Endocrine Abstracts

Introduction: There are a lot of conditions associated with human immunodeficiency viri such as lipodystrophy, fat atrophy, insulin resistance, low levels of high-density lipoprotein cholesterol, and hypertriglyceridemia. A diet program combined with exercises can help to treat patients with HIV.

Methods: We used an online system for patient education based on video lessons, full of humor, pictures, and cartoons to convey the necessary information on good nutrition and exercises.

Results: A 42-year-old white man received the diagnosis of HIV infection in 2014 and was treated with a combination of stavudine, lamivudine, and nevirapine beginning in 2017. In January 2014, his blood HIV RNA level was 2583 copies/mL and subsequently, from January 2014 through the most recent test on June 2018, was <400 copies/mL; The CD4 count was 434 cells/mm³ in January 2014, and 560 cells/mm³ in June 2018. From January 2014 through September 2016, he gained 12 kg and was diagnosed with lipodystrophy. Watching the short movies, the patients formed the habits of good nutrition during the first month already, which includes a moderate-fat, low-glycemic-index, high-fiber diet with an exercise program for home and fitness center and push-notifications through the special online system. At 6 months he decreases his body weight by 6.5 kg. His maximal dynamic strength increased by 58%. His dietary intake of protein increased from 12% to 21% of total calories, and his intake of saturated fat decreased from 20% to 10% of total calories. His intake of dietary fiber more than doubled.

Discussion: So online systems could improve the quality and duration of life of our patients to make motivation and remind about treatment, diet, and exercises. So, we need to improve the quality of information material, including using online technologies to improve the quality and duration of life of our patients.