title: The relationship between lipodystrophy-associated body changes and measures of quality of life and mental health for HIV-positive adults.
abstract: OBJECTIVE
  To investigate the relationship between lipodystrophy-specific symptom severity and wellbeing.
  
  
  METHODS
  HIV-positive adult patients with body fat redistribution (lipodystrophy syndrome) associated with antiretroviral therapy reported their total non-lipodystrophy symptoms and side effects and completed measures assessing body fat changes (yielding Atrophy, Hypertrophy and Total Lipodystrophy scores), mental health and quality of life. Effects of total symptom complex and lipodystrophy severity on quality of life and mental health were analyzed using Spearman's rho correlations. Logistic regression analyses were utilized to determine the relative-odds of depression produced by overall symptom count and lipodystrophy score increments.
  
  
  RESULTS
  Mean ratings for Hypertrophy and Atrophy corresponded to 'very mild' and 'mild' degrees of severity, respectively. The total symptom complex was associated with ratings for most of the mental health and quality of life measures. Patient-perceived body image scores were the sole study variable responsive to lipodystrophy severity ratings. In comparison to reference norms, a pronounced degree of body image impairment was evident.
  
  
  CONCLUSIONS
  Although responsive to the total symptom profile, psychosocial measures typically utilized for evaluating quality of life and mental health status in HIV disease lacked sensitivity and specificity for measuring the consequences of lipodystrophy-associated fat distribution changes alone. Lipodystrophy severity did impact negatively on body image.
authors.affiliation: Toronto General Hospital Immunodeficiency Clinic, Ontario, Canada. bob.burgoyne@uhn.on.ca
authors.forename: Robert
authors.initials: R
authors.lastname: Burgoyne
authors.forename: Evan
authors.initials: E
authors.lastname: Collins
authors.forename: Cheryl
authors.initials: C
authors.lastname: Wagner
authors.forename: Susan
authors.initials: S
authors.lastname: Abbey
authors.forename: Mark
authors.initials: M
authors.lastname: Halman
authors.forename: Margaret
authors.initials: M
authors.lastname: Nur
authors.forename: Sharon
authors.initials: S
authors.lastname: Walmsley
mesh_terms: D000328:Adult; D001828:Body Image; D005260:Female; D006679:HIV Seropositivity; D039682:HIV-Associated Lipodystrophy Syndrome / Q000503:physiopathology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D011788:Quality of Life; D018434:Sickness Impact Profile