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Bernard Taverne, Alice Desclaux, Papa Salif Sow

Bernard Taverne, Alice Desclaux, Papa Salif Sow

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CHAPITRE II-1Diabète et hypertension artérielle : prévalence et facteurs associésird-00718213, version 1 - 16 Jul 2012être associé à d'autres mesures de prévention de lamaladie cardiovasculaire (tabac, surpoids, hyperlipidémie).Pour ce faire, les modèles de suivi des PVVIHen PED doivent intégrer ces paramètres. Des conseilshygiéno-diététiques incluant le sevrage tabagique,une activité physique régulière et une alimentationéquilibrée doivent être intégrés dans la consultation deroutine de ces populations. La prise de la pressionartérielle, du tour de taille, la glycémie, la cholestérolémie,la triglycéridémie doivent également être faitsrégulièrement au moins à partir d’un certain âge et/oud’une certaine durée d’exposition aux ARV ; voire d’uncertain niveau de risque cardiovasculaire.5. RÉFÉRENCES1. UNAIDS. World AIDS day report/2011. 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Hunt PW, Brenchley J, Sinclair E, McCune JM, Roland M,Page-Shafer K, et al. Relationship between T cell activation andCD4+ T cell count in HIV-seropositive individuals with undetectableplasma HIV RNA levels in the absence of therapy. J Infect Dis.2008 Jan 1;197(1):126-33.22. Brenchley JM, Price DA, Schacker TW, Asher TE, Silvestri G,Rao S, et al. Microbial translocation is a cause of systemic immuneactivation in chronic HIV infection. Nat Med. 2006Dec;12(12):1365-71.23. Palmer S, Maldarelli F, Wiegand A, Bernstein B, Hanna GJ,Brun SC, et al. Low-level viremia persists for at least 7 years inpatients on suppressive antiretroviral therapy. Proc Natl Acad SciU S A. 2008 Mar 11;105(10):3879-84.24. Stacey AR, Norris PJ, Qin L, Haygreen EA, Taylor E, HeitmanJ, et al. Induction of a striking systemic cytokine cascade prior topeak viremia in acute human immunodeficiency virus type 1infection, in contrast to more modest and delayed responses inacute hepatitis B and C virus infections. 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