Evidence map›Paper›PMID 40621302›Full record

ReviewCureus2025

Cardiometabolic Health Burden in Pediatric HIV: Unmet Need in the Contemporary Antiretroviral Therapy Era.

Elisa López, Talía Sainz, Sahera Dirajlal-Fargo, Jennifer Jao, Jorge Pinto, Ann M Buchanan, Michael McKenna, Ana Milinkovic, Ana Puga

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. Observational
  5. 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

9 authors.

Elisa LópezGlobal Medical Affairs, ViiV Healthcare, London, GBR.
Talía SainzPediatric Tropical and Infectious Diseases, Hospital Universitario La Paz and Hospital La Paz Institute for Health Research, Center for Biomedical Research in Infectious Diseases (CIBERINFEC) Universidad Autónoma de Madrid, Madrid, ESP.
Sahera Dirajlal-FargoPediatrics, Northwestern University Feinberg School of Medicine, Chicago, USA.
Jennifer JaoPediatrics, Northwestern University Feinberg School of Medicine, Chicago, USA.
Jorge PintoMedicine, Federal University of Minas Gerais, Belo Horizonte, BRA.
Ann M BuchananClinical Development, ViiV Healthcare, Durham, USA.
Michael McKennaSafety, Evaluation, and Risk Management, GSK, London, GBR.
Ana MilinkovicGlobal Medical Affairs, ViiV Healthcare, London, GBR.
Ana PugaGlobal Pediatrics, ViiV Healthcare, Durham, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In children and adolescents with perinatally acquired HIV-1, early and prolonged exposure to HIV-1 and antiretroviral therapy (ART) can impact the premature development of cardiometabolic comorbidities. This narrative literature review aims to provide an overview of the impact of contemporary ART regimens on lipid profiles, body composition, and cardiovascular health in this population. Additionally, we propose recommendations for addressing cardiometabolic health in this understudied group. Studies show an increased risk of cardiovascular disease, adipose tissue dysfunction, and dyslipidemia among children and adolescents with perinatally acquired HIV-1. Clinical trial data support that contemporary ART regimens show better cardiometabolic profiles compared with older regimens. Emerging data suggest that chronic inflammation, epigenetic changes, gut barrier dysfunction, and oxidative stress are key mechanisms contributing to worsened cardiometabolic health in pediatric populations with HIV-1. People working with children and adolescents with HIV-1 should be aware of the increased risk of cardiometabolic health disorders in this population. More well-designed studies investigating cardiometabolic health in pediatric populations using contemporary ART regimens are needed. Early interventions during childhood and adolescence, critical developmental stages, may yield long-term benefits for health, quality of life, and longevity. A proactive, holistic approach to clinical management involving comprehensive care and early assessments of cardiometabolic health is essential to forestall the development of chronic disease.

Indexed as

adolescentsantiretroviral therapycardiovascularchildrenhiv-1metabolic healthpediatricsweight

Identifiers

PMID40621302
PMCPMC12227333

What OpenQuestion holds

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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.