Treated HIV Infection and Progression of Carotid Atherosclerosis in Rural Uganda: A Prospective Observational Cohort Study.


Journal

Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524

Informations de publication

Date de publication:
15 06 2021
Historique:
pubmed: 8 6 2021
medline: 3 11 2021
entrez: 7 6 2021
Statut: ppublish

Résumé

Background Although ≈70% of the world's population of people living with HIV reside in sub-Saharan Africa, there are minimal prospective data on the contributions of HIV infection to atherosclerosis in the region. Methods and Results We conducted a prospective observational cohort study of people living with HIV on antiretroviral therapy >40 years of age in rural Uganda, along with population-based comparators not infected with HIV. We collected data on cardiovascular disease risk factors and carotid ultrasound measurements annually. We fitted linear mixed effects models, adjusted for cardiovascular disease risk factors, to estimate the association between HIV serostatus and progression of carotid intima media thickness (cIMT). We enrolled 155 people living with HIV and 154 individuals not infected with HIV and collected cIMT images at 1045 visits during a median of 4 annual visits per participant (interquartile range 3-4, range 1-5). Age (median 50.9 years) and sex (49% female) were similar by HIV serostatus. At enrollment, there was no difference in mean cIMT by HIV serostatus (0.665 versus 0.680 mm,

Identifiants

pubmed: 34096320
doi: 10.1161/JAHA.120.019994
pmc: PMC8477876
doi:

Substances chimiques

Anti-HIV Agents 0

Banques de données

ClinicalTrials.gov
['NCT02445079']

Types de publication

Journal Article Observational Study Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e019994

Subventions

Organisme : NHLBI NIH HHS
ID : R21 HL124712
Pays : United States
Organisme : FIC NIH HHS
ID : D43 TW010543
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL141053
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH113494
Pays : United States
Organisme : NHLBI NIH HHS
ID : K23 HL154863
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL132786
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI027763
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL116275
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG062393
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI060354
Pays : United States
Organisme : NIA NIH HHS
ID : R24 AG044325
Pays : United States
Organisme : NIAID NIH HHS
ID : K24 AI145806
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH125667
Pays : United States
Organisme : FIC NIH HHS
ID : K43 TW010715
Pays : United States

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Auteurs

Mark J Siedner (MJ)

Department of Medicine Harvard Medical School Boston MA.
Departments of Medicine and Psychiatry Massachusetts General Hospital Boston MA.
Faculty of Medicine Mbarara University of Science and Technology Mbarara Uganda.

Prossy Bibangambah (P)

Faculty of Medicine Mbarara University of Science and Technology Mbarara Uganda.

June-Ho Kim (JH)

Department of Medicine Harvard Medical School Boston MA.
Department of Medicine Brigham and Women's Hospital Boston MA.

Alexander Lankowski (A)

Department of Medicine University of Washington Seattle WA.
Vaccine and Infectious Disease Division Fred Hutchinson Cancer Research Center Seattle WA.

Jonathan L Chang (JL)

Department of Medicine Harvard Medical School Boston MA.
Department of Medicine Brigham and Women's Hospital Boston MA.

Isabelle T Yang (IT)

Department of Medicine Geisel School of Medicine at Dartmouth Hanover NH.

Douglas S Kwon (DS)

Department of Medicine Harvard Medical School Boston MA.
Departments of Medicine and Psychiatry Massachusetts General Hospital Boston MA.
Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard Cambridge MA.

Crystal M North (CM)

Department of Medicine Harvard Medical School Boston MA.
Departments of Medicine and Psychiatry Massachusetts General Hospital Boston MA.

Virginia A Triant (VA)

Department of Medicine Harvard Medical School Boston MA.
Departments of Medicine and Psychiatry Massachusetts General Hospital Boston MA.

Christopher Longenecker (C)

Department of Medicine Case Western Reserve University Cleveland OH.

Brian Ghoshhajra (B)

Department of Medicine Harvard Medical School Boston MA.
Departments of Medicine and Psychiatry Massachusetts General Hospital Boston MA.

Robert N Peck (RN)

Center for Global Health Weill Cornell Medical College New York NY.

Ruth N Sentongo (RN)

Faculty of Medicine Mbarara University of Science and Technology Mbarara Uganda.

Rebecca Gilbert (R)

Departments of Medicine and Psychiatry Massachusetts General Hospital Boston MA.

Bernard Kakuhikire (B)

Faculty of Medicine Mbarara University of Science and Technology Mbarara Uganda.

Yap Boum (Y)

Epicentre Research Base Mbarara Uganda.

Jessica E Haberer (JE)

Department of Medicine Harvard Medical School Boston MA.
Departments of Medicine and Psychiatry Massachusetts General Hospital Boston MA.

Jeffrey N Martin (JN)

Department of Medicine University of California San Francisco CA.

Russell Tracy (R)

Department of Pathology and Laboratory Medicine University of Vermont Burlington VT.

Peter W Hunt (PW)

Department of Medicine University of California San Francisco CA.

David R Bangsberg (DR)

School of Public Health Oregon Health Sciences University Portland OR.

Alexander C Tsai (AC)

Department of Medicine Harvard Medical School Boston MA.
Departments of Medicine and Psychiatry Massachusetts General Hospital Boston MA.
Faculty of Medicine Mbarara University of Science and Technology Mbarara Uganda.

Linda C Hemphill (LC)

Department of Medicine Harvard Medical School Boston MA.
Departments of Medicine and Psychiatry Massachusetts General Hospital Boston MA.

Samson Okello (S)

Faculty of Medicine Mbarara University of Science and Technology Mbarara Uganda.

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Classifications MeSH