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Evidence-Based Complementary and Alternative Medicine
Volume 2013 (2013), Article ID 201857, 9 pages
http://dx.doi.org/10.1155/2013/201857
Research Article

The Association between Yang-Deficient Constitution and Clinical Outcome of Highly Active Antiretroviral Therapy on People Living with HIV

1Department of Infectious Diseases, Guangzhou 8th People’s Hospital, 627 Dongfeng Dong Road, Guangzhou 510060, China
2Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong

Received 5 October 2013; Revised 11 December 2013; Accepted 11 December 2013

Academic Editor: Youn Chul Kim

Copyright © 2013 Yuwen Cen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To determine the association between Yang-Deficient Constitution and the clinical outcomes of HIV/AIDS patients who have initiated highly active antiretroviral therapy (HAART). Method. A total of 197 antiretroviral-naive adults who initiated HAART between 2009 and 2011 were recruited. The participants were asked to complete a questionnaire twice to assess their Yang-Deficient Constitution status before HAART. During the study, signs and symptoms and CD4 or CD8 T cell counts were recorded. Routine blood and biochemical tests were conducted. For the patients who were found to have infections, pathologic examination was performed. Statistical test of association of clinical attributes and demographic factors with Yang-Deficient Constitution was conducted. Result. Good test-retest reliability was observed for Yang-Deficient Constitution scoring. The median Yang-Deficient Constitution score of 142 eligible participants was 25. Female (score = 32.14, ), hepatotoxicity (32.14, ), nephrotoxicity (37.50, ), total number of adverse events ( ), and mortality (39.29, ) were associated with Yang-Deficient Consitution, while annual changes or nadir values of CD4 or CD8 T lymphocytes, and newly acquired infections after starting HAART were not. Mortality was also associated with total number of adverse events ( ), hepatotoxicity ( ), and nephrotoxicity ( ). Conclusion. Yang-Deficient Constitution score has a potential to be developed as a predictor for early HIV-related mortality and side effects. The interrelation and underlying mechanisms should be further investigated for evidence-based design of a more appropriate treatment strategy.