Cited by 19Thyroid Disorders and TreatmentsHIV-related health complications and treatmentsHIV/AIDS Research and Interventions

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

No evidence of increased risk of thyroid dysfunction in well treated people living with HIV

Abstract

OBJECTIVES: Possible effects of HIV on thyroid function in the modern combination antiretroviral therapy (cART) era are largely unknown. We aimed to investigate the prevalence and associated risk factors of thyroid dysfunction in well treated people living with HIV (PLWH) and matched uninfected controls and to examine whether HIV is independently associated with thyroid dysfunction. DESIGN AND METHODS: Thyroid-stimulating hormone (TSH), free thyroxine, total thyroxine, and free triiodothyronine were measured in 826 PLWH from the Copenhagen co-morbidity in HIV infection (COCOMO) Study and in 2503 matched uninfected controls, and medical treatment for hypothyroidism or hyperthyroidism was recorded. Multinomial logistic regression adjusting for known risk factor was used to examine the association between HIV and thyroid dysfunction and multivariate linear regression to study the association between HIV and serum TSH concentrations. RESULTS: The PLWH were generally well treated, with 95% having undetectable viral replication. Among PLWH and controls 31 (3.8%) and 114 (4.6%) had hypothyroidism, and 7 (0.8%) and 21 (0.8%) had hyperthyroidism, respectively. In adjusted analyses, we found no significant associations between HIV and hypothyroidism OR 0.8 [95% confidence interval (CI) 0.6-1.3], P = 0.40 or between HIV and hyperthyroidism OR 1.1 (95% CI 0.5-2.5), P = 0.91. Furthermore, serum TSH concentration was unrelated to HIV status (P = 0.6). CONCLUSION: There was no difference in the prevalence of hyperthyroidism or hypothyroidism in well treated PLWH compared with uninfected controls. HIV status was not associated with thyroid dysfunction or serum TSH concentration.

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Crossref · 10.1097/qad.0000000000001954

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Metadata

Authors
Harsløf, M., Knudsen, A. D., Benfield, T., Nordestgaard, B. G., Feldt-Rasmussen, U., & Nielsen, S. D.
Affiliations
University of Copenhagen (DK)
Corresponding author
Nielsen, Susanne D.
Venue
AIDS
Published
2018-09-24
Volume
32
Issue
15
Pages
2195-2199
ISSN
0269-9370 (ISSN-L)
OpenAlex
W2883881467
Cited by
19
References
21
Citations by year
2026: 3 · 2025: 3 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 7 · 2019: 2
FWCI
2.00
Type
journal article
Language
en
Open access
closed
Locations
  • AIDS (publishedVersion)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Funders
  • Lundbeckfonden (R164-2013-15414)
  • Novo Nordisk Fonden (NNF15OC0014622, NNF14OC0012495)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
  • Health Sciences › Medicine › Infectious Diseases › HIV-related health complications and treatments
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
HIV, thyroid dysfunction, hypothyroidism, hyperthyroidism, thyroid-stimulating hormone, highly active antiretroviral therapy, viral suppression, thyroid function, risk factors
MeSH terms
Adolescent, Adult, Aged, Denmark, Female, Humans, Hyperthyroidism, Hypothyroidism, Longitudinal Studies, Male, Middle Aged, Thyroid Hormones, Thyrotropin, HIV Infections, Prevalence, Risk Assessment, Anti-HIV Agents, Young Adult

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