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Published on: January 5, 2016
Features of whey protein concentrate supplementation in children with rapidly progressive HIV infection
Y F Moreno1, V C Sgarbieri, M N da Silva
1Center for Investigation in Pediatrics (CIPED), Pediatrics Department, and Food and Nutrition Department, Food Engineering School, State University of Campinas, São Paulo, Brazil.
Insights
Whey protein concentrate supplementation significantly increased erythrocyte glutathione levels in children with rapidly progressive AIDS. This intervention may also reduce co-infections in pediatric HIV patients.
Area of Science:
- Nutrition Science
- Immunology
- Pediatric Infectious Diseases
Background:
- HIV infection is linked to reduced glutathione (GSH) levels.
- Oral whey protein supplementation has previously increased GSH in HIV-infected adults.
Purpose of the Study:
- To investigate the effects of whey protein concentrate supplementation on glutathione levels and immune markers in vertically HIV-infected children.
- To assess the impact of whey protein on co-infections in this pediatric population.
Main Methods:
- Prospective, double-blind, placebo-controlled trial over 4 months.
- 18 vertically HIV-infected children received whey protein, maltodextrin (placebo), or no supplementation.
- Evaluated erythrocyte glutathione, T lymphocyte counts (CD4+, CD8+), and co-infections.
Main Results:
- Significant median increase in erythrocyte glutathione levels (16.14 mg/dl, p = 0.018) in the whey protein group.
- Non-significant increase in the TCD4/CD8 lymphocyte ratio.
- Observed a lower occurrence of associated co-infections in the supplemented group.
Conclusions:
- Whey protein concentrate supplementation can stimulate glutathione synthesis in HIV-infected children.
- This supplementation may potentially decrease the incidence of co-infections in pediatric AIDS.
- Highlights the role of nutritional interventions in managing pediatric HIV.
Abstract:
HIV infection is associated with subnormal GSH levels. An increase in glutathione levels has been observed in HIV-infected adults under oral whey protein supplementation. We studied the features associated with a whey protein concentrate supplementation in children with rapidly progressive AIDS. A prospective double-blind clinical trial was carried out for 4 months with 18 vertically HIV-infected children (1.98-6.37 years), under antiretroviral therapy, who had received whey protein, maltodextrin (placebo) or none. Erythrocyte glutathione concentration, T lymphocyte counts (CD4+ and CD8+) and occurrence of associated co-infections were evaluated. Wilcoxon's and Fischer's Exact tests were used to assess differences between whey protein-supplemented and control (placebo and non-supplemented) groups. A significant median increase of 16.14 mg/dl (p = 0.018) in erythrocyte glutathione levels was observed in the whey protein-supplemented group; the TCD4/CD8 lymphocyte ratio showed a non significant increase and lower occurrence of associated co-infections was also observed. In conclusion, whey protein concentrate supplementation can stimulate glutathione synthesis and, possibly, decrease the occurrence of associated co-infections.
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