e-Library of Evidence for Nutrition Actions (eLENA)


An online library of evidence-informed guidelines for nutrition interventions and single point of reference for the latest nutrition guidelines, recommendations and related information.

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Nutritional care of HIV-infected children

Intervention | Last updated: 17 April 2023


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.

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 Alternate Text

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.

Summary of this review Alternate Text

Cost-effectiveness Learn More Alternate Text


Relevant cost-effectiveness analyses have not yet been identified.