Subclinical Atherosclerosis Across the Menopausal Transition in Women With and Without HIV

Brandilyn A. Peters, Adam Whalen, Xiaonan Xue, Elizabeth F. Topper, Kathleen M. Weber, Phyllis C. Tien, Seble G. Kassaye, Howard Minkoff, Ervin Fox, Margaret A. Fischl, Lauren F. Collins, Michelle Floris-Moore, Howard N. Hodis, Qibin Qi, David B. Hanna, Anjali Sharma, Kathryn Anastos, Robert C. Kaplan

Research output: Contribution to journalArticlepeer-review

Abstract

The menopausal transition is a pivotal time of cardiovascular risk, but knowledge is limited in HIV. We studied longitudinal carotid artery intima-media thickness (CIMT) in the Women’s Interagency HIV Study (2004–2019; 979 women/3247 person-visits; 72% with HIV). Among women with HIV only, those who transitioned had greater age-related CIMT progression compared to those remaining premenopausal (difference in slope = 1.64 µm/ year, P = .002); and CIMT increased over time in the pretransition (3.47 µm/year, P = .002) and during the menopausal transition (9.41 µm/year, P < .0001), but not posttransition (2.9 µm/year, P = .19). In women with HIV, menopause may accelerate subclinical atherosclerosis as measured by CIMT.

Original languageEnglish (US)
Pages (from-to)780-785
Number of pages6
JournalJournal of Infectious Diseases
Volume229
Issue number3
DOIs
StatePublished - Mar 15 2024

Keywords

  • HIV
  • atherosclerosis
  • cardiovascular disease
  • menopause

ASJC Scopus subject areas

  • General Medicine

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