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J Clin Lipidol. 2009 Dec 01;3(6):379-384. doi: 10.1016/j.jacl.2009.10.005.

Lipoprotein Particle Profiles by Nuclear Magnetic Resonance Spectroscopy in Medically-Underserved HIV-Infected Persons.

Journal of clinical lipidology

Barbara Swanson, Beverly E Sha, Joyce K Keithley, Louis Fogg, Judith Nerad, Richard Novak, Oluwatoyin Adeyemi

Affiliations

  1. Rush University College of Nursing, Chicago, Illinois.

PMID: 20161509 PMCID: PMC2797322 DOI: 10.1016/j.jacl.2009.10.005

Abstract

BACKGROUND: HIV infection is associated with dyslipidemia and increased risk for cardiovascular events. Few studies have described lipid status in medically-underserved, HIV-infected ethnic minorities, a group that is characterized by health disparities. OBJECTIVE: The objective was to characterize the lipid profile of a medically-underserved, largely ethnic minority sample of HIV-infected persons using standard lipid panels and nuclear magnetic resonance (NMR) -derived lipoprotein particle profiles. METHODS: Participants were recruited from a randomized controlled trial of a dietary supplement to manage HIV-related dyslipidemia (N=132). At the initial screening visit, sociodemographic, clinical, and behavioral data were collected, and fasting peripheral venous blood specimens were obtained and lipid status was analyzed using the standard lipid panel and the NMR-derived lipoprotein particle profile. RESULTS: Using NMR-derived LDL particle cutoffs, a higher percentage of participants was outside the target range (50%) than when standard LDL cholesterol NCEP cutoffs were used (24%). Antiretroviral therapy, especially protease inhibitor-containing regimens, was associated with higher LDL particle concentration. CONCLUSION: Substantial numbers of medically-underserved, asymptomatic HIV-infected minorities may be at increased risk for CHD based on NMR-derived lipoprotein values.

References

  1. AIDS. 2003 May 23;17(8):1179-93 - PubMed
  2. J Am Coll Cardiol. 2007 Feb 6;49(5):547-53 - PubMed
  3. Circulation. 2009 May 5;119(17):2396-404 - PubMed
  4. Atherosclerosis. 2007 May;192(1):211-7 - PubMed
  5. Ann Intern Med. 2006 Sep 19;145(6):397-406 - PubMed
  6. AIDS Res Hum Retroviruses. 2003 Jun;19(6):449-55 - PubMed
  7. Lancet. 2002 Nov 30;360(9347):1747-8 - PubMed
  8. Circulation. 2001 Jul 17;104(3):257-62 - PubMed
  9. J Acquir Immune Defic Syndr. 2008 Jul 1;48(3):281-8 - PubMed
  10. Stroke. 2007 Sep;38(9):2477-84 - PubMed
  11. N Engl J Med. 2007 Apr 26;356(17):1723-35 - PubMed
  12. Circulation. 2004 Jul 13;110(2):227-39 - PubMed
  13. J Infect Dis. 2004 Mar 15;189(6):1056-74 - PubMed
  14. Ann Intern Med. 2009 Jan 20;150(2):84-93 - PubMed
  15. J Clin Lipidol. 2007 Dec;1(6):583-92 - PubMed
  16. Am J Cardiol. 2002 Jul 15;90(2):89-94 - PubMed
  17. Circulation. 2004 Apr 6;109(13):1603-8 - PubMed
  18. Arterioscler Thromb Vasc Biol. 2002 Jul 1;22(7):1175-80 - PubMed
  19. Circulation. 2006 Mar 28;113(12):1556-63 - PubMed
  20. Circulation. 2002 Oct 8;106(15):1930-7 - PubMed
  21. Circulation. 2009 Feb 24;119(7):931-9 - PubMed
  22. Diabetes Care. 2008 Apr;31(4):811-22 - PubMed
  23. J Clin Endocrinol Metab. 2007 Jul;92(7):2506-12 - PubMed
  24. Clin Lab Med. 2006 Dec;26(4):847-70 - PubMed

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