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. 2020 Mar 25;15(3):e0230368. doi: 10.1371/journal.pone.0230368

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.