Obesity and weight gain in persons with HIV
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Purpose of review The proportion of overweight and obese persons with HIV (PWH) has increased since the introduction of antiretroviral therapy (ART). We aim to summarize recent literature on risks of weight gain, discuss adipose tissue changes in HIV and obesity, and synthesize current understanding of how excess adiposity and HIV contribute to metabolic complications.Recent findings Recent studies have implicated contemporary ART regimens, including use of integrase strand transfer inhibitors and tenofovir alafenamide, as a contributor to weight gain, though the mechanisms are unclear. Metabolic dysregulation is linked to ectopic fat and alterations in adipose immune cell populations that accompany HIV and obesity. These factors contribute to an increasing burden of metabolic diseases in the aging HIV population. Obesity compounds an increasing burden of metabolic disease among PWH, and understanding the role of fat partitioning and HIV- and ART-related adipose tissue dysfunction may guide prevention and treatment strategies.
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The proportion of overweight and obese individuals with human immunodeficiency virus has strongly increased because of the impact of antiretroviral therapy leading to metabolic disease and increased ectopic fat accumulation in liver and skeletal muscles.
“The proportion of overweight and obese individuals with human immunodeficiency virus has strongly increased because of the impact of antiretroviral therapy leading to metabolic disease and increased ectopic fat accumulation in liver and skeletal muscles [34].”
From Identification of factors associated with sarcopenic obesity development: Literature review and expert panel voting (2024) · cites this paper as [34]
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Pinel, A., Guillet, C., Capel, F., Pouget, M., De Antonio, M., Pereira, B., Topinkova, E., Eglseer, D., Barazzoni, R., Cruz-Jentoft, A. J., et al. (2024) · Clinical Nutrition · doi:10.1016/j.clnu.2024.04.033 · Cited by 24 · see citing works
- Authors
- Bailin, S. S., Gabriel, C. L., Wanjalla, C. N., & Koethe, J. R.
- Affiliations
- Vanderbilt University Medical Center (US)
- Corresponding author
- Koethe, John R.
- Venue
- Current HIV/AIDS Reports
- Published
- 2020-02-18
- Volume
- 17
- Issue
- 2
- Pages
- 138-150
- ISSN
- 1548-3568 (ISSN-L)
- 1548-3576
- PMC
- PMC7719267
- OpenAlex
- W3007246294
- Cited by
- 213
- References
- 164
- Citations by year
- 2026: 31 · 2025: 42 · 2024: 62 · 2023: 30 · 2022: 27 · 2021: 16 · 2020: 5
- FWCI
- 4.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current HIV/AIDS Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (K12HL143956)
- National Institute of Allergy and Infectious Diseases (P30AI054999, P30AI110527, T32AI007474)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK112262)
- Topics
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- HIV, obesity, weight gain, antiretroviral therapy, integrase strand transfer inhibitors, tenofovir alafenamide, ectopic fat, adipose tissue dysfunction, metabolic complications, fat partitioning, older people living with HIV
- MeSH terms
- Adipose Tissue, Cardiovascular Diseases, Diabetes Mellitus, Humans, Inflammation, Liver Diseases, Metabolic Diseases, Obesity, Weight Gain, HIV Infections, Adipocytes, Anti-Retroviral Agents, Adiposity
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