AI Article Synopsis

  • HIV infection and antiretroviral therapy are linked to bone mineral loss, necessitating an accessible method for evaluating bone quality in infected individuals.
  • A study involving 69 men compared bone density and turnover markers between HIV-infected and non-infected groups using portable quantitative ultrasonometry (QUS) at the heel.
  • Results showed lower bone quality (Stiffness index) and higher bone turnover markers in HIV-infected patients, suggesting that QUS could serve as a feasible screening tool for assessing bone health in this population.

Article Abstract

Background: HIV infection and antiretroviral therapy (ART) are associated with bone mineral loss. DXA is the gold standard method to evaluate the status of bone mineral density (BMD). However, it is not always readily available. An easy method is needed to evaluate bone quality in those infected with HIV.

Objective: To evaluate portable quantitative ultrasonometry (QUS) as an alternative technique to provide information about bone density, bone strength, and the bone turnover markers in HIV-infected people.

Methods: A total of 69 men took part (34 HIV-infected men were matched with 35 non-HIV-infected men) in the study. Bone mineral status was assessed by the Achilles quantitative ultrasonometer at the calcaneal heel. The HIV status was recorded for all HIV-infected patients. Calcium-regulating hormones and bone turnover markers were assessed in all participants.

Results: The mean age was 47.8±7.8 years and 49.1±6.00 years for the HIV-infected and non-infected population, respectively. The bone quality expressed as Stiffness index (SI) was reduced in HIV-infected patients. Bone turnover markers were higher in the HIV-infected patients, P1NP (ng/mL) was 48.0±14.3 vs 41.1±15.2 (P=0.057), and the (CTx)) (ng/mL) was 0.41±0.18 vs 0.29±0.11 (P=0.002).

Conclusions: QUS is easy to use. Hence, QUS could be used as alternative method for screening of HIV patients for altered bone status.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454262PMC

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