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Diet Interventions in Treatment-Experienced Patients with HIV Disease
Slide 1.
Evidence Based Approaches to Diet Interventions
Slide 1.
What do we need to focus on to improve survival in persons on ART?
Slide 2.
What is the most common cause of death in your patients who are on HIV tx?
Slide 3.
Number of Deaths from 10 Leading Causes - National Vital Statistics System, United States, 2010
Slide 4.
Cardiovascular disease and HIV
Slide 5.
Cardiovascular disease and HIV
Slide 6.
What do we know about lipids, diet, and cardiovascular risk that can be applied to HIV+?
Slide 7.
High risk patient?
Slide 8.
Fasting Lipids
Slide 9.
What lipid measure most strongly predicts arteriosclerosis?
Slide 10.
Non�HDL Cholesterol, Apolipoproteins A-I and B100, Standard Lipid Measures, Lipid Ratios, and CRP as Risk Factors for Cardiovascular Disease in Women
Slide 11.
Table 5: Relative Risk of Myocardical Infarction Quartile of Log Triglyceride Level/HDL Level
Slide 12.
What is metabolic syndrome?
Slide 13.
Which of the following are not part of the definition of metabolic syndrome?
Slide 14.
AHA/ updated NCEP
Slide 15.
My patient's lipids
Slide 16.
What diet would you recommend?
Slide 17.
Predimed study: Mediterranean diet reduces CVD compared to low-fat diet
Slide 18.
Subgroup Analyses: who benefits most?
Slide 19.
Baseline and 1-year prevalence of the metabolic syndrome (MetS) by diet assignment. MedDiet indicates Mediterranean diet; VOO, virgin olive oil. *P�<�.05 vs control diet.
Slide 20.
Summary of Dietary Recommendations to Participants in the Mediterranean-Diet Groups and the Control-Diet Group
Slide 21.
Proportion of Predimed participants with elevated triglycerides at one year
Slide 22.
Low carbohydrate diets lower triglycerides
Slide 	23.
Mean (+/-SE) Percent Change in Serum Concentrations of Lipids among Subjects on the Low-Carbohydrate Diet and Those on the Conventional (Low-Calorie, High-Carbohydrate) Diet.
Slide 24.
Fasting Lipids: change after 6 months on low-carb diet
Slide 25.
What do you tell patients for a low-carb diet?
Slide 26.
Foods to eat:
Slide 27.
Other steps to reduce triglycerides
Slide 28.
What to do for the obese patient?
Slide 29.
At what BMI is someone considered overweight?
Slide 30.
BMI Categories
Slide 31.
What diet would you recommend?
Slide 32.
Shai et al. Diet Study Overview
Slide 33.
Weight Changes during 2 Years According to Diet Group
Slide 34.
Comparison of the Atkins, Zone, Ornish, and LEARN Diets for Change in Weight and Related Risk Factors Among Overweight Premenopausal Women: �The A TO Z Weight Loss Study: A Randomized Trial
Slide 36.
Shai, et al: Changes in CRP According to Diet
Slide 36.
Obese patient
Slide 38.
Diet Summary
Slide 39.
Exercise
Slide 40.
Figure from Effects of Aerobic and Resistance Training on Hemoglobin A1c Levels in Patients With Type 2 Diabetes: A Randomized Controlled Trial
Slide 41.
Recommendations for use of pedometer/accelerometers for increasing physical activity
Slide 42.
Exercise recommendations
Slide 43.