Hepatic steatosis-insulin resistance and type 2 diabetes in people with HIV at diagnosis: effect of initial antiretroviral therapy

被引:0
|
作者
Montes, Maria Luisa [1 ,2 ]
Busca, Carmen [1 ,2 ]
Rava, Marta [2 ,3 ]
Bernardino, Jose Ignacio [1 ,2 ]
Rivero, Antonio [2 ,4 ]
Martin-Carbonero, Luz [1 ,2 ]
Canas-Ruano, Esperanza [2 ,5 ]
Ugarte, Sofia Ibarra [6 ]
Galindo, Maria Jose [7 ]
Cabello, Alfonso [8 ]
Gonzalez-Garcia, Juan [1 ,2 ]
机构
[1] Hosp Univ La Paz, Inst Hlth Res IdiPAZ, Serv Med Interna, Unidad VIH, Madrid, Spain
[2] Inst Salud Carlos III, Ctr Biomed Res Infect Dis CIBERINFEC CB21 13 00091, Madrid, Spain
[3] Carlos III Hlth Inst, Natl Ctr Epidemiol, Madrid, Spain
[4] Univ Cordoba UCO, Hosp Univ Reina Sofia, Dept Infect Dis, Inst Maimonides Invest Biomed Cordoba IMIBIC, Cordoba, Argentina
[5] Hosp Mar, Dept Infect Dis, Inst Hosp Mar Med Res IMIM, Barcelona 08003, Spain
[6] Hosp Univ Basurto, Serv Enfermedades Infecciosas, Bilbao, Bizkaia, Spain
[7] Hosp Clin Univ Valencia, Valencia, Spain
[8] Hosp Univ Fdn Jimenez Diaz, Madrid, Spain
关键词
FIBROSIS;
D O I
10.1097/QAD.0000000000004008
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We evaluated the impact of hepatic steatosis-insulin resistance (HS-IR) and liver fibrosis (LF) on type 2 diabetes mellitus (DM2) using triglyceride-glucose (TyG) and Fibrosis-4 (FIB-4). The incidence of DM2 was 12.9 [95% confidence interval (CI), 16.9-9.7] and 9.8 (95% CI, 6.9-13.6) per 1000 person-years in HS-IR and LF. The prevalence of HS-IR was significantly lower at 12 and 24 months with TDF + (3TC or FTC) + RPV [hazard ratio (HR) 0.5 [95% CI, 0.3-0.8], P < 0.01 at 12 months; 0.6 [0.4-0.9], P = 0.01 at 24 months].
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页码:1982 / 1987
页数:6
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