Evidence map›Paper›PMID 19779322›Full record

ArticleAIDS (London, England)2009

Viral hepatitis is associated with reduced bone mineral density in HIV-infected women but not men.

Vincent Lo Re, Giovanni Guaraldi, Mary B Leonard, Anthony R Localio, Jennifer Lin, Gabriella Orlando, Lucia Zirilli, Vincenzo Rochira, Jay R Kostman, Pablo Tebas

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Bone density and microarchitecture in hepatitis C and HIV-coinfected postmenopausal minority women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
  5. Bone Mineral Density Declines Twice as Quickly Among HIV-Infected Women Compared With Men.Journal of acquired immune deficiency syndromes (1999) · 2018
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Prevalence of causes of secondary osteoporosis and contribution to lower bone mineral density in HIV-infected patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014
    Article
  12. Fractures after antiretroviral initiation.AIDS (London, England) · 2012
    Article
  13. Article
  14. Article
  15. Care of the human immunodeficiency virus-infected menopausal woman.American journal of obstetrics and gynecology · 2012
    Review
  16. Hip bone geometry in HIV/HCV-co-infected men and healthy controls.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012
    Article
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Vincent Lo ReDivision of Infectious Diseases, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104-6021, USA. vincent.lore@uphs.upenn.edu
Giovanni Guaraldi
Mary B Leonard
Anthony R Localio
Jennifer Lin
Gabriella Orlando
Lucia Zirilli
Vincenzo Rochira
Jay R Kostman
Pablo Tebas
Office of Infectious Diseases · USUniversity of Pennsylvania · USUniversity of Modena and Reggio Emilia · IT

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI VINCENT LO RE · 1999 to 2026
$78.6M
Risk factors and prediction of liver disease in HIV/HCVK01AI070001 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LO RE, VINCENT · 2007 to 2011
$665k
NIAID NIH HHS K01 AI070001NIAID NIH HHS K01-AI070001NIAID NIH HHS P30 AI045008NIAID NIH HHS P30-AI045008PHS HHS U01-IA069467
6 · The paper itself

Abstract

objectiveFew studies have examined the impact of viral hepatitis on bone mineral density (BMD), and none have done so among HIV-infected patients. Our objective was to determine whether viral hepatitis was associated with low BMD in HIV.

design: A cross-sectional study among 1237 HIV-infected patients (625 with viral hepatitis).

methodsDual-energy X-ray absorptiometry scans of the lumbar spine and femoral neck were obtained. Clinical data, hepatitis B and C status, and markers of bone metabolism were determined at dual-energy X-ray absorptiometry scanning. Multivariable logistic regression examined the association between hepatitis and low BMD (Z-score < or =-2.0 at the lumbar spine, femoral neck, or both).

resultsMean BMD Z-scores were lower among hepatitis-coinfected women at the lumbar spine {-0.15 versus +0.29; difference = -0.44 [95% confidence Interval (CI) -0.65 to -0.23]; P < 0.001} and femoral neck [-0.64 versus -0.39; difference = -0.25 (95% CI -0.44 to -0.06); P = 0.009] compared with HIV-monoinfected women. No differences in mean BMD Z-scores were observed between coinfected and monoinfected men. After adjustment for age, BMI, duration of HIV, antiretroviral use, physical activity, and smoking, viral hepatitis was associated with low BMD among women (adjusted odds ratio 2.87, 95% CI 1.31-6.29) but not men (adjusted odds ratio 1.19, 95% CI 0.74-1.91). Coinfected women had lower mean parathyroid hormone (60.1 versus 68.1 pg/ml; P = 0.02) but similar mean 25-hydroxyvitamin D (19.1 versus 19.6 ng/ml; P = 0.6) and osteocalcin (3.0 versus 3.2 ng/ml; P = 0.8) concentrations than HIV-monoinfected women.

conclusionViral hepatitis was associated with a higher risk of low BMD among HIV-infected women but not men.

Indexed as

Absorptiometry, PhotonAdultBone DensityCross-Sectional StudiesFemaleFemur NeckHepatitis CHIV InfectionsHumansLumbar VertebraeLymphoma, AIDS-RelatedMaleMiddle AgedRadionuclide ImagingSex DistributionSex Factors

Identifiers

PMID19779322
PMCPMC2837269
OpenAlexW2020358347

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.