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Titolo:
Prevalence and predictive value of overweight in an urban HIV care clinic
Autore:
Shuter, J; Chang, CJ; Klein, RS;
Indirizzi:
Montefiore Med Ctr, AIDS Ctr, Dept Med, Div Infect Dis, Bronx, NY 10467 USA Montefiore Med Ctr Bronx NY USA 10467 Div Infect Dis, Bronx, NY 10467 USA Yeshiva Univ Albert Einstein Coll Med, Bronx, NY 10461 USA Yeshiva Univ Albert Einstein Coll Med Bronx NY USA 10461 nx, NY 10461 USA Montefiore Med Ctr, Dept Epidemiol & Social Med, Bronx, NY 10467 USA Montefiore Med Ctr Bronx NY USA 10467 l & Social Med, Bronx, NY 10467 USA
Titolo Testata:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
fascicolo: 3, volume: 26, anno: 2001,
pagine: 291 - 297
SICI:
1525-4135(20010301)26:3<291:PAPVOO>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
BODY-MASS INDEX; INFECTED PATIENTS; WEIGHT-LOSS; US ADULTS; NUTRITION; OBESITY; WOMEN; AIDS;
Keywords:
HIV; overweight; prognosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Shuter, J Montefiore Med Ctr, AIDS Ctr, Dept Med, Div Infect Dis, Gold Zone 1st Floor,111 E 210th St, Bronx, NY 10467 USA Montefiore Med Ctr Gold Zone 1st Floor,111 E 210th St Bronx NY USA 10467
Citazione:
J. Shuter et al., "Prevalence and predictive value of overweight in an urban HIV care clinic", J ACQ IMM D, 26(3), 2001, pp. 291-297

Abstract

Objective: To determine the prevalence and predictive value of overweight in an urban HIV clinic. Methods: Medical records of all new adult, nonpregnant registrants in 1996in an urban HIV clinic with at least one height and weight measurement were reviewed. Body mass index (BMI) at clinic enrollment was calculated, and prevalence of overweight was thus determined. The subsequent clinical course of the overweight group was compared with that of a randomly selected group of gender-stratified non-overweight patients. Results: At baseline, 12.6% of men and 32.5% of women were overweight. Female gender and lack of AIDS diagnosis were independently associated with overweight. More than one half of women and 19.6% of men were overweight at some point during the study. Providers were more likely to properly acknowledge underweight than overweight. Among patients without AIDS, there was a trend toward slower disease progression and lower viral load in overweight patients, despite similar baseline CD4(+) lymphocyte counts and similar timeto initiation of highly active antiretroviral therapy. In multivariate proportional hazards analyses, lower baseline BMI and falling BMI during follow-up were independently predictive of progression to AIDS. Conclusions: Overweight was a common and underrecognized finding, particularly among women. Overweight patients may progress more slowly to AIDS thannon-overweight patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 14:56:43