The impact of fasting on the interpretation of triglyceride levels for predicting myocardial infarction risk in HIV-positive individuals: The D:A:D study

D.A. Kamara, S.W. Worm, P. Reiss, M. Rickenbach, A. Phillips, O. Kirk, A. D'Arminio Monforte, M. Bruyand, M. Law, S. De Wit, C.J. Smith, C. Pradier, J. Lundgren, C. Sabin, Ferran Torres

Research output: Contribution to journalArticleResearchpeer-review

Abstract

We assessed whether fasting modifies the prognostic value of these measurements for the risk of myocardial infarction (MI). Analyses used mixed effect models and Poisson regression. After confounders were controlled for, fasting triglyceride levels were, on average, 0.122 mmol/L lower than nonfasting levels. Each 2-fold increase in the latest triglyceride level was associated with a 38% increase in MI risk (relative rate, 1.38; 95% confidence interval, 1.26-1.51); fasting status did not modify this association. Our results suggest that it may not be necessary to restrict analyses to fasting measurements when considering MI risk. © The Author 2011. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved.
Original languageEnglish
Pages (from-to)521-525
Number of pages5
JournalJ. Infect. Dis.
Volume204
Issue number4
DOIs
Publication statusPublished - Aug 2011

Keywords

  • antilipemic agent
  • antiretrovirus agent
  • triacylglycerol
  • adult
  • article
  • bisexuality
  • body mass
  • cardiovascular disease
  • controlled study
  • demography
  • diabetes mellitus
  • diet restriction
  • ethnic difference
  • female
  • heart infarction
  • hepatitis C
  • Hepatitis C virus
  • human
  • Human immunodeficiency virus infected patient
  • Human immunodeficiency virus infection
  • hypertension
  • major clinical study
  • male
  • male homosexual
  • prediction
  • priority journal
  • prognosis
  • risk factor
  • sex difference
  • smoking

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