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Cofactors for Low Serum Albumin Levels Among HIV-infected Individuals in Southern India
* To whom correspondence should be addressed. E-mail: sundaram{at}yrgcare.org.
Background and aims Malnutrition and low serum albumin among human immunodeficiency virus (HIV)-infected individuals are cofactors for HIV disease progression. The present study aimed to identify the proportion of HIV-infected individuals with low serum albumin and the possible cofactors among highly active antiretroviral therapy (HAART) experienced and HAART naïve individuals. Methods A total of 835 HIV-infected individuals (HAART-experienced, HAART-naïve) were included in the study. Results Of the 835 individuals, 44.6% had normal (4.2-5.2 g/dL) and 55.4% had abnormal (<4.2 g/dL) albumin levels. The abnormal group had significantly lower body mass index (BMI) compared with the normal group (P = .02). Among those with abnormal albumin, 388 (84%) were HAART experienced compared with 239 (64%) with normal albumin (P < .001). Among the abnormal group, 259 (55.9%) had CD4 count <200 cells/µL as compared with 124 (33.3%) in the normal group (P < .001). Conclusions CD4 count and lower were the major cofactors for low serum albumin among HIV-infected individuals. Therefore, serum albumin would be a useful biochemical test for HIV disease in resource-limited settings.
First published on January 27, 2009, doi:10.1177/1545109708330787 |
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