Accession Number : ADA528286


Title :   Increasing Rates of Obesity Among HIV-Infected Persons During the HIV Epidemic


Descriptive Note : Journal article


Corporate Author : UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD


Personal Author(s) : Crum-Cianflone, Nancy ; Roediger, Mollie P ; Eberly, Lynn ; Headd, Maryam ; Marconi, Vincent ; Ganesan, Anuradha ; Weintrob, Amy ; Barthel, R Vincent ; Graser, Susan ; Agan, Brian K


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a528286.pdf


Report Date : Apr 2010


Pagination or Media Count : 10


Abstract : Background: The prevalence and factors associated with overweight/obesity among human immunodeficiency virus (HIV)- infected persons are unknown. Methods: We evaluated prospective data from a U.S. Military HIV Natural History Study (1985?2004) consisting of early diagnosed patients. Statistics included multivariate linear regression and longitudinal linear mixed effects models. Results: Of 1682 patients, 2% were underweight, 37% were overweight, and 9% were obese at HIV diagnosis. Multivariate predictors of a higher bodymass index (BMI) at diagnosis included more recent year of HIV diagnosis, older age, African American race, and earlier HIV stage (all p,0.05). The majority of patients (62%) gained weight during HIV infection. Multivariate factors associated with a greater increase in BMI during HIV infection included more recent year of diagnosis, lower BMI at diagnosis higher CD4 count, lower HIV RNA level, lack of AIDS diagnosis, and longer HIV duration (all p,0.05). Nucleoside agents were associated with less weight gain; other drug classes had no significant impact on weight change in the HAART era. Conclusions: HIV-infected patients are increasingly overweight/obese at diagnosis and during HIV infection. Weight gain appears to reflect improved health status and mirror trends in the general population. Weight management programs may be important components of HIV care.


Descriptors :   *HUMAN IMMUNODEFICIENCY VIRUSES , *INFECTIOUS DISEASES , MULTIVARIATE ANALYSIS , RATES , WEIGHT , GAIN , PATIENTS , LINEAR REGRESSION ANALYSIS , RIBONUCLEIC ACIDS , NATURAL HISTORY , OBESITY , NUCLEOSIDES , AFRICAN AMERICANS , MIRRORS , HEALTH


Subject Categories : Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE