Research Article

Metabolic Disorders in HIV-Infected Adolescents Receiving Protease Inhibitors

Table 1

Demographic, anthropometric, and metabolic characteristics of 80 HIV-infected adolescents receiving protease inhibitor- (PI-) based highly active antiretroviral therapy (HAART).

Patients characteristics

Age (years), median (IQR)16.7 (14.6–18.0)
Male, (%)42 (52.5)
History of smoking, (%)2 (2.5)
History of alcohol consumption, (%)3 (3.8)
Family history of CVD, (%)2 (2.5)
Family history of HT, (%)19 (23.8)
Family history of T2DM, (%)24 (30.0)
Family history of dyslipidemia, (%)19 (23.8)
Percentage weight-for-age (%), median (IQR)89.4 (79.5–99.8)
Percentage weight-for-height (%), median (IQR)101.2 (89.1–110.6)
BMI (kg/m2), median (IQR)18.3 (16.3–20.4)
Waist circumference (cm), median (IQR)66.9 (62–72.7)
Waist-to-height ratio, median (IQR)0.44 (0.41–0.48)
Obesity (waist-to-height ratio ), (%)15 (18.8)
SBP (mmHg), median (IQR)114 (106–120)
DBP (mmHg), median (IQR)70 (64–75)
Acanthosis nigricans, (%)11 (13.8)
Lipodystrophy, (%)26 (32.5)
 (i) Lipoatrophy, (%)18 (22.5)
 (ii) Lipohypertrophy, (%)4 (5.0)
 (iii) Combined type, (%)4 (5.0)
CDC stage, (%)
 (i) Severely symptomatic (Stage C), (%)25 (31.3)
 (ii) Nonsevere stage, (%)55 (68.7)
Nadir CD4 cell count (cells/mm3) ()
 (i) <100 cells/mm3, (%)31 (39.2)
 (ii) 100–350 cells/mm3, (%)26 (32.9)
 (iii) >350 cells/mm3, (%)22 (27.9)
CD4 cell count (cells/mm3), median (IQR)656 (525.5–815.5)
 (i) <350 cells/mm3, (%)10 (12.5)
 (ii) 350–500 cells/mm3, (%)7 (8.7)
 (iii) >500 cells/mm3, (%)63 (78.8)
Viral load (copies/mL)
 (i) ≤40 copies/mL, (%)64 (80.0)
 (ii) >40 copies/mL, (%)16 (20.0)
Total cholesterol (mmol/L), median (IQR)4.39 (3.96–5.26)
Triglycerides (mmol/L), median (IQR)1.51 (1.14–2.31)
LDL-cholesterol (mmol/L), median (IQR)2.42 (2.06–2.99)
HDL-cholesterol (mmol/L), median (IQR)1.19 (1.01–1.41)
FPG (mmol/L), median (IQR)4.66 (4.38–4.97)
2-hour PG (mmol/L), median (IQR)6.66 (5.61–7.44)
Fasting insulin (pmol/L), median (IQR)95 (62–154)
2-hour insulin (pmol/L), median (IQR)642 (376–1686)
HOMA-IR, median (IQR)2.8 (1.8–4.4)
HbA1c (%), median (IQR)5.2 (4.9–5.5)

IQR, interquartile range; CVD, cardiovascular disease; T2DM, type 2 diabetes mellitus; HT, hypertension; BMI, body mass index; SBP, systolic blood pressure; DBP, diastolic blood pressure; CDC, Centers for Disease Control; LDL, low-density lipoprotein; HDL, high-density lipoprotein; FPG, fasting plasma glucose; PG, plasma glucose.