Evidence map›Paper›PMID 29687016›Full record

ArticleOpen forum infectious diseases2018

Dietary Patterns and Physical Activity Correlate With Total Cholesterol Independently of Lipid-Lowering Drugs and Antiretroviral Therapy in Aging People Living With Human Immunodeficiency Virus.

Alex Marzel, Roger D Kouyos, Sara Reinschmidt, Katharina Balzer, Fabienne Garon, Monica Spitaleri, Nicolas Matthes, Paolo Suter, Rainer Weber, Cornelia Staehelin and 4 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Time Trends in Causes of Death in People With HIV: Insights From the Swiss HIV Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Changes in Lipid Indices in HIV+ Cases on HAART.BioMed research international · 2019
    Article
  8. Review
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

14 authors at 5 institutions in 1 country.

Alex MarzelDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Switzerland.ORCID 0000-0002-4795-6224
Roger D KouyosDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Switzerland.
Sara ReinschmidtDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Switzerland.
Katharina BalzerDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Switzerland.
Fabienne GaronDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Switzerland.
Monica SpitaleriDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Switzerland.
Nicolas MatthesDivision of Infectious Diseases, University Hospital Geneva, University of Geneva, Switzerland.
Paolo SuterClinic for Internal Medicine, University of Zurich, Switzerland.
Rainer WeberDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Switzerland.
Cornelia StaehelinDivision of Infectious Diseases, University Hospital Berne, University of Berne, Switzerland.
Thanh Doco LecompteDivision of Infectious Diseases, University Hospital Geneva, University of Geneva, Switzerland.
Philip TarrUniversity Department of Medicine and Division of Infectious Diseases and Hospital Epidemiology, Kantonsspital Baselland, University of Basel, Bruderholz, Switzerland.
Helen KovariDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Switzerland.
Swiss HIV Cohort Study
University Hospital of Zurich · CHUniversity of Geneva · CHUniversity of Basel · CHUniversity of Zurich · CHUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypercholesterolemia is a well established risk factor for coronary heart disease and is highly prevalent among human immunodeficiency virus (HIV)-positive persons. Antiretroviral therapy (ART) can both directly modify total cholesterol and have drug-drug interactions with statins. This makes investigating modifiable behavioral predictors of total cholesterol a pertinent task.

methodsTo explore the association between diet and physical activity with cross-sectionally measured total cholesterol, we administered a validated Food-Frequency-Questionnaire to participants of the Swiss HIV Cohort Study ≥45 years old. Linear mixed-effects models were applied to explore the associations between dietary patterns and physical activity with total cholesterol, after adjustment for clinical and demographic covariates.

resultsIn total, 395 patients were included. Forty percent (158 of 395) had elevated total cholesterol (>5.2 mmol/L), and 41% (164 of 395) were not regularly physically active. In multivariable analysis, 2 factors were positively associated with total cholesterol; female sex (β = 0.562; 95% confidence interval [CI], 0.229-0.896) and the combined consumption of meat, refined/milled grains, carbonated beverages, and coffee (β = 0.243; 95% CI, 0.047-0.439). On the other hand, regular physical activity (β = -0.381; 95% CI, -0.626 to -0.136), lipid-lowering drugs (β = -0.443; 95% CI -0.691 to -0.196), ART containing tenofovir (β = -0.336; 95% CI -0.554 to -0.118), and black ethnicity (β = -0.967; 95% CI -1.524 to -0.410) exhibited a negative association.

conclusionsWe found independent associations between certain dietary patterns and physical activity with total cholesterol. Increasing physical activity might achieve cardiovascular and other health benefits in HIV-positive individuals. The clinical relevance of the identified dietary patterns requires further investigation in prospective cohort studies and randomized controlled trials.

Indexed as

agingdietHIVphysical activitytotal cholesterol

Identifiers

PMID29687016
PMCPMC5905359
OpenAlexW2792711228

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.