低骨肌量与艾滋病毒感染者的肺功能下降之间的关联:一项前性队列研究
Katrine Munk1,2, Moises Alberto Suarez-Zdunek1,2, Rikke Krabek3
1Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
AIDS (London, England)
|March 7, 2025
概括
低肌肉质量影响16%的艾滋病毒感染者 (PWH),类似于一般人群. 这项研究没有发现低肌肉质量与PWH中更快的肺功能下降之间的联系.
科学领域:
- 艾滋病毒研究 艾滋病毒研究
- 肺部病理学 肺部病理学
- 老年学是一门学科.
- 身体组成分析分析.
背景情况:
- 低肌肉质量和慢性肺病在艾滋病毒感染者 (PWH) 中普遍存在.
- 低肌肉质量与PWH肺功能下降之间的关系尚不清楚.
研究的目的:
- 确定PWH中低肌肉质量的患病率和相关因素.
- 调查低肌肉质量与PWH肺功能下降率之间的关联.
主要方法:
- 509个PWH的前性队列研究 (哥本哈根艾滋病毒感染共发病率研究)
- 通过计算机断层扫描评估的骨肌肉指数 (SMI);低肌肉质量定义为SMI低于健康人口中最低的5%.
- 肺功能在基线和2年随访时以1秒的强迫呼气体积 (FEV1) 测量;用于分析的逻辑和线性混合模型.
主要成果:
- 16%的PWH的肌肉质量较低.
- 高龄,男性性别,较低的BMI和炎症标志物 (IL-6,TNF-alpha) 的升高与较低的肌肉质量有关.
- 低肌肉质量与更快的FEV1下降无关 (35.9与34.0毫升/年;P=0.69).
结论:
- 在PWH中,低肌肉质量的患病率与一般人群相比较.
- 传统的风险因素和炎症与PWH的肌肉质量低有关.
- 没有证据表明低肌肉质量加速PWH的肺功能下降.
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