Cannabis Use and Reduced Risk of Insulin Resistance in HIV-HCV Infected Patients: A Longitudinal Analysis (ANRS CO13 HEPAVIH)

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
M Patrizia CarrieriANRS Co13 HEPAVIH Study Group

Abstract

Diabetes and insulin resistance (IR) is common in human immunodeficiency virus-hepatitis C virus (HIV-HCV)-coinfected patients, a population also concerned with elevated cannabis use. Cannabis has been associated with reduced IR risk in some population-based surveys. We determined whether cannabis use was consistently associated with reduced IR risk in HEPAVIH, a French nationwide cohort of HIV-HCV-coinfected patients. HEPAVIH medical and sociobehavioral data were collected (using annual self-administered questionnaires). We used 60 months of follow-up data for patients with at least 1 medical visit where IR (using homeostatic model assessment of insulin resistance [HOMA-IR]) and cannabis use were assessed. A mixed logistic regression model was used to evaluate the association between IR risk (HOMA-IR > 2.77) and cannabis use (occasional, regular, daily). Among the 703 patients included in the study (1287 visits), 323 (46%) had HOMA-IR > 2.77 for at least 1 follow-up visit and 319 (45%) reported cannabis use in the 6 months before the first available visit. Cannabis users (irrespective of frequency) were less likely to have HOMA-IR > 2.77 (odds ratio [95% confidence interval], 0.4 [.2-.5]) after adjustment for known correlates/...Continue Reading

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Citations

Apr 22, 2017·Addiction·Rod KnightUNKNOWN ANRS CO13-HEPAVIH Study Group
May 9, 2018·Expert Review of Anti-infective Therapy·Fabienne MarcellinMaria Patrizia Carrieri
Jul 10, 2019·AIDS and Behavior·Melina Erica SantosUNKNOWN ANRS CO13 HEPAVIH Study Group
Nov 26, 2015·Science Advances·N T NassarE M Harper
Aug 19, 2020·Journal of Viral Hepatitis·Tangui BarréUNKNOWN ANRS/AFEF Hepather study group
Feb 26, 2016·Clinical Liver Disease·Eleonora Patsenker, Felix Stickel
Jul 12, 2019·Journal of the Canadian Association of Gastroenterology·Christopher N AndrewsStephen E Congly
Jul 17, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Daniel B Maselli, Michael Camilleri
Jan 28, 2021·Journal of Clinical Medicine·Klaudia BerkAdrian Chabowski

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