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Table 1 Characteristics of participants with normal BMDa at the baseline and their BMD status at the follow-up visit

From: Cumulative incidence and treatment effectiveness of low bone mineral density among people living with HIV in Iran (2021–2023)

Variable

Total Normal BMD at baseline

Normal BMD at the follow-up

Low BMD at the follow-up

P-value

n (%)

n (%)

n (%)

 

Sex

    

Women

31 (72.1)

28 (90.3)

3 (9.7)

0.059

Men

12 (27.9)

8 (66.7)

4 (33.3)

 

Education

    

Lower than high school diploma

29 (69.1)

26 (89.7)

3 (10.3)

0.101

Diploma and higher

13 (30.9)

9 (69.2)

4 (30.8)

 

Current tobacco use

    

Yes

7 (16.7)

5 (71.4)

2 (28.6)

0.355

No

35 (83.3)

30 (85.7)

5 (14.3)

 

Hypogonadism

    

Yes

16 (38.1)

12 (75.0)

4 (25.0)

0.256

No

26 (61.9)

23 (88.5)

3 (11.5)

 

Activity level

    

Inactive

23 (54.8)

20 (87.0)

3 (13.0)

0.764

Minimally active

15 (35.7)

12 (80.0)

3 (20.0)

 

HEPAb active

4 (9.5)

3 (75.0)

1 (25.0)

 

Baseline CD4+

    

≤ 350

3 (7.0)

2 (66.7)

1 (33.3)

0.407

> 350

40 (93.0)

36 (85.0)

6 (15.0)

 

Undetectable baseline HIV viral load (< 50 copies/ml)

  

Yes

37 (86.1)

30 (81.1)

7 (18.9)

0.244

No

6 (13.9)

6 (100.0)

0 (0.0)

 
 

Mean (SD)

Mean (SD)

Mean (SD)

 

Age (years)

    
 

48.05 (7.51)

47.54 (7.70)

50.63 (6.32)

0.326

Body mass index

    
 

26.99 (5.67)

28.07 (5.51)

21.45 (2.29)

0.003

ARTcuse duration at baseline (months)

   
 

78.63 (33.84)

76.17 (32.03)

91.29 (42.49)

0.285

TBSdscore at baseline

    
 

1.34 (0.08)

1.34 (0.08)

1.38 (0.04)

0.270

WBCe

    
 

6.47 (1.79)

6.31 (1.68)

7.29 (2.22)

0.188

 

Median (IQR)

Median (IQR)

Median (IQR)

 

CD4 + at diagnosis

    
 

204 (123–427)

198 (107-393.5)

321 (170–462)

0.324

Baseline Osteocalcin (ng/mL)

    
 

4.2 (2.6–10.1)

3.6 (2.6–7.7)

16.1 (11.4–21.3)

0.004

Osteocalcin (ng/mL)

    
 

15.1 (7.3–25.5)

12.3 (5.3–24.1)

23.8 (20.6–42.9)

0.038

Baseline β-CTxf(ng/mL)

    
 

0.5 (0.3–0.8)

0.4 (0.3–0.8)

0.9 (0.7–1.3)

0.011

β-CTxf(ng/mL)

    
 

0.5 (0.3–0.8)

0.4 (0.3–0.8)

0.7 (0.5–0.9)

0.161

  1. a: definition was based on “T score ≤-2.5, 50 years & above 50 years, and Z score≤-2 under 50 years”
  2. b: HEPA: health-enhancing physical activity
  3. c: ART: antiretroviral therapy
  4. d: TBS: trabecular bone score
  5. e: WBC: white blood cell (thousand cells per cubic millimeter)
  6. f: β-CTx: β-isomerized C-terminal telopeptides