Exploration of the Effect of Tobacco Smoking on Metabolic Measures in Young People Living with HIV

We conducted cross-sectional, multicenter studies in HIV-positive young women and men to assess metabolic and morphologic complications from tobacco smoking in 372 behaviorally infected HIV-positive youth, aged 14–25 years. Measurements included self-reported tobacco use, fasting lipids, glucose, fa...

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Main Authors: Mark L. Rubinstein, D. Robert Harris, Bret J. Rudy, Bill G. Kapogiannis, Grace M. Aldrovandi, Kathleen Mulligan
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2014/740545
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author Mark L. Rubinstein
D. Robert Harris
Bret J. Rudy
Bill G. Kapogiannis
Grace M. Aldrovandi
Kathleen Mulligan
author_facet Mark L. Rubinstein
D. Robert Harris
Bret J. Rudy
Bill G. Kapogiannis
Grace M. Aldrovandi
Kathleen Mulligan
author_sort Mark L. Rubinstein
collection DOAJ
description We conducted cross-sectional, multicenter studies in HIV-positive young women and men to assess metabolic and morphologic complications from tobacco smoking in 372 behaviorally infected HIV-positive youth, aged 14–25 years. Measurements included self-reported tobacco use, fasting lipids, glucose, fat distribution, and bone mineral density (BMD; dual-energy X-ray absorptiometry scans). Overall, 144 (38.7%) self-reported smoking tobacco and 69 (47.9%) of these reported smoking greater than five cigarettes per day. Smokers versus nonsmokers had lower mean total cholesterol (146.0 versus 156.1 mg/dL; P<0.01) and lower mean total body fat percent (24.1% versus 27.2%, P=0.03). There was no difference between smokers and nonsmokers in fasting glucose or BMD. There appear to be only minimal effects from tobacco smoking on markers of cardiac risk and bone health in this population of HIV-positive youth. While these smokers may not have had sufficient exposure to tobacco to detect changes in the outcome measures, given the long-term risks associated with smoking and HIV, it is critical that we encourage HIV-positive youth smokers to quit before the deleterious effects become apparent.
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spelling doaj-art-30928838d2244bb0b4dbe396b6e98df22025-02-03T06:12:12ZengWileyAIDS Research and Treatment2090-12402090-12592014-01-01201410.1155/2014/740545740545Exploration of the Effect of Tobacco Smoking on Metabolic Measures in Young People Living with HIVMark L. Rubinstein0D. Robert Harris1Bret J. Rudy2Bill G. Kapogiannis3Grace M. Aldrovandi4Kathleen Mulligan5University of California, San Francisco, San Francisco, CA 94117, USAWestat, Rockville, MD 20850, USANew York University School of Medicine, New York, NY 10016, USAMaternal and Pediatric Infectious Diseases Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Bethesda, MD 20892, USAChildren’s Hospital Los Angeles, University of Southern California, Los Angeles, CA 90027, USAUniversity of California, San Francisco, San Francisco, CA 94117, USAWe conducted cross-sectional, multicenter studies in HIV-positive young women and men to assess metabolic and morphologic complications from tobacco smoking in 372 behaviorally infected HIV-positive youth, aged 14–25 years. Measurements included self-reported tobacco use, fasting lipids, glucose, fat distribution, and bone mineral density (BMD; dual-energy X-ray absorptiometry scans). Overall, 144 (38.7%) self-reported smoking tobacco and 69 (47.9%) of these reported smoking greater than five cigarettes per day. Smokers versus nonsmokers had lower mean total cholesterol (146.0 versus 156.1 mg/dL; P<0.01) and lower mean total body fat percent (24.1% versus 27.2%, P=0.03). There was no difference between smokers and nonsmokers in fasting glucose or BMD. There appear to be only minimal effects from tobacco smoking on markers of cardiac risk and bone health in this population of HIV-positive youth. While these smokers may not have had sufficient exposure to tobacco to detect changes in the outcome measures, given the long-term risks associated with smoking and HIV, it is critical that we encourage HIV-positive youth smokers to quit before the deleterious effects become apparent.http://dx.doi.org/10.1155/2014/740545
spellingShingle Mark L. Rubinstein
D. Robert Harris
Bret J. Rudy
Bill G. Kapogiannis
Grace M. Aldrovandi
Kathleen Mulligan
Exploration of the Effect of Tobacco Smoking on Metabolic Measures in Young People Living with HIV
AIDS Research and Treatment
title Exploration of the Effect of Tobacco Smoking on Metabolic Measures in Young People Living with HIV
title_full Exploration of the Effect of Tobacco Smoking on Metabolic Measures in Young People Living with HIV
title_fullStr Exploration of the Effect of Tobacco Smoking on Metabolic Measures in Young People Living with HIV
title_full_unstemmed Exploration of the Effect of Tobacco Smoking on Metabolic Measures in Young People Living with HIV
title_short Exploration of the Effect of Tobacco Smoking on Metabolic Measures in Young People Living with HIV
title_sort exploration of the effect of tobacco smoking on metabolic measures in young people living with hiv
url http://dx.doi.org/10.1155/2014/740545
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