The effects of dietary intervention on HIV dyslipidaemia

A systematic review and meta-analysis

Clare Stradling, Yen Fu Chen, Tracy Russell, Martin Connock, G. Neil Thomas, Shahrad Taheri

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background: Efficacy of dietary intervention for treatment and prevention of HIV-related lipid disturbances has not been well established. Methods: We conducted a systematic search of electronic databases supplemented with manual searches and conference abstracts, without language restriction. All randomised controlled trials (RCTs) with blood lipid outcomes, involving dietary intervention or supplementation for the treatment or prevention of adult HIV dyslipidaemia, versus no or other intervention were included. Two authors using predefined data fields, including study quality indicators, extracted data independently. Results: Eighteen studies (n = 873) met our inclusion criteria. Seven RCTs for omega-3 supplementation (n = 372), and four RCTs for dietary intervention (n = 201) were meta-analysed using random-effects models. Mild statistical heterogeneity was observed. Dietary intervention reduced triglyceride levels by -0·46 mmol/l (95%CI: -0·85 to -0·07 mmol/l) compared to control. Omega-3 supplementation reduced triglyceride levels by -1.12 mmol/l, (95%CI: -1·57 to -0·67 mmol/l) and total cholesterol, -0·36 mmol/l (95%CI: -0·67 to -0·05 mmol/l) compared to placebo/control. Conclusions: Both omega-3 supplementation and dietary intervention reduced triglyceride level, with the latter possibly to a smaller extent. While dietary interventions are beneficial, more stringent dietary approaches may be necessary to fully address lipid disturbances in HIV patients. Trial Registration: PROSPERO 2011:CRD42011001329.

Original languageEnglish
Article numbere38121
JournalPLoS One
Volume7
Issue number6
DOIs
Publication statusPublished - 11 Jun 2012
Externally publishedYes

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systematic review
hyperlipidemia
Dyslipidemias
meta-analysis
Meta-Analysis
Triglycerides
Randomized Controlled Trials
triacylglycerols
HIV
Lipids
lipids
Dietary Supplements
blood lipids
placebos
electronics
Blood
Language
Cholesterol
Placebos
cholesterol

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

The effects of dietary intervention on HIV dyslipidaemia : A systematic review and meta-analysis. / Stradling, Clare; Chen, Yen Fu; Russell, Tracy; Connock, Martin; Thomas, G. Neil; Taheri, Shahrad.

In: PLoS One, Vol. 7, No. 6, e38121, 11.06.2012.

Research output: Contribution to journalArticle

Stradling, Clare ; Chen, Yen Fu ; Russell, Tracy ; Connock, Martin ; Thomas, G. Neil ; Taheri, Shahrad. / The effects of dietary intervention on HIV dyslipidaemia : A systematic review and meta-analysis. In: PLoS One. 2012 ; Vol. 7, No. 6.
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