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Romanian Academy
The Publishing House of the Romanian Academy
ACTA ENDOCRINOLOGICA (BUC)
The International Journal of Romanian Society of Endocrinology / Registered in 1938in Web of Science Master Journal List
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Acta Endocrinologica (Buc)
Negru AR, Tiliscan C, Tudor AM, Munteanu DI, Popescu C, Lazar M, Streinu-Cercel A, Arama V, Arama SS
Bone Quality in a Young Cohort of Hiv-Positive Patients
Acta Endo (Buc) 2019, 15 (4): 447-453doi: 10.4183/aeb.2019.447
Context. In HIV+ patients, several factors related
to patient and antiretroviral therapy (ART) could determine
early onset of bone mineral density (BMD) disturbances.
Objective. Evaluation of bone quality according to
gender in patients from the HIV Romanian cohort.
Design. A cross-sectional study in “Prof. Dr. Matei
Balș” National Institute for Infectious Diseases, Bucharest
between 2016-2018.
Subject and Methods. We collected data regarding
HIV infection, ART history, viral hepatitis co-infections
and we calculated patients body mass index (BMI). CD4
cell count, HIV viral load (VL), vitamin-D levels were
determined. Dual-energy X-ray absorptiometry (DXA)
scans were used to evaluate BMD.
Results. We enrolled 97 patients with the median
age of 26 years. According to the DXA T-scores, 10 males
and 8 females had osteopenia and 4 males and 4 females had
osteoporosis. According to Z-scores 2 males and 1 female had
osteoporosis. Hip DXA T-scores revealed osteopenia in 6 males
and 9 females, whereas T and Z-scores showed osteoporosis in
2 males and 3 females. Lumbar spine (LS) T-score diagnosed
osteopenia in 9 males and 6 females, while T and Z-scores
revealed osteoporosis in 3 males and females. In males, low
T-scores were associated with decreased BMI; low LS DXA
Z-scores with low vitamin-D levels; low T and Z-scores and
LS-BMD with high VL.
Conclusions. Evaluating bone quality in patients
with a long history of HIV infection, multiple factors should
be taken into account.
Keywords: HIV, osteopenia, osteoporosis, gender
Correspondence: Catalin Tiliscan MD, “Carol Davila” University of Medicine and Pharmacy, 37 Dionisie Lupu street, Bucharest,
020021, Romania, E-mail: catalin.tiliscan@gmail.com