HIV (Human Immunodeficiency Virus), HIV Infections, Metabolic Syndrome
Conditions
Keywords
HIV, Metabolic Syndrome, Obesity, Treatment Experienced
Brief summary
Obese HIV-positive women with Metabolic Syndrome (HIV-MS) and obese HIV-negative women with Metabolic Syndrome will be studied before and after achieving moderate (6%-8%) diet-induced weight loss. The investigators hypothesize that health markers will improve in both groups but that the improvement will be blunted in the women with HIV-MS.
Interventions
The nutrition curriculum will involve weekly group and individual sessions. The initial calorie goal will be \ 750 kcal below the resting energy equivalent, and adjusted as needed to achieve weight loss targets.
Sponsors
Study design
Eligibility
Inclusion criteria
* Sedentary * Obese * Have either dyslipidemia (HDL \< 50 or triglycerides \> 150), waist circumference \> 88cm, and impaired glucose tolerance or homeostasis model assessment value of \> 3 * Subjects with HIV-MS must have been receiving HAART for \> 6 months
Exclusion criteria
* Medication changes in the last 3 months * Diabetes mellitus * Medical problems that in the opinion of the principal investigator may interfere with patient safety * Substance abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effect of weight loss on body composition | three months |
| Effect of weight loss on insulin action | three months |
Secondary
| Measure | Time frame |
|---|---|
| Effect of weight loss intrahepatic triglyceride content | three months |
| Effect of weight loss on insulin action adipose tissue | three months |
| Effect of weight loss on body fat mass | three months |
| Effect of weight loss on insulin action in skeletal muscle | three months |
| Effect of weight loss on insulin action in liver | three months |
| Effect of weight loss on adipose tissue distribution | three months |
Countries
United States