From Weight Gain to Heart Strain: HIV Antiretroviral Adverse Effect Management in Primary Care

Background: More than 40 years after discovering HIV, the prognosis has transformed from an acute, fatal illness, to an average life expectancy approximating that of the general population. Correspondingly, new concerns regarding the management of older adults with HIV and multimorbidity are beginni...

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Main Authors: Haoxin Liu, Ganiat Kehinde, Analyce Pugh, Jennifer Cocohoba, Crystal K. Hodge
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501319251347869
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author Haoxin Liu
Ganiat Kehinde
Analyce Pugh
Jennifer Cocohoba
Crystal K. Hodge
author_facet Haoxin Liu
Ganiat Kehinde
Analyce Pugh
Jennifer Cocohoba
Crystal K. Hodge
author_sort Haoxin Liu
collection DOAJ
description Background: More than 40 years after discovering HIV, the prognosis has transformed from an acute, fatal illness, to an average life expectancy approximating that of the general population. Correspondingly, new concerns regarding the management of older adults with HIV and multimorbidity are beginning to emerge. To support the HIV care continuum, people with HIV benefit from having a primary care medical home to address multimorbidity associated with age, genetic disposition, chronic HIV, and/or antiretroviral adverse effects. The interplay between HIV, antiretrovirals, and metabolic conditions is complex and is under study. It is imperative that primary care clinicians and medical team members are aware of how HIV and antiretrovirals can impact a person’s comorbidities and corresponding mitigation strategies. Objective: The goal of this commentary is to raise awareness of the metabolic consequences of modern antiretrovirals so that interdisciplinary teams caring for people with HIV can better coordinate the management of related conditions such as obesity, diabetes, and cardiovascular disease.
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spelling doaj-art-9cc6ab09d9b14987a9cf87e974ea34f22025-08-20T02:35:56ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272025-06-011610.1177/21501319251347869From Weight Gain to Heart Strain: HIV Antiretroviral Adverse Effect Management in Primary CareHaoxin Liu0Ganiat Kehinde1Analyce Pugh2Jennifer Cocohoba3Crystal K. Hodge4University of North Texas System College of Pharmacy, Fort Worth, TX, USAUniversity of North Texas System College of Pharmacy, Fort Worth, TX, USAUniversity of North Texas System College of Pharmacy, Fort Worth, TX, USAUniversity of California San Francisco, CA, USAUniversity of Texas Southwestern Medical Center, Dallas, TX, USABackground: More than 40 years after discovering HIV, the prognosis has transformed from an acute, fatal illness, to an average life expectancy approximating that of the general population. Correspondingly, new concerns regarding the management of older adults with HIV and multimorbidity are beginning to emerge. To support the HIV care continuum, people with HIV benefit from having a primary care medical home to address multimorbidity associated with age, genetic disposition, chronic HIV, and/or antiretroviral adverse effects. The interplay between HIV, antiretrovirals, and metabolic conditions is complex and is under study. It is imperative that primary care clinicians and medical team members are aware of how HIV and antiretrovirals can impact a person’s comorbidities and corresponding mitigation strategies. Objective: The goal of this commentary is to raise awareness of the metabolic consequences of modern antiretrovirals so that interdisciplinary teams caring for people with HIV can better coordinate the management of related conditions such as obesity, diabetes, and cardiovascular disease.https://doi.org/10.1177/21501319251347869
spellingShingle Haoxin Liu
Ganiat Kehinde
Analyce Pugh
Jennifer Cocohoba
Crystal K. Hodge
From Weight Gain to Heart Strain: HIV Antiretroviral Adverse Effect Management in Primary Care
Journal of Primary Care & Community Health
title From Weight Gain to Heart Strain: HIV Antiretroviral Adverse Effect Management in Primary Care
title_full From Weight Gain to Heart Strain: HIV Antiretroviral Adverse Effect Management in Primary Care
title_fullStr From Weight Gain to Heart Strain: HIV Antiretroviral Adverse Effect Management in Primary Care
title_full_unstemmed From Weight Gain to Heart Strain: HIV Antiretroviral Adverse Effect Management in Primary Care
title_short From Weight Gain to Heart Strain: HIV Antiretroviral Adverse Effect Management in Primary Care
title_sort from weight gain to heart strain hiv antiretroviral adverse effect management in primary care
url https://doi.org/10.1177/21501319251347869
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