Journal
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE
Volume 26, Issue 4, Pages 387-398Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1016/j.jana.2015.03.005
Keywords
bone mineral density (BMD); fractures; HIV; menopause
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Funding
- National Institute of Nursing Research, National Institutes of Health, Training in Interdisciplinary Research to Prevent Infections (TIRI) [5T32NR013454]
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With the development of effective antiretroviral therapy, HIV-infected women are living longer and transitioning through menopause. The purpose of our study was to systematically examine the evidence that menopause is an additional risk predictor for osteoporosis and fractures in HIV-infected women. Electronic databases were searched for studies of low bone density or fractures in HIV-infected postmenopausal women. Studies that met the inclusion criteria (n = 10) were appraised using a validated quality assessment tool. The majority of studies were rated as good quality and the remaining were fair. The prevalence of osteoporosis reported in these studies ranged from 7.3% to 84% and 0.7% to 23% in HIV-infected and uninfected postmenopausal women, respectively. In the two qualifying studies, postmenopausal status was not a predictor of fractures in HIV-infected women. Findings suggest that HIV care providers should accurately assess postmenopausal status and modifiable risk factors for osteoporosis in all older HIV-infected women. Copyright (C) 2015 Association of Nurses in AIDS Care
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