NP is a 30 yo F who was diagnosed with HIV 10 years ago after exposure to the virus as a result of sharing needles.She has come to an outpatient clinic to get her medications and is now being visited by a registered dietitian.She reports that a physician diagnosed her with listeriosis three months ago and prescribed anti-diarrheal medication.
HT: 5'2 WT: 129# UBW: 136# (3 months ago)
CD4: 451 cells/µL Alb: 2.9 mg/dL
-Which of the following will the registered dietitian use when NP returns to measure her fat stores?

Question

NP is a 30 yo F who was diagnosed with HIV 10 years ago after exposure to the virus as a result of sharing needles.She has come to an outpatient clinic to get her medications and is now being visited by a registered dietitian.She reports that a physician diagnosed her with listeriosis three months ago and prescribed anti-diarrheal medication.
HT: 5'2      WT: 129#      UBW: 136# (3 months ago)
CD4: 451 cells/µL       Alb: 2.9 mg/dL
-Which of the following will the registered dietitian use when NP returns to measure her fat stores?

Quizplus · Accepted Answer

The best choice for measuring fat stores is TSF (triceps skinfold thickness) which is a measurement of subcutaneous fat stores. Alb and CD4 count are markers of protein and immunological status respectively and BIA (bioelectrical impedance analysis) measures body composition, but may not accurately measure subcutaneous fat stores in individuals with HIV. The registered dietitian will likely use triceps skinfold thickness (TSF) to measure NP's fat stores. Albumin is a marker of protein status, not fat stores. BIA (bioelectrical impedance analysis) is another method to assess body composition, but it may not be as accurate in individuals with HIV due to changes in body water and electrolyte balance. CD4 count is a marker of immune function, not body composition. TSF is a reliable and non-invasive method to measure subcutaneous fat stores, which can be helpful in monitoring nutritional status over time.

NP Is a 30 Yo F Who Was Diagnosed with HIV