Cardiovascular risk factors and comorbidities in people living with HIV: A cross-sectional multicenter study from Colombia comorbidities in a Colombian PLWHIV population

被引:1
|
作者
Valderrama-Beltran, Sandra [1 ]
Martinez-Vernaza, Samuel [1 ]
Figueredo, Maria [1 ]
Martinez, Ernesto [2 ]
Blair, Kevin J. [3 ,4 ]
Cuervo-Rojas, Juliana [5 ]
Arevalo, Leonardo [6 ]
De La Hoz, Alejandro [1 ]
Quiroga, Camilo [1 ]
Mueses, Hector [7 ]
Sussmann, Otto [8 ,9 ]
Mantilla, Monica [6 ,10 ]
Ramirez, Christian [11 ]
Gonzalez, Claudia [11 ]
Montero-Riascos, Leonardo [12 ,13 ]
Botero, Monica [13 ]
Alzate-Angel, Juan [14 ]
Garcia-Garzon, Martha [11 ]
Franco, Julieta [11 ]
Lenis, William [15 ]
Galindo-Orrego, Ximena [7 ]
Stand, Javier [6 ]
Fonseca, Norberto [9 ]
Alzamora, Diana [16 ]
Ramos, Olga [6 ]
Tobon, Wilmar [6 ]
Ruiz, Jaime [17 ]
Leon, Sebastian [17 ]
Rojas-Rojas, Monica [17 ]
Urrego-Reyes, Juan [17 ]
Beltran-Rodriguez, Claudia [17 ]
Rosselli, Diego [5 ]
Rodriguez-Lugo, Diego-Andres [1 ]
Paola Villamil-Castaneda, Lina [1 ]
Alvarez-Moreno, Carlos [18 ,19 ]
机构
[1] Pontificia Univ Javeriana, Hosp Univ San Ignacio, Sch Med, Dept Internal Med,Div Infect Dis,Res Grp Infect D, Bogota 110231, DC, Colombia
[2] Univ Valle, Sch Med, Dept Internal Med, Div Infect Dis, Cali, Colombia
[3] Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Los Angeles, CA USA
[4] UCLA, Div Infect Dis, Dept Med, South Amer Program HIV Prevent Res SAPHIR, Los Angeles, CA USA
[5] Pontificia Univ Javeriana, Sch Med, Dept Clin Epidemiol & Biostat, Bogota, Colombia
[6] Ctr Expertos Atenc Integral, HIV Clin, Cepain, Colombia
[7] Corp Lucha El Sida, HIV Clin, Cali, Colombia
[8] Infectoclinicos, HIV Clin, Bogota, Colombia
[9] Asistencia Cient Alta Complejidad, HIV Clin, Bogota, Colombia
[10] SANAS IPS, HIV Clin, Bogota, Colombia
[11] SIES Salud, HIV Clin, Bogota, Colombia
[12] Univ Libre, Sch Med, Div Infect Dis, Cali, Colombia
[13] Todomed Cali, HIV Clin, Cali, Colombia
[14] CIB Medellin, HIV Clin, Medellin, Colombia
[15] Recuperar Cali, HIV Clin, Cali, Colombia
[16] Vivir Bien Cartagena, HIV Clin, Cartagena, Colombia
[17] MSD Colombia, Res Dept, Bogota, Colombia
[18] Clin Colsanitas, Vicepresidente Cient, Bogota, Colombia
[19] Univ Nacl Colombia, Fac Med, Div Infect Dis, Bogota, Colombia
关键词
HIV; South America; epidemiology; INFECTED INDIVIDUALS; DISEASE RISK; PREVALENCE; IMMUNODEFICIENCY; PREDICTION; MORTALITY; ACCESS;
D O I
10.1177/09564624221089456
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Introduction: HIV is an independent risk factor for cardiovascular diseases (CVD). There is insufficient information regarding comorbidities and cardiovascular risk factors in the Colombian HIV population. The aim of this study is to describe the prevalence of cardiovascular risk factors and comorbidities in patients from the HIV Colombian Group VIHCOL. Methods: This is a multicenter, cross-sectional study conducted in the VIHCOL network in Colombia. Patients 18 years or older who had at least 6 months of follow-up were included. A stratified random sampling was performed to estimate the adjusted prevalence of cardiovascular risk factors and comorbidities. Results: A total of 1616 patients were included. 83.2% were men, and the median age was 34 years. The adjusted prevalence for dyslipidemia, active tobacco use, hypothyroidism, and arterial hypertension was 51.2% (99% CI: 48.0%-54.4%), 7.6% (99% CI: 5.9%-9.3%), 7.4% (99% CI: 5.7%-9.1%), and 6.3% (99% CI: 4.8%-7.9%), respectively. Conclusions: In this Colombian HIV cohort, there is a high prevalence of modifiable CVD risk factors such as dyslipidemia and active smoking. Non-pharmacological and pharmacological measures for the prevention and management of these risk factors should be reinforced.
引用
收藏
页码:641 / 651
页数:11
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