Prevalence of and Risk Factors for Prediabetes in Patients Infected With HIV.

Prevalence of and Risk Factors for Prediabetes in Patients Infected With HIV.
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DOI:
10.2337/ds17-0009
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发表时间:
2018-05-01
期刊:
Diabetes spectrum : a publication of the American Diabetes Association
影响因子:
--
通讯作者:
Sharma, Roopali
Sharma, Roopali
中科院分区:
其他
文献类型:
--
作者:
Arafath, Syed;Campbell, Tavajay;Sharma, Roopali

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BACKGROUND: The use of highly active antiretroviral therapy (HAART) has resulted in a dramatic decrease in morbidity and mortality in HIV-infected patients. Components of HAART (e.g., protease inhibitors and nucleoside reverse transcriptase inhibitors), as well as HIV infection itself, can have significant effects on developing new-onset diabetes. The goals of this study were to determine the prevalence of prediabetes and to assess risk factors associated with prediabetes in a cohort of HIV-infected patients.METHODS: This is a retrospective, cross-sectional study of 249 HIV-infected patients in an outpatient multidisciplinary HIV clinic in a university hospital. Patients with prediabetes were identified and compared with patients without prediabetes. The association between the prevalence of prediabetes and risk factors was analyzed.RESULTS: Among 249 HIV-infected patients, the mean age was 46.3 years, and 54% were male. Prevalence of prediabetes was approximately 30%, and BMI ≥30 kg/m2 was found to be a significant risk factor for developing prediabetes.CONCLUSION: A high prevalence of prediabetes was observed in this cohort of HIV-infected patients. Interventions targeting HIV-infected patients with increased risk of prediabetes, especially individuals with a high BMI, is needed.