NUTRITION

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NUTRITION EXERCISE

• Joseph Lennox-Smith, M.Ed.
• Positive Education, Inc.

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Why is Good Nutrition Important?

• Macronutrients
• Calories (energy) proteins, carbohydrates, and
  fats
• Maintain weight
• Micronutrients
• vitamins and minerals
• Maintain cells and prevent weight loss

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Why is Good Nutrition Important for those with
HIV?

• With infection the body uses more energy
• When we feel sick we loose our apatite
• Sore throat, mouth, teeth, GI problems
  diarrhea, side effects, opportunistic infections
  can make you eat less or make you body use less
  of what you eat

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Why is Nutrition Important?

• Loose too much fat
• Loose too much lean body mass
• Wasting syndrome or cachexia can be fatal
• This is not an issue for all patients
• Those with compromised immune systems are most
  vulnerable

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• Lipodystrophy
• Buildup of fat on neck
• Buildup of fat under stomach mussels
• Lipoatrophy
• Loss of mussel and fat on extremities and face

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Good Nutrition

• A balanced diet that includes all food groups

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The Basics - Protein

• Eat plenty of protein and starches, with moderate
  amounts of fat
• Individualized
• Protein - build and maintain muscles.
• Lean meats, fish, beans, nuts, and seeds are all
  good sources of protein

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Carbohydrates - energy Not all carbohydrates
are created equal

• Complex carbohydrates long chain sugars (good)
• Time release energy - fiber and nutrients.
• Enables the body to burn sugar and fat keeps
  insulin levels down
• Whole grain Brown rice, oats, buckwheat,
  millet, quinoa, amaranth, barley, bulgur, and rye
• Pulpy vegetables squash, carrots, parsnips,
  rutabaga,
• Also onions and legumes like beans and peas

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Carbohydrates

• Simple carbohydrates (not so good) short chain
  sugars are absorbed quickly
• Sugars - quick energy
• Usually processed foods like white bread, bagels,
  crackers and pretzels, pasta, pastries, puffed
  cereals, granola bars, cheese, ice cream, yogurt,
  and fruit juice
• Fresh or dried fruit, honey, jam, or syrups.
• Caveat diabetes - hypoglycemia

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The Basics

• Fat energy
• some but not too much
• monounsaturated fats in nuts, seeds, canola and
  olive oils, and fish are considered good fats.
• saturated fats in butter and animal products
  are bad fats.

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Fats

• Essential fatty acids (Omega 3 6s) are vital
  to cell membranes, and the health of the
  cardiovascular, immune, reproductive and central
  nervous systems.
• labeled unrefined oils
• Deplete HDL

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Omega 3 - Polyunsaturated

• Vegetables flaxseed oil, hazelnut oil, perilla
  oil, hemp, pumpkin seeds, soybeans, walnuts,
  wheat germ, wheat sprouts, fresh seal vegetables,
  leafy greens, and purslane.
• Animal Fortified eggs, oils from salmon,
  mackerel, herring, cod, sardines, tuna, flounder,
  anchovies and cold water fish like trout

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Omega 6 - Polyunsaturated

• Vegetable safflower, sunflower, corn, soy,
  sesame, hemp, raw nuts and seads, legumes,
  spirulina, and leafy greens
• Animal mothers milk, organ meat, and lean
  meats
• Oils evening primrose oil, black current oil,
  and borage oil

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Monounsaturates

• Dont cause cholesterol accumulation, raises HDL,
  lowers LDL
• Vegetable, legume, and seed sources include
  Olive, grape seed, macadamia, avocado, almond,
  apricot kernel, peanut, high-oleic safflower and
  sunflower oils, and rice bran oil

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Saturated Fats Not so good

• Blocks the metabolism of essential fatty acids
  (EFAs) into healthy hormones
• Elevates cholesterol
• Avoid commercially processed\fast foods
• Stick with lean meats and non-fat dairy products
• Avoid tropical oils coconut oil, cocoa butter,
  peanut oil, palm oil, palm-kernel oil

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Trans-fatty Acids - BAD

• Hydrogenated and partially hydrogenated fats
  linked to heart disease, cancer, obesity,
  diabetes, and immune system problems
• Synthetic fats
• Increases total serum cholesterol and blood
  insulin.

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Things to Remember

• Cook at home
• Use unprocessed foods
• Read the labels
• It is all about portions my darling
• Hydration
• Exercise
• Nutritional supplements
• Food safety

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Read the Labels
Olive Oil
Mac Cheese
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Read the Labels
Pork Beans
Peanut Butter
Frozen Salmon Patties
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Read the Labels
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FOR MORE INFORMATION

• You can get more information on nutrition and HIV
  from the following
• A Clinician's Guide To Nutrition In HIV and AIDS,
  by Cade Fields-Gardner and others, published by
  the American Dietetic Association, 26 plus 5
  shipping and handling The American Dietetic
  Association, P.O. Box 97215, Chicago IL
  60678-7215 or 800-877-1600, ext. 5000.

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FOR MORE INFORMATION

• Eat Up! Nutrition Advice and Food Ideas for
  People Living with HIV and AIDS by Charlie
  Smigelski, RD, 10.00, http//www.eatupbooks.com/h
  ivbooks.html
• Nutrition and HIV A New Model for Treatment by
  Mary Romeyn, MD, 18.95, published by
  Jossey-Bass, Inc, telephone [phone].

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FOR MORE INFORMATION

• Fact sheets on HIV nutrition are available at
  http//www.larklands.net
• The Complete Book of Core Training by Kurt, Brett
  Mike Brungardt 21.95

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References

• AIDSinfonet.org (2009) Fact sheet 800,
  nutrition. Retrieved 07/20/09 from
  http//www.aidsinfonet.org/fact_sheets/view/800?la
  ngengWHY_IS_NUTRITION_IMPORTANT__
• Brungardt, K., Brungardt, B., Brungardt, M.,
  (2006), The complete book of core training. New
  York, N.Y., Hyperion

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Exercise Grab your balls!
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Stretch
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Stretch
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Abs
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Balls
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More Balls
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Things to Remember

• Patience
• Persistence
• Breath
• Form
• If it hurts rather than burns dont do it
• Start slow and work your way into it

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Exercise Good Luck!
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