Low-density lipoprotein cholesterol levels and statin treatment by HIV status among multicenter AIDS cohort study men

Anne K. Monroe*, Wei Fu, Michelle N. Zikusoka, Lisa P. Jacobson, Mallory D. Witt, Frank J. Palella, Lawrence A. Kingsley, Wendy S. Post, Todd T. Brown

*Corresponding author for this work

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Treating cardiovascular disease (CVD) risk factors, including dyslipidemia, is important in HIV care. Low-density lipoprotein cholesterol (LDL-c) target achievement is a readily available benchmark for dyslipidemia control, although use of this target is not uniformly endorsed by professional societies. We examined whether HIV serostatus is associated with not achieving LDL-c target. Among Multicenter AIDS Cohort Study (MACS) participants completing visit 56 (10/1/2011-3/31/2012), we categorized each man as on or off statin therapy and used NCEP ATP III guidelines to determine if each man was at LDL-c target or not at target. We compared proportions of men not at target and determined predictors using multivariate logistic regression. Sixty of 543 (11.1%) HIV-infected men and 87 of 585 (14.9%) HIV-uninfected men not receiving statin therapy were not at target (p=0.07), while 31 of 230 (13.5%) HIV-infected and 29 of 204 (14.2%) HIV-uninfected men receiving statin therapy were not at target (p=0.82). Factors associated with not being at target (among men not receiving statin therapy) included current smoking (OR=2.31, 95% CI 1.31, 4.06) and a diagnosis of hypertension (OR=4.69, 95% CI 2.68, 8.21). Factors associated with not being at target (among men receiving statin therapy) included current smoking (OR=2.72, 95% CI 1.30, 5.67) and diabetes (OR=5.31, 95% CI 2.47, 11.42). HIV-infected and HIV-uninfected men receiving statin therapy demonstrated similar nonachievement of LDL-c targets. Comorbidities (e.g., diabetes) lowered targets and may explain why goals were less likely to be met.

Original languageEnglish (US)
Pages (from-to)593-602
Number of pages10
JournalAIDS research and human retroviruses
Volume31
Issue number6
DOIs
StatePublished - Jun 1 2015

ASJC Scopus subject areas

  • Immunology
  • Virology
  • Infectious Diseases

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    Monroe, A. K., Fu, W., Zikusoka, M. N., Jacobson, L. P., Witt, M. D., Palella, F. J., Kingsley, L. A., Post, W. S., & Brown, T. T. (2015). Low-density lipoprotein cholesterol levels and statin treatment by HIV status among multicenter AIDS cohort study men. AIDS research and human retroviruses, 31(6), 593-602. https://doi.org/10.1089/aid.2014.0126