title: Osteoporosis and fracture risk associated with HIV infection and treatment.
abstract: Osteoporosis has emerged as an important co-morbidity of HIV infection and a modest increase in fracture risk has been documented. Bone loss from the spine and hip occurs after initiation of antiretroviral therapy but most data indicate that bone mineral density is stable in HIV-infected individuals established on long-term antiretroviral therapy. Assessment of fracture probability should be performed in individuals who have clinical risk factors for fracture. Adequate dietary calcium intake and vitamin D status should be ensured and in individuals with a high fracture probability, bisphosphonate therapy may be appropriate.
authors.affiliation: Department of Medicine, Addenbrookes Hospital, Cambridge Biomedical Campus, Box 157, Cambridge CB2 0QQ, UK. Electronic address: jec1001@cam.ac.uk.
authors.forename: Juliet
authors.initials: J
authors.lastname: Compston
mesh_terms: D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D015658:HIV Infections / Q000150:complications* / Q000453:epidemiology / Q000628:therapy; D015497:HIV-1; D006801:Humans; D010024:Osteoporosis / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D018570:Risk Assessment; D012307:Risk Factors
keywords: Antiretroviral therapy; Bone mineral density; Fracture; HIV infection; Osteoporosis