TY - JOUR
T1 - Increasing Rates of Obesity among HIV-Infected Persons during the HIV Epidemic
AU - Crum-Cianflone, Nancy
AU - Roediger, Mollie Poehlman
AU - Eberly, Lynn
AU - Headd, Maryam
AU - Marconi, Vincent
AU - Ganesan, Anuradha
AU - Weintrob, Amy
AU - Barthel, R. Vincent
AU - Fraser, Susan
AU - Agan, Brian K.
PY - 2010
Y1 - 2010
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=77956314910&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0010106
DO - 10.1371/journal.pone.0010106
M3 - Article
C2 - 20419086
AN - SCOPUS:77956314910
SN - 1932-6203
VL - 5
JO - PLoS ONE
JF - PLoS ONE
IS - 4
M1 - e10106
ER -