Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV

Detalhes bibliográficos
Autor(a) principal: Andrade,Leonardo Bandeira de
Data de Publicação: 2021
Outros Autores: Nogueira,Thiago Fachini, Vargas,Deisi Maria
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021001001240
Resumo: SUMMARY OBJECTIVE: The aim of this study was to quantify the reduction of bone mineral density with and without height adjustment. METHODS: A cross-sectional study was performed with 69 Brazilian children and adolescents vertically infected by HIV. Bone mineral density was measured by dual-energy absorptiometry in the lumbar spine. Anthropometric, demographic, and clinical variables were analyzed. A specific calculator was used for height adjustment. RESULTS: The majority of participants (52.2%) were adolescents and did not present with immunological alterations (61%). Reduced bone mineral density (Z-score <-1) was present in 23.2% and low bone mass (Z-score <-2) in 5.8%. After height adjustment, these occurrences decreased to 11.6% and 0%, respectively. Patients with reduced bone mineral density had a higher mean age and lower body mass index than patients with normal bone mineral density. CONCLUSION: The occurrence of reduced bone mineral density decreased after adjustment for height.
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spelling Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIVBone mineral densityHIVChildAdolescentOsteoporosisSUMMARY OBJECTIVE: The aim of this study was to quantify the reduction of bone mineral density with and without height adjustment. METHODS: A cross-sectional study was performed with 69 Brazilian children and adolescents vertically infected by HIV. Bone mineral density was measured by dual-energy absorptiometry in the lumbar spine. Anthropometric, demographic, and clinical variables were analyzed. A specific calculator was used for height adjustment. RESULTS: The majority of participants (52.2%) were adolescents and did not present with immunological alterations (61%). Reduced bone mineral density (Z-score <-1) was present in 23.2% and low bone mass (Z-score <-2) in 5.8%. After height adjustment, these occurrences decreased to 11.6% and 0%, respectively. Patients with reduced bone mineral density had a higher mean age and lower body mass index than patients with normal bone mineral density. CONCLUSION: The occurrence of reduced bone mineral density decreased after adjustment for height.Associação Médica Brasileira2021-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021001001240Revista da Associação Médica Brasileira v.67 n.9 2021reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.20210137info:eu-repo/semantics/openAccessAndrade,Leonardo Bandeira deNogueira,Thiago FachiniVargas,Deisi Mariaeng2021-11-17T00:00:00Zoai:scielo:S0104-42302021001001240Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2021-11-17T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV
title Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV
spellingShingle Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV
Andrade,Leonardo Bandeira de
Bone mineral density
HIV
Child
Adolescent
Osteoporosis
title_short Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV
title_full Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV
title_fullStr Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV
title_full_unstemmed Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV
title_sort Height adjustment reduces occurrence of low bone mineral density in children and adolescents with HIV
author Andrade,Leonardo Bandeira de
author_facet Andrade,Leonardo Bandeira de
Nogueira,Thiago Fachini
Vargas,Deisi Maria
author_role author
author2 Nogueira,Thiago Fachini
Vargas,Deisi Maria
author2_role author
author
dc.contributor.author.fl_str_mv Andrade,Leonardo Bandeira de
Nogueira,Thiago Fachini
Vargas,Deisi Maria
dc.subject.por.fl_str_mv Bone mineral density
HIV
Child
Adolescent
Osteoporosis
topic Bone mineral density
HIV
Child
Adolescent
Osteoporosis
description SUMMARY OBJECTIVE: The aim of this study was to quantify the reduction of bone mineral density with and without height adjustment. METHODS: A cross-sectional study was performed with 69 Brazilian children and adolescents vertically infected by HIV. Bone mineral density was measured by dual-energy absorptiometry in the lumbar spine. Anthropometric, demographic, and clinical variables were analyzed. A specific calculator was used for height adjustment. RESULTS: The majority of participants (52.2%) were adolescents and did not present with immunological alterations (61%). Reduced bone mineral density (Z-score <-1) was present in 23.2% and low bone mass (Z-score <-2) in 5.8%. After height adjustment, these occurrences decreased to 11.6% and 0%, respectively. Patients with reduced bone mineral density had a higher mean age and lower body mass index than patients with normal bone mineral density. CONCLUSION: The occurrence of reduced bone mineral density decreased after adjustment for height.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021001001240
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021001001240
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1806-9282.20210137
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.67 n.9 2021
reponame:Revista da Associação Médica Brasileira (Online)
instname:Associação Médica Brasileira (AMB)
instacron:AMB
instname_str Associação Médica Brasileira (AMB)
instacron_str AMB
institution AMB
reponame_str Revista da Associação Médica Brasileira (Online)
collection Revista da Associação Médica Brasileira (Online)
repository.name.fl_str_mv Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)
repository.mail.fl_str_mv ||ramb@amb.org.br
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