Metabolic syndrome, diabetes, and cardiovascular risk in HIV
Open accessAbstract
HIV infection and its treatment have been associated with adipose tissue changes and disorders of glucose and lipid metabolism. The proportion of HIV-infected adults over the age of 50 is also growing placing HIV-infected adults at particular risk for metabolic perturbations and cardiovascular disease. The metabolic syndrome in HIV-infected adults has been increasingly studied but whether HIV is associated with greater risk remains unclear, likely because of the interplay of host, viral and antiretroviral factors that are associated with the components of the metabolic syndrome. The relationship between HIV and diabetes mellitus (DM) risk has also been debated. While the Framingham Risk Score is a well-accepted measure of 10-year cardiovascular risk in the general population, it may not accurately predict risk in the HIV setting due to HIV-related factors such as inflammation that are not accounted for. We summarize the recent literature on metabolic syndrome, DM, and cardiovascular risk in HIV-infected adults.
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Obesity, hyperlipidemia, and systemic hypertension are common risk factors for Group I PAH as well as Group II PH and are also a feature of HIV infection.
“For example, obesity, hyperlipidemia, and systemic hypertension are common risk factors for Group I PAH as well as Group II (secondary to left-sided heart failure or PH-heart failure with preserved ejection fraction, HFpEF)[12,15,16], and are also a feature of HIV infection[17,18].”
From Enterosalivary nitrate metabolism and the microbiome: Intersection of microbial metabolism, nitric oxide and diet in cardiac and pulmonary vascular health (2017) · cites this paper as [17]
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- Authors
- Nix, L. M., & Tien, P. C.
- Affiliations
- University of California, San Francisco (US)
- San Francisco VA Medical Center (US)
- Corresponding author
- Tien, Phyllis C.
- ORCID
- Tien, Phyllis C.
- Venue
- Current HIV/AIDS Reports
- Published
- 2014-07-16
- Volume
- 11
- Issue
- 3
- Pages
- 271-278
- ISSN
- 1548-3568 (ISSN-L)
- 1548-3576
- PMC
- PMC4138538
- OpenAlex
- W2090012226
- Cited by
- 96
- References
- 74
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 9 · 2023: 4 · 2022: 9 · 2021: 11 · 2020: 9 · 2019: 8 · 2018: 13 · 2017: 7 · 2016: 9 · 2015: 4 · 2014: 2
- FWCI
- 1.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current HIV/AIDS Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (K24AI108516)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK026743)
- Topics
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Keywords
- HIV infection, metabolic syndrome, diabetes mellitus, cardiovascular risk, antiretroviral therapy, adipose tissue, glucose metabolism, lipid metabolism, inflammation, Framingham risk score
- MeSH terms
- Cardiovascular Diseases, Diabetes Mellitus, Humans, Middle Aged, Risk Factors, HIV Infections, Metabolic Syndrome
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