How is the risk for osteopenia and osteoporosis managed in HIV infection?

Updated: Sep 07, 2018
  • Author: Jason F Okulicz, MD, FACP, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

HIV infection and use of ART, particularly regimens containing tenofovir, increase the risk of premature bone loss, thereby exacerbating the risk of osteopenia and osteoporosis. [10, 3] In addition, some evidence suggests that women with HIV infection develop premature physiologic menopause. [10] Baseline bone densitometry (DXA) screening for osteoporosis is recommended in HIV-infected postmenopausal women and men aged 50 years or older. [10] Other recommendations include counseling patients about risk factors of osteopenia and osteoporosis, such as cigarette smoking and excessive alcohol use, and the importance of regular exercise and adequate intake of calcium and vitamin D. [10]


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