Features of whey protein concentrate supplementation in children with rapidly progressive HIV infection

J Trop Pediatr. 2006 Feb;52(1):34-8. doi: 10.1093/tropej/fmi074. Epub 2005 Jul 13.

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.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brazil
  • CD4 Lymphocyte Count
  • Child
  • Child, Preschool
  • Dietary Supplements*
  • Disease Progression
  • Double-Blind Method
  • Female
  • Follow-Up Studies
  • Glutathione / metabolism
  • HIV Infections / congenital*
  • HIV Infections / physiopathology
  • HIV Infections / therapy*
  • HIV-1 / isolation & purification*
  • Humans
  • Male
  • Milk Proteins / administration & dosage*
  • Probability
  • Prospective Studies
  • RNA, Viral / analysis
  • Reference Values
  • Risk Assessment
  • Severity of Illness Index
  • Statistics, Nonparametric
  • Viral Load
  • Whey Proteins

Substances

  • Milk Proteins
  • RNA, Viral
  • Whey Proteins
  • Glutathione