CTNPT 035: Vitamin D and NAFLD in people living with HIV
Association of vitamin D insufficiency with non-alcoholic fatty liver disease in HIV mono-infected patients
About The Study
This study aims to determine vitamin D deficiency and its association with osteoporosis in persons living with HIV who do or do not have non-alcoholic fatty liver disease (NAFLD).
Background
NAFLD has become the most frequent disease in persons aging with HIV in Canada. It is a very common disorder and refers to a group of conditions where there is accumulation of excess fat in the liver of people who drink little or no alcohol. Despite the prevalence of NAFLD, relatively little is known about the mechanism of liver disease development and its progression. As such, it is essential to target new interventions to understand the association between NAFLD and HIV morbidities. Among them is vitamin D deficiency, which is frequent in patients with HIV, with or without NAFLD, and appears to be an independent risk factor for end-stage liver disease.
Study Approach
This study will recruit 126 participants who are over 18 years old. Each participant will be required to attend a single, 2-hour long visit at the Royal Victoria Hospital.
During the study visit, the participant will be asked to complete questionnaires and undergo a physical examination, collection of blood tests, bone densitometry (DEXA), and FibroScan®.
Eligibility Requirements
Required
Age ≥18 years old at screening
Able to provide informed consent, in French or English.
Confirmed HIV infection
Not Allowed
Pregnancy
Carrying a pacemaker
Historical evidence of co-infection with hepatitis B or C
Significant alcohol intake (>21 units/week in men and >14 units/week in women) at screening