4.4 Article

Obesity among HIV-infected persons: impact of weight on CD4 cell count

Journal

AIDS
Volume 24, Issue 7, Pages 1069-1072

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/QAD.0b013e328337fe01

Keywords

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Funding

  1. Infectious Disease Clinical Research Program (IDCRP) [IDCRP-RV168F]
  2. Department of Defense (DoD)
  3. National Institute of Allergy and Infectious Diseases, National Institutes of Health (NIH) [Y1-AI-5072]
  4. N.F.C.C.
  5. B.K.A

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To assess the effect of obesity on CD4 cell counts, we estimated the association of time-updated BMI categories with CD4 changes among 1001 documented HIV seroconverters. During the pre-highly active antiretroviral therapy (HAART) era, a higher BMI was associated with less reduction in CD4 cell counts over time. However during the HAART era, obese versus normal weight patients had smaller increases in CD4 cell counts (+69 versus +116 cells, P=0.01). Lower CD4 cell counts may now be another adverse consequence of obesity.

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