학술논문

Risks of metabolic syndrome in the ADVANCE and NAMSAL trials
Document Type
article
Source
Frontiers in Reproductive Health, Vol 5 (2023)
Subject
metabolic syndrome
cardiovascular
antriretroviral medication
tenoforvir disoproxil fumarate
tenofovir alafenamide
Reproduction
QH471-489
Medicine (General)
R5-920
Language
English
ISSN
2673-3153
Abstract
IntroductionThe ADVANCE and NAMSAL trials evaluating antiretroviral drugs have both reported substantial levels of clinical obesity in participants. As one of the main risk factors for metabolic syndrome, growing rates of obesity may drive metabolic syndrome development. This study aims to evaluate the risk of metabolic syndrome in the ADVANCE and NAMSAL trials.MethodsThe number of participants with metabolic syndrome was calculated at baseline and week 192 as central obesity and any of the following two factors: raised triglycerides, reduced HDL-cholesterol, raised blood pressure and raised fasting glucose. Differences between the treatment arms were calculated using the χ2 test.ResultsAcross all visits to week 192, treatment-emergent metabolic syndrome was 15% (TAF/FTC + DTG), 10% (TDF/FTC + DTG) and 7% (TDF/FTC/EFV) in ADVANCE. The results were significantly higher in the TAF/FTC + DTG arm compared to the TDF/FTC/EFV arm (p