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Use of quantitative ultrasound as bone mineral density evaluation in an Italian female population living with HIV: A real-life experience
Authors:Paola Vitiello  Lucia Taramasso  Elena Ricci  Paolo Maggi  Canio Martinelli  Chiara Gabrielli
Affiliation:1. Infectious Diseases Unit, ASST Valle Olona, Busto Arsizio Hospital, Busto Arsizio, Italy;2. Infectious Diseases Clinic and University of Genova, Genova, Italy;3. Epi2004, ASST Fatebenefratelli Sacco, Milano, Italy;4. Infectious Diseases Institute, University of Bari, Bari, Italy;5. Infectious Diseases Unit, Careggi Hospital, Firenze, Italy;6. Infectious Diseases Clinic, Santa Maria Hospital, Perugia, Italy
Abstract:This is a multicenter cross-sectional study where we aimed to detect the rate of osteopenia/osteoporosis in an HIV female population (WLWHIV) by means of “heel quantitative ultrasound” (QUS) measurement. We enrolled 273 patients, mean age 48.1 years, 36% menopausal, 96% on combination antiretroviral therapy (cART). Calcaneal measure of bone mass index by QUS revealed osteopenia and osteoporosis in 76 (27.8%) and 16 (5.9%) WLWHIV. Our data underline the correlation between low QUS parameters and traditional risk factors for osteoporosis rather than with cART exposure, thus suggesting the crucial importance of detection and correction of traditional risk factors for osteoporosis in WLWHIV.
Keywords:Osteopenia  osteoporosis  QUS  Sahara  vitamin D  women living with HIV
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