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Provedor de dados:  BJID
País:  Brazil
Título:  Dyslipidemia in AIDS patients on highly active antiretroviral therapy
Autores:  Nery,Max Weyler
Martelli,Celina Maria Turchi
Turchi,Marília Dalva
Data:  2011-04-01
Ano:  2011
Palavras-chave:  Prevalence
Dyslipidemia
HIV
AIDS
HAART
Resumo:  Highly active antiretroviral therapy (HAART) reduces AIDS-related morbidity and mortality, however it has been associated with metabolic abnormalities. This study estimated the prevalence of lipid abnormalities and related factors among patients on HAART. A cross-sectional study was conducted on adult patients, in central Brazil. Patients were interviewed, and blood obtained for lipids measurement. Dyslipidemia was defined as total cholesterol (TC) &gt; 240 mg/dL, low-density lipoprotein (LDL) &gt; 160 mg/dL, triglycerides (TG) &gt; 200 and/or high-density lipoprotein (HDL) < 40 mg/dL. Multiple logistic regression analyses were performed (SPSS 13.0). One hundred and thirteen patients were recruited. Mean age was 39.3 years; 68.1% were males; 50.4% were on nucleoside reverse transcriptase inhibitors (NRTI) in combination with non-nucleoside reverse transcriptase inhibitors (NNRTI), while 42.5% were on NRTI in combination with protease inhibitors (PIs). The prevalence of dyslipidemia was 66.7%. Low HDL was the most frequent abnormality (53.5%), followed by high TG (36.1%). Patients on a PI regimen had a 5.2-fold higher risk (95% CI: 1.8-14.8) of dyslipidemia, even after adjusting for sex, age, and duration of HIV infection/AIDS. The study discloses a high prevalence rate of dyslipidemia and points out a need for intervention programs to reduce future cardiovascular events in patients, on HAART.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000200010
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702011000200010
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.15 n.2 2011
Direitos:  info:eu-repo/semantics/openAccess
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