Increasing rates of obesity among HIV-infected persons during the HIV epidemic.
BACKGROUND
The prevalence and factors associated with overweight/obesity among human immunodeficiency virus (HIV)-infected persons are unknown.


METHODS
We evaluated prospective data from a U.S. Military HIV Natural History Study (1985-2004) consisting of early diagnosed patients. Statistics included multivariate linear regression and longitudinal linear mixed effects models.


RESULTS
Of 1682 patients, 2% were underweight, 37% were overweight, and 9% were obese at HIV diagnosis. Multivariate predictors of a higher body mass index (BMI) at diagnosis included more recent year of HIV diagnosis, older age, African American race, and earlier HIV stage (all p<0.05). The majority of patients (62%) gained weight during HIV infection. Multivariate factors associated with a greater increase in BMI during HIV infection included more recent year of diagnosis, lower BMI at diagnosis, higher CD4 count, lower HIV RNA level, lack of AIDS diagnosis, and longer HIV duration (all p<0.05). Nucleoside agents were associated with less weight gain; other drug classes had no significant impact on weight change in the HAART era.


CONCLUSIONS
HIV-infected patients are increasingly overweight/obese at diagnosis and during HIV infection. Weight gain appears to reflect improved health status and mirror trends in the general population. Weight management programs may be important components of HIV care.
Crum-Cianflone
Nancy
N
Infectious Disease Clinical Research Program, Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States of America. nancy.crum@med.navy.mil
Roediger
Mollie Poehlman
MP
Eberly
Lynn
L
Headd
Maryam
M
Marconi
Vincent
V
Ganesan
Anuradha
A
Weintrob
Amy
A
Barthel
R Vincent
RV
Fraser
Susan
S
Agan
Brian K
BK
D000328:Adult; D019380:Anti-HIV Agents / Q000494:pharmacology; D015992:Body Mass Index; D058872:Epidemics; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology / Q000209:etiology*; D015995:Prevalence; D011446:Prospective Studies; D055815:Young Adult
D019380:Anti-HIV Agents