HIV/AIDS患者维生素D缺乏频率的评估

M. Sajid, Noorabadi Zahra, M. Kaleem Ullah, S. Qazi, Rabia Mahmood, N. Badar
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引用次数: 0

摘要

背景:文献显示HIV + 5个体也缺乏维生素D。维生素D缺乏是最常见的异常之一,也是HIV疾病的独立预后标志物。科学团体的重点是它的缺乏对艾滋病毒感染人群的可能影响。HIV-1患者最常见的合并症之一是维生素D (Vit D)不足,这是通过测量25-羟基维生素D (25[OH]D)浓度来估计的。维生素D水平< 20ng/ml (50nmol/l)的患者被认为是维生素D缺乏。艾滋病毒感染和抗逆转录病毒治疗可能会造成维生素D不足的危险因素,它也有减缓艾滋病毒疾病进展的作用。方法:对2017年6月22日至2017年12月22日在拉合尔服务医院内科进行描述性横断面研究。采用非概率连续抽样方法,选取160例ELISA法确诊的HIV患者。数据在SPSS v23.0中输入,采用卡方检验。结果:160例患者中维生素D缺乏症发生率为111例(69.4%)。结果显示,74例(46.25%)患者的病程为1 ~ 3年。54例(33.75%)患者病程超过3年。维生素D缺乏与年龄、性别、HIV/AIDS病程无显著性差异(p值分别为0.123、0.136、0.634)。结论:维生素D缺乏症发生率较高。这建议所有HIV阳性个体都应考虑接受常规筛查。低血钙应提示调查25-OHD水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Assessment of Frequency of Deficiency of Vitamin D among HIV/AIDS Patients
Background: Literature showed that HIV +ve individuals were deficient for vitamin D as well. Vitamin D deficiency is one of the top most commonly observed abnormality and an independent prognostic marker of HIV disease. The scientific groups’ emphases on the likely impact of its dearth on HIV infested populace. One of most communal comorbidities in HIV-1 patients is insufficiency of Vitamin D (Vit D), which is estimated by measuring 25-hydroxyvitamin D (25[OH]D) concentrations. Patients having vitamin D levels < 20ng/ml (50nmol/l) were considered as having vitamin D deficiency. HIV infection & ART (antiretroviral therapy) may create risk factors for insufficiency of vitamin D, it also has a role in slowing down HIV ailment progression. Methods: A descriptive cross-sectional study was conducted at Medicine Department in Services Hospital Lahore from June 22, 2017 to December 22, 2017. 160 Patients with HIV confirmed by ELISA method were selected by non-Probability Consecutive sampling technique. Data was entered in SPSS v23.0 & Chi square test was applied. Results: Out of 160, Frequency of Vitamin D deficiency was 111(69.4%). Results demonstrated that majority of patients 74(46.25%) are having disease for 1-3 years. While 54(33.75%) patients are having the disease for <1 year and 32(20.0%) are having the disease for >3 years. There were no significant differences between Vitamin D deficiency with age, gender and duration of HIV/AIDS (p-values 0.123, 0.136 & 0.634 respectively). Conclusion: Frequency of vitamin D deficiency is very high. This recommends that all HIV positive individuals should be considered for routine screening. Low serum calcium should prompt investigation of 25-OHD levels.
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