Document Detail


Alcohol and race/ethnicity elicit different changes in lipid profiles in HIV-infected individuals receiving highly active antiretroviral therapy.
MedLine Citation:
PMID:  19427595     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This longitudinal study examined the impact of alcohol consumption (88 hazardous and 76 nonhazardous drinkers) and race/ethnicity on lipid profiles in individuals starting highly active antiretroviral therapy (HAART). At baseline, Whites and Hispanics had the most adverse lipid profiles, whereas Blacks had the least atherogenic. Whites and Hispanics showed higher increases in cholesterol (W = 11%; H = 6%), triglycerides (W = 40%; H = 24%), and low-density lipoprotein (10%) than Blacks (cholesterol = 4%; triglycerides = 9%; low-density lipoprotein = 4%). Hazardous alcohol consumption was correlated with increased lipids in each group. Hispanics had a clear trait risk for hypertriglyceridemia with HAART (1.9-fold) and with hazardous drinking (3.2-fold; p = .04). The highest risk for hypertriglyceridemia was found in heavy drinkers (3.75-fold; p = .05). Results underscore the importance of an alcohol/race interactive effect on HAART-associated dyslipidemia and the need for assessment and treatment of alcohol disorders.
Authors:
Maria J Míguez-Burbano; John E Lewis; Robert Malow
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The Journal of the Association of Nurses in AIDS Care : JANAC     Volume:  20     ISSN:  1552-6917     ISO Abbreviation:  J Assoc Nurses AIDS Care     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-05-11     Completed Date:  2009-07-14     Revised Date:  2012-04-06    
Medline Journal Info:
Nlm Unique ID:  9111870     Medline TA:  J Assoc Nurses AIDS Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  176-83     Citation Subset:  IM; N; X    
Affiliation:
Department of Public Health, Florida International University, Miami, FL, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Alcohol Drinking*
Antiretroviral Therapy, Highly Active*
Continental Population Groups*
Ethnic Groups*
Female
HIV Infections / blood,  drug therapy*
Humans
Lipids / blood*
Longitudinal Studies
Male
Middle Aged
Grant Support
ID/Acronym/Agency:
3R01 AA 017405-02S1/AA/NIAAA NIH HHS; 5R21 AA 13783-3/AA/NIAAA NIH HHS; R01 AA 639S1/AA/NIAAA NIH HHS; R01 AA018095-01A1/AA/NIAAA NIH HHS; R01 AA018095-02/AA/NIAAA NIH HHS; R01 AA018095-03/AA/NIAAA NIH HHS
Chemical
Reg. No./Substance:
0/Lipids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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