The Future

Clinical experience suggests introduction of the routine control of lipid metabolism in the clinical treatment of HIV patients. This will protect patients from side effects of therapies that compromise their quality of life and the functions of organs, such as the pancreas and heart, that are targets in lipid disorders. Guidelines must be proposed in which the clinical examination of HIV patients includes assessment of body shape and body composition, and laboratory evaluation of blood lipids and hormones.

Clinical, anthropometric, impedenzometric, DEXA, MRI, and CT methods should be adopted for the evaluation of total adipose tissue, VAT, regional body-fat deposits, and other body compartments (TBW, FFM). REE and total energy expenditure should be assessed by means of indirect calorime-try and control of physical activity [200].

Fig. 6. Percentages (70-90%) of maximal heart rate (in the depicted training zone) required to train aerobic systems of energy production in individuals of different age groups. The subject must perform exercise for 3-5 min to obtain a desired pulse rate, counting for 10 s after stop. For example, a training heart rate equal to 70% of the age-related maximal value for a man of 40 years can be calculated by the formula (0.70 x 180 = 126 beats per minute). Exercise must be performed at least for 20 min. A training response occurs if an exercise is performed two, or preferably three times each week for at least 6 weeks (reproduced from [197])

Age (years)

Fig. 6. Percentages (70-90%) of maximal heart rate (in the depicted training zone) required to train aerobic systems of energy production in individuals of different age groups. The subject must perform exercise for 3-5 min to obtain a desired pulse rate, counting for 10 s after stop. For example, a training heart rate equal to 70% of the age-related maximal value for a man of 40 years can be calculated by the formula (0.70 x 180 = 126 beats per minute). Exercise must be performed at least for 20 min. A training response occurs if an exercise is performed two, or preferably three times each week for at least 6 weeks (reproduced from [197])

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