Prevalence of dyslipidemia and dysglycaemia in HIV infected patients

E M Manuthu1, M D Joshi, G N Lule

  • 1Department of Clinical Medicine and Therapeutics, College of Health Sciences, University of Nairobi, Nairobi, Kenya.

Insights

Highly active antiretroviral therapy (HAART) is linked to dyslipidemia in HIV patients, with increased cholesterol and triglyceride levels. While HAART impacts lipid profiles, it does not significantly affect dysglycaemia.

Area of Science:

  • Infectious Diseases
  • Metabolic Disorders
  • Cardiovascular Health

Background:

  • Highly active antiretroviral therapy (HAART) has improved outcomes for individuals with HIV/AIDS.
  • Long-term HAART use is associated with metabolic complications, including dysglycaemia and dyslipidemia.
  • These metabolic changes raise concerns about accelerated cardiovascular disease risk in HIV-infected patients.

Purpose of the Study:

  • To determine the period prevalence of dyslipidemia and dysglycaemia in HIV-infected patients.
  • To investigate the association between HAART use and metabolic abnormalities.
  • To assess cardiovascular disease risk factors in this population.

Main Methods:

  • A cross-sectional comparative group study was conducted.
  • The study involved consecutive HIV-positive adult patients at a tertiary HIV out-patient facility.
  • Dyslipidemia and dysglycaemia were defined by specific lipid and glucose level criteria.

Main Results:

  • The overall prevalence of dyslipidemia was 63.1% and dysglycaemia was 20.7%.
  • Patients on HAART exhibited significantly higher total cholesterol, LDL cholesterol, and triglyceride levels compared to HAART-naive patients.
  • Low HDL cholesterol was more prevalent in HAART-naive patients, and HAART showed no significant effect on dysglycaemia prevalence.

Conclusions:

  • HIV-infected patients exhibit a high prevalence of dyslipidemia.
  • HAART is associated with an atherogenic lipid profile, characterized by elevated total and LDL cholesterol and triglycerides.
  • HAART use did not appear to be associated with low HDL cholesterol or significantly impact dysglycaemia.
Abstract

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