Table 3. Multivariate analyses for ≥5% BMD loss at month 60 at the lumbar spine, total hip and femoral neck.
Baseline variates for both PLHIV and HIV-uninfected participants | BMD ≥5% reduction at lumbar spine* (prevalence, 35%) | BMD ≥5% reduction at total hip* (prevalence, 28%) | BMD ≥5% reduction at femoral neck* (prevalence, 42%) | |||
aOR (95% CI) | P-value | aOR (95% CI) | P-value | aOR (95% CI) | P-value | |
Age (vs. <40 years) | ||||||
≥40 | 1.5 (0.6–3.7) | 0.4 | 1.2 (0.5–3.1) | 0.7 | 1.7 (0.7–3.9) | 0.2 |
Female (vs. male) | 4.1 (1.7–10.2) | 0.02 | 1.9 (0.8–4.6) | 0.2 | 1.2 (0.5–2.6) | 0.6 |
BMI (vs. <25 kg/m2) | ||||||
≥25 | 1.7 (0.6–4.5) | 0.3 | 1.4 (0.5–3.8) | 0.6 | 2.2 (0.9–5.5) | 0.1 |
HIV status (vs. HIV negative) | ||||||
HIV started with TDF | 7.0 (2.3–21.0) | 0.001 | 4.9 (1.7–14.3) | 0.003 | 4.3 (1.6–11.2) | 0.003 |
HIV started with non-TDF | 2.1 (0.5–8.1) | 0.3 | 0.7 (0.1–3.7) | 0.7 | 1.7 (0.5–5.9) | 0.4 |
Baseline variates for PLHIV only | BMD ≥5% reduction at lumbar spine** (prevalence, 43%) | BMD ≥5% reduction at total hip** (prevalence, 35%) | BMD ≥5% reduction at femoral neck** (prevalence, 50%) | |||
aOR (95% CI) | P-value | aOR (95% CI) | P-value | aOR (95% CI) | P-value | |
Age (vs. <40 years) | ||||||
≥40 | 1.2 (0.4–3.6) | 0.8 | 1.0 (0.3–3.4) | 1.0 | 2.4 (0.8–7.2) | 0.1 |
Female (vs. male) | 3.0 (1.0–8.8) | 0.05 | 2.1 (0.7–6.7) | 0.2 | 1.1 (0.4–3.2) | 0.8 |
BMI (vs. <25 kg/m2) | ||||||
≥25 | 3.2 (0.8–13.1) | 0.1 | 3.1 (0.7–14.5) | 0.1 | 2.9 (0.7–11.3) | 0.1 |
cART regimen (vs. non-TDF) | ||||||
TDF | 3.1 (0.9–11.1) | 0.1 | 11.7 (2.1–64) | 0.005 | 2.8 (0.8–9.2) | 0.1 |
Baseline CD4+ cell count (vs. ≥350 cells/mm3) | ||||||
< 350 cells/mm3 | 1.9 (0.5–7.1) | 0.3 | 7.1 (1.3–38.8) | 0.02 | 2.3 (0.7–7.9) | 0.2 |
Baseline HIV RNA level (log10 copies/mL) | 2.1 (1.0–4.5) | 0.06 | 0.8 (0.4–1.9) | 0.7 | 1.2 (0.6–2.5) | 0.5 |
* Multivariate models with both PLHIV and HIV-uninfected controls were adjusted for age, sex, BMI and HIV status.
** Multivariate models with only PLHIV that were adjusted for age, sex, BMI, cART regimen (TDF vs. non-TDF), baseline CD4 count and baseline HIV-RNA level.