There were some limitations. The sample size was relatively small, but adequately powered to detect the anticipated changes in glucose tolerance/insulin sensitivity. On average, the participants’ baseline CVD risk was not high (Framingham 10-year risk score 4.3–4.8) and very few met National Cholesterol Education Program Adult Treatment Panel III (NCEP ATPIII) criteria for the ‘metabolic syndrome’. This may have limited our ability to show that yoga significantly reduced CVD risk, or improved metabolic or anthropomorphic variables more than standard of care. Regardless, blood pressure was reduced by yoga practice, and hypertension is an independent CVD risk factor. The
form of yoga utilized was physically demanding and other forms of yoga (restorative) might provide different results. In HIV-infected adults with mild–moderate cardiometabolic syndrome, 20 weeks of supervised Androgen Receptor Antagonist manufacturer yoga significantly reduced resting systolic and diastolic blood pressures, selleck chemicals despite the absence of parallel improvements in oral glucose tolerance, body weight, trunk fat content or proatherogenic lipid levels. These findings suggest that, in HIV-infected people with pre-hypertension, the practice of yoga is another
lifestyle/behaviour intervention that can be recommended to safely reduce blood pressure, one component of the CVD risk profile. We thank the participants for their devotion to this study. Debra DeMarco-Shaw, BSN, ACRN and Atla Williams assisted with participant recruitment and enrolment. Funding: This project was supported by National Institutes of Health
grants AT003083, DK049393, DK059531 (KEY), DK074343 (WTC), this website RR019508 (DNR), AI065336 (KEM), DK056341, DK020579, AI069495, and RR024992 from the National Center for Research Resources (NCRR) and NIH Roadmap for Medical Research. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NIH or its Institutes. (NCT#00627380.) “
“Emtricitabine/tenofovir/rilpivirine as a single-tablet regimen (STR) is widely used without licence in treatment-experienced patients. The purpose of this retrospective observational study was to assess viral suppression of ART-experienced patients switching to STR. We assessed 131 pretreated patients switching to STR with HIV RNA < 400 HIV-1 RNA copies/mL. The primary outcome measure was the proportion of patients at week 24 with HIV RNA < 40 copies/mL. By week 24, eight patients had stopped STR: four because of adverse events and four for other reasons. Three virological failures were observed; among these, at least one patient developed cross-resistance to nucleoside reverse transcriptase inhibitors (NRTIs) and nonnucleoside reverse transcriptase inhibitors (NNRTIs), in particular with the E138K pattern. In intent-to-treat analysis, 92% of participants (120 of 131) achieved HIV RNA < 40 copies/mL. Only grade 1 to 2 adverse events were observed, mainly consisting of increased liver enzymes (n = 33).