Changes in lung function of HIV-infected patients: a 4.5-year follow-up study

Ulrik Sloth Kristoffersen, Anne-Mette Lebech, Jann Mortensen, Jan Gerstoft, Henrik Gutte Borgwardt, Andreas Kjaer

    39 Citations (Scopus)

    Abstract

    Objective: To investigate the development of lung function in HIV-infected patients. Methods: In a prospective cohort study, 88 HIV-infected patients had a lung function test performed and 63 patients (72%) had their LFT repeated with a median follow-up period of 4·4 years. Forty-eight per cent were smokers, and at the re-examination, 97% were on combination antiretroviral therapy. Results: Carbon monoxide diffusion capacity was reduced and decreased over time in both smokers and non-smokers. Alveolar volume decreased and forced vital capacity increased similarly in both smokers and non-smokers. No changes were observed in forced expiratory volume or peak flow, but smokers had reduced values compared with those of the non-smokers at both examinations. FEV1/FVC was reduced especially in smokers and declined in both smokers and non-smokers. Conclusions: Carbon monoxide diffusion capacity is reduced in HIV-infected patients and seems to decline over time. Additionally, signs of obstructive lung disease are present in HIV-infected patients and seem to increase over time, although only modestly.

    Original languageEnglish
    JournalClinical Physiology and Functional Imaging
    Volume32
    Issue number4
    Pages (from-to)288-95
    Number of pages8
    ISSN1475-0961
    DOIs
    Publication statusPublished - Jul 2012

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