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Article Publish Status: FREE
Abstract Title:

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

Abstract Source:

Clin Infect Dis. 2015 Jul 1 ;61(1):40-8. Epub 2015 Mar 16. PMID: 25778750

Abstract Author(s):

Maria Patrizia Carrieri, Lawrence Serfaty, Antoine Vilotitch, Maria Winnock, Isabelle Poizot-Martin, Marc-Arthur Loko, Caroline Lions, Caroline Lascoux-Combe, Perrine Roux, Dominique Salmon-Ceron, Bruno Spire, Francois Dabis,

Article Affiliation:

Maria Patrizia Carrieri

Abstract:

BACKGROUND: 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.

METHODS: 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).

RESULTS: 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/confounders. Two sensitivity analyses with HOMA-IR values as a continuous variable and a cutoff value of 3.8 confirmed the association between reduced IR risk and cannabis use.

CONCLUSIONS: Cannabis use is associated with a lower IR risk in HIV-HCV-coinfected patients. The benefits of cannabis-based pharmacotherapies for patients concerned with increased risk of IR and diabetes need to be evaluated in clinical research and practice.

Study Type : Human Study

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Sayer Ji
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