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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2002-12-18
pubmed:abstractText
The prevalence of lipodystrophy in an HIV-infected population and the risk factors associated with body shape changes were analysed in this study. Five hundred and four subjects were included. Among these, 201 (39.9%) had features of lipodystrophy syndrome (cases); 303 (60.1%) constituted the control group. Compared with the control group, the lipodystrophy subjects were different in age (P = 0.01); duration of antiretroviral therapy (P < 0.001); length of exposure to nucleoside reverse transcriptase inhibitors (NRTIs) (P < 0.001) and to protease inhibitors (P < 0.001); nadir of CD4 cell count (P < 0.001); and value of plasma HIV-RNA before antiretroviral therapy (P = 0.008). In a multivariate analysis, length of therapy and a nadir CD4 cell count below 250 cell/microl were associated with an increased risk of lipodystrophy. Among patients with lipodystrophy, isolated fat loss was observed in 46 (23%); isolated fat accumulation in 40 (20%); mixed (loss and accumulation) syndrome in 50 (25%); and isolated metabolic changes in 65 (32%). Subjects with morphological alterations displayed a greater cumulative time of exposure to NRTIs and to protease inhibitors than patients with isolated metabolic alterations. Patients with lipoatrophy had had a greater exposure to stavudine.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1359-6535
pubmed:author
pubmed:issnType
Print
pubmed:volume
7
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
175-80
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:12487384-Adolescent, pubmed-meshheading:12487384-Adult, pubmed-meshheading:12487384-Age Factors, pubmed-meshheading:12487384-Aged, pubmed-meshheading:12487384-Anti-HIV Agents, pubmed-meshheading:12487384-CD4 Lymphocyte Count, pubmed-meshheading:12487384-Cohort Studies, pubmed-meshheading:12487384-Drug Administration Schedule, pubmed-meshheading:12487384-Female, pubmed-meshheading:12487384-HIV, pubmed-meshheading:12487384-HIV Infections, pubmed-meshheading:12487384-HIV-Associated Lipodystrophy Syndrome, pubmed-meshheading:12487384-Humans, pubmed-meshheading:12487384-Logistic Models, pubmed-meshheading:12487384-Male, pubmed-meshheading:12487384-Middle Aged, pubmed-meshheading:12487384-Prevalence, pubmed-meshheading:12487384-RNA, Viral, pubmed-meshheading:12487384-Risk Factors
pubmed:year
2002
pubmed:articleTitle
Evaluation of the risk factors associated with lipodystrophy development in a cohort of HIV-positive patients.
pubmed:affiliation
Infectious Disease Department, IRCCS, Policlinico S. Matteo Hospital, University of Pavia, Pavia, Italy.
pubmed:publicationType
Journal Article