The Relationship between HIV Duration, Insulin Resistance and Diabetes Risk

The risk of developing Type 2 Diabetes Mellitus in people living with HIV (PLWH) can be four times greater and can occur at an earlier age and even without the presence of obesity compared to those without HIV. Therefore, the purpose of this analytical cross-sectional study was to determine the rela...

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Veröffentlicht in:International journal of environmental research and public health 2021-04, Vol.18 (8), p.3926
Hauptverfasser: Tiozzo, Eduard, Rodriguez, Allan, Konefal, Janet, Farkas, Gary J, Maher, Jennifer L, Lewis, John E
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container_issue 8
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container_title International journal of environmental research and public health
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creator Tiozzo, Eduard
Rodriguez, Allan
Konefal, Janet
Farkas, Gary J
Maher, Jennifer L
Lewis, John E
description The risk of developing Type 2 Diabetes Mellitus in people living with HIV (PLWH) can be four times greater and can occur at an earlier age and even without the presence of obesity compared to those without HIV. Therefore, the purpose of this analytical cross-sectional study was to determine the relationship between HIV duration and glucose metabolism among PLWH. Eighty-two PLWH were categorized into shorter (≤15 years) or longer HIV duration (≥16 years) and then compared for differences in demographics, physical and clinical characteristics, biomarkers, and dietary intake. Compared to those with shorter HIV duration ( = 34), those with longer HIV duration ( = 48) were on average older ( = 0.02), reported lower consumption of alcohol ( = 0.05), had higher levels of homeostasis model assessment of insulin resistance (HOMA-IR, = 0.02), were also more likely to be a woman ( = 0.06), and have higher levels of fasting insulin ( = 0.06). When adjusted for age and body weight, the levels of HOMA-IR and fasting insulin were higher ( = 0.02 and = 0.04) with longer compared to shorter HIV duration, respectively. Longer exposure to HIV infection is associated with impaired insulin sensitivity. Continuing research aimed at the long-term effects of HIV infection and (antiretroviral therapy) is required.
doi_str_mv 10.3390/ijerph18083926
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subjects Age
Antiretroviral agents
Antiretroviral therapy
Automation
Biomarkers
Blood pressure
Body mass index
Body weight
Cholesterol
Demographics
Demography
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Dietary intake
Exercise
Fasting
Glucose
Glucose metabolism
Health risks
Hemoglobin
HIV
Homeostasis
Human immunodeficiency virus
Infections
Insulin
Insulin resistance
Life expectancy
Lipoproteins
Long-term effects
Metabolism
Variables
title The Relationship between HIV Duration, Insulin Resistance and Diabetes Risk
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