Osteopenia and osteoporosis in people living with HIV: multiprofessional approach

Ana Lucia Lei Munhoz Lima, Priscila Rosalba D de Oliveira, Perola Grimberg Plapler, Flora Maria D Andrea Marcolino, Eduardo de Souza Meirelles, Andr&eacute; Sugawara, Riccardo Gomes Gobbi, Alexandre Leme Godoy dos Santos , Gilberto Luis CamanhoInstitute of Orthopedics and Traumatology, Hospi...

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Autores principales:	Lima AL, Oliveira PR, Plapler PG, Marcolino FM, Meirelles ES, Sugawara A, Gobbi RG, Godoy-Santos AL, Camanho GL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/f5f865ef151a466f8e957e706f3493f5
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spelling	oai:doaj.org-article:f5f865ef151a466f8e957e706f3493f52021-12-02T00:23:46ZOsteopenia and osteoporosis in people living with HIV: multiprofessional approach1179-1373https://doaj.org/article/f5f865ef151a466f8e957e706f3493f52011-12-01T00:00:00Zhttp://www.dovepress.com/osteopenia-and-osteoporosis-in-people-living-with-hiv-multiprofessiona-a8826https://doaj.org/toc/1179-1373Ana Lucia Lei Munhoz Lima, Priscila Rosalba D de Oliveira, Perola Grimberg Plapler, Flora Maria D Andrea Marcolino, Eduardo de Souza Meirelles, Andr&eacute; Sugawara, Riccardo Gomes Gobbi, Alexandre Leme Godoy dos Santos , Gilberto Luis CamanhoInstitute of Orthopedics and Traumatology, Hospital das Cl&iacute;nicas, University of S&atilde;o Paulo School of Medicine, S&atilde;o Paulo, BrazilAbstract: Increasing bone mineralization abnormalities observed among people living with HIV (PLWHIV) result from various factors relating to the host, the virus, and the antiretrovirals used. Today, HIV infection is considered to be a risk factor for bone mineralization disorders. The test most recommended for diagnosing osteoporosis is measurement of bone mineral density by means of dual energy X-ray absorptiometry at two sites. Osteoporosis treatment has the aims of bone mass improvement and fracture control. A combination of calcium and vitamin D supplementation may reduce the risk of fractures. Antiresorptive drugs act by blocking osteoclastic activity and reducing bone remodeling. On the other hand, bone-forming drugs stimulate osteoblastogenesis, thereby stimulating the formation of bone matrix. Mixed-action medications are those that are capable of both stimulating bone formation and inhibiting reabsorption. Antiresorptive drugs form the group of medications with the greatest quantity of scientific evidence confirming their efficacy in osteoporosis treatment. Physical activity is a health promotion strategy for the general population, but only preliminary data on its real value and benefit among PLWHIV are available, especially in relation to osteoporosis.Keywords: osteoporosis, HIV/AIDS, diagnosis, treatment, exerciseLima ALOliveira PRPlapler PGMarcolino FMMeirelles ESSugawara AGobbi RGGodoy-Santos ALCamanho GLDove Medical PressarticleImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol 2011, Iss default, Pp 117-124 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Immunologic diseases. Allergy RC581-607
spellingShingle	Immunologic diseases. Allergy RC581-607 Lima AL Oliveira PR Plapler PG Marcolino FM Meirelles ES Sugawara A Gobbi RG Godoy-Santos AL Camanho GL Osteopenia and osteoporosis in people living with HIV: multiprofessional approach
description	Ana Lucia Lei Munhoz Lima, Priscila Rosalba D de Oliveira, Perola Grimberg Plapler, Flora Maria D Andrea Marcolino, Eduardo de Souza Meirelles, Andr&eacute; Sugawara, Riccardo Gomes Gobbi, Alexandre Leme Godoy dos Santos , Gilberto Luis CamanhoInstitute of Orthopedics and Traumatology, Hospital das Cl&iacute;nicas, University of S&atilde;o Paulo School of Medicine, S&atilde;o Paulo, BrazilAbstract: Increasing bone mineralization abnormalities observed among people living with HIV (PLWHIV) result from various factors relating to the host, the virus, and the antiretrovirals used. Today, HIV infection is considered to be a risk factor for bone mineralization disorders. The test most recommended for diagnosing osteoporosis is measurement of bone mineral density by means of dual energy X-ray absorptiometry at two sites. Osteoporosis treatment has the aims of bone mass improvement and fracture control. A combination of calcium and vitamin D supplementation may reduce the risk of fractures. Antiresorptive drugs act by blocking osteoclastic activity and reducing bone remodeling. On the other hand, bone-forming drugs stimulate osteoblastogenesis, thereby stimulating the formation of bone matrix. Mixed-action medications are those that are capable of both stimulating bone formation and inhibiting reabsorption. Antiresorptive drugs form the group of medications with the greatest quantity of scientific evidence confirming their efficacy in osteoporosis treatment. Physical activity is a health promotion strategy for the general population, but only preliminary data on its real value and benefit among PLWHIV are available, especially in relation to osteoporosis.Keywords: osteoporosis, HIV/AIDS, diagnosis, treatment, exercise
format	article
author	Lima AL Oliveira PR Plapler PG Marcolino FM Meirelles ES Sugawara A Gobbi RG Godoy-Santos AL Camanho GL
author_facet	Lima AL Oliveira PR Plapler PG Marcolino FM Meirelles ES Sugawara A Gobbi RG Godoy-Santos AL Camanho GL
author_sort	Lima AL
title	Osteopenia and osteoporosis in people living with HIV: multiprofessional approach
title_short	Osteopenia and osteoporosis in people living with HIV: multiprofessional approach
title_full	Osteopenia and osteoporosis in people living with HIV: multiprofessional approach
title_fullStr	Osteopenia and osteoporosis in people living with HIV: multiprofessional approach
title_full_unstemmed	Osteopenia and osteoporosis in people living with HIV: multiprofessional approach
title_sort	osteopenia and osteoporosis in people living with hiv: multiprofessional approach
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/f5f865ef151a466f8e957e706f3493f5
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Osteopenia and osteoporosis in people living with HIV: multiprofessional approach

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