Comparison between potential risk factors for cardiovascular disease in people living with HIV/AIDS in areas of Brazil

Introduction: Coronary heart disease and its risk factors depend on genetic characteristics, behaviors, and habits, all of which vary in different regions. The use of antiretroviral therapy (ARV) has increased the survival of people living with HIV/AIDS (PLWHA), who begin to present mortality indica...

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Main Authors: Ricardo AA Ximenes, Heloisa R Lacerda, Democrito B Miranda-Filho, Maria de Fatima PM Albuquerque, Ulisses R Montarroyos, Marilia D Turchi, Max W Nery, Celina MT Martelli, Paulo R Alencastro, Maria Leticia R Ikeda, Fernando H Wolff, Ajacio BM Brandao, Nemora T Barcellos, Sandra C Fuchs
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2015-09-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/5867
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author Ricardo AA Ximenes
Heloisa R Lacerda
Democrito B Miranda-Filho
Maria de Fatima PM Albuquerque
Ulisses R Montarroyos
Marilia D Turchi
Max W Nery
Celina MT Martelli
Paulo R Alencastro
Maria Leticia R Ikeda
Fernando H Wolff
Ajacio BM Brandao
Nemora T Barcellos
Sandra C Fuchs
author_facet Ricardo AA Ximenes
Heloisa R Lacerda
Democrito B Miranda-Filho
Maria de Fatima PM Albuquerque
Ulisses R Montarroyos
Marilia D Turchi
Max W Nery
Celina MT Martelli
Paulo R Alencastro
Maria Leticia R Ikeda
Fernando H Wolff
Ajacio BM Brandao
Nemora T Barcellos
Sandra C Fuchs
author_sort Ricardo AA Ximenes
collection DOAJ
description Introduction: Coronary heart disease and its risk factors depend on genetic characteristics, behaviors, and habits, all of which vary in different regions. The use of antiretroviral therapy (ARV) has increased the survival of people living with HIV/AIDS (PLWHA), who begin to present mortality indicators similar to the general population. This study aimed to compare the prevalence of factors potentially associated with coronary heart disease in three cohorts of PLWHA from three different regions of Brazil. Methodology: The study population was composed of participants of the cohorts of Pernambuco, Goiás, and Rio Grande do Sul states. In these sites, adult patients attending reference centers for treatment of HIV/AIDS were consecutively enrolled. Results: Pernambuco and Goiás had a higher proportion of males and of individuals with high-risk high-density lipoprotein (HDL). Pernambuco also had a greater proportion of individuals with hypertension, elevated triglycerides, and CD4 counts below 200 cells/mm3. Lower education was more frequent in Rio Grande do Sul, and the use of cocaine was higher in this state. Conclusions: The results confirm the importance of risk factors for coronary heart disease in PLHIV and highlight differences in the three cohorts. Specific measures against smoking and sedentary lifestyle, avoidance of advanced stages of immunosuppression, and appropriate treatment of dyslipidemia and dysglicemia are urgently needed to cope with the disease in Brazil.
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spelling doaj-art-3fdb9643bddb4ecd9eecd62cc87c63102025-08-20T03:48:47ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802015-09-0190910.3855/jidc.5867Comparison between potential risk factors for cardiovascular disease in people living with HIV/AIDS in areas of BrazilRicardo AA Ximenes0Heloisa R Lacerda1Democrito B Miranda-Filho2Maria de Fatima PM Albuquerque3Ulisses R Montarroyos4Marilia D Turchi5Max W Nery6Celina MT Martelli7Paulo R Alencastro8Maria Leticia R Ikeda9Fernando H Wolff10Ajacio BM Brandao11Nemora T Barcellos12Sandra C Fuchs13Universidade de Pernambuco, Recife, BrazilUniversidade Federal de Pernambuco, Recife, BrazilUniversidade de Pernambuco, Recife, BrazilFundação Oswaldo Cruz, Recife, BrazilUniversidade de Pernambuco, PE, BrazilUniversidade Federal de Goiás, Goiania, BrazilUniversidade Federal de Goiás, Goiania, BrazilUniversidade Federal de Goiás, Goiania, BrazilHospital de Clínicas de Porto Alegre, Porto Alegre, BrazilSchool of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilHospital de Clínicas de Porto Alegre, Porto Alegre, BrazilHospital de Clínicas de Porto Alegre, Porto Alegre, BrazilHospital de Clínicas de Porto Alegre, Porto Alegre, BrazilSchool of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilIntroduction: Coronary heart disease and its risk factors depend on genetic characteristics, behaviors, and habits, all of which vary in different regions. The use of antiretroviral therapy (ARV) has increased the survival of people living with HIV/AIDS (PLWHA), who begin to present mortality indicators similar to the general population. This study aimed to compare the prevalence of factors potentially associated with coronary heart disease in three cohorts of PLWHA from three different regions of Brazil. Methodology: The study population was composed of participants of the cohorts of Pernambuco, Goiás, and Rio Grande do Sul states. In these sites, adult patients attending reference centers for treatment of HIV/AIDS were consecutively enrolled. Results: Pernambuco and Goiás had a higher proportion of males and of individuals with high-risk high-density lipoprotein (HDL). Pernambuco also had a greater proportion of individuals with hypertension, elevated triglycerides, and CD4 counts below 200 cells/mm3. Lower education was more frequent in Rio Grande do Sul, and the use of cocaine was higher in this state. Conclusions: The results confirm the importance of risk factors for coronary heart disease in PLHIV and highlight differences in the three cohorts. Specific measures against smoking and sedentary lifestyle, avoidance of advanced stages of immunosuppression, and appropriate treatment of dyslipidemia and dysglicemia are urgently needed to cope with the disease in Brazil. https://jidc.org/index.php/journal/article/view/5867HIVcoronary heart diseaseprevalenceBrazil
spellingShingle Ricardo AA Ximenes
Heloisa R Lacerda
Democrito B Miranda-Filho
Maria de Fatima PM Albuquerque
Ulisses R Montarroyos
Marilia D Turchi
Max W Nery
Celina MT Martelli
Paulo R Alencastro
Maria Leticia R Ikeda
Fernando H Wolff
Ajacio BM Brandao
Nemora T Barcellos
Sandra C Fuchs
Comparison between potential risk factors for cardiovascular disease in people living with HIV/AIDS in areas of Brazil
Journal of Infection in Developing Countries
HIV
coronary heart disease
prevalence
Brazil
title Comparison between potential risk factors for cardiovascular disease in people living with HIV/AIDS in areas of Brazil
title_full Comparison between potential risk factors for cardiovascular disease in people living with HIV/AIDS in areas of Brazil
title_fullStr Comparison between potential risk factors for cardiovascular disease in people living with HIV/AIDS in areas of Brazil
title_full_unstemmed Comparison between potential risk factors for cardiovascular disease in people living with HIV/AIDS in areas of Brazil
title_short Comparison between potential risk factors for cardiovascular disease in people living with HIV/AIDS in areas of Brazil
title_sort comparison between potential risk factors for cardiovascular disease in people living with hiv aids in areas of brazil
topic HIV
coronary heart disease
prevalence
Brazil
url https://jidc.org/index.php/journal/article/view/5867
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