by HAART therapy.HAART therapy. The long-term benefits may be
In one placebo-controlled study, HIV-infected patientsseen in reduced health care expenditures, around the
were given Vitamins A, C, and E for six months. Atworld, as well as improved quality of life for those
the beginning of the test, all patients had lower levelssuffering from the effects of HIV infection.
of these important nutrients when compared to a