1. Altered phosphate metabolism in HIV-1-infected patients with metabolic syndrome.
- Author
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Grima P, Guido M, Chiavaroli R, Stano F, Tundo P, Tana M, de Donno A, and Zizza A
- Subjects
- Adult, Aged, Cross-Sectional Studies, Female, HIV Infections metabolism, Humans, Male, Metabolic Syndrome complications, Middle Aged, Odds Ratio, Phosphates blood, Young Adult, HIV Infections complications, HIV-1, Metabolic Syndrome metabolism, Phosphates metabolism
- Abstract
Background: Metabolic syndrome (MS) represents a cluster of cardiovascular risk factors that has become a serious problem for HIV-1-infected patients. It has been proposed that disturbance of phosphate metabolism may represent a key feature of MS. Thus, we undertook the present study to investigate the relationship between phosphate levels and the presence of the characteristics of MS., Methods: One hundred and twenty-one HIV-1-infected patients were consecutively enrolled in a prospective, cross-sectional, single-centre study. Kidney tubular function was examined using tubular resorption of phosphate and normalized renal threshold phosphate concentration., Results: Univariate analysis showed that serum phosphate levels correlated negatively with systolic and diastolic blood pressure, glucose values, waist circumference, insulin, and triglycerides. Moreover, there was a positive relationship between phosphate and high-density lipoprotein (HDL) cholesterol. Multivariate analysis showed that insulin levels were correlated with serum phosphate concentration (r = - 0.24, p = 0.01)., Conclusions: Our data show that HIV-1-infected patients with MS have lower phosphate levels.
- Published
- 2012
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