Clinical Reviews in Bone and Mineral Metabolism

, Volume 10, Issue 4, pp 266–276

The Crosstalk Between Bone and Fat in HIV-Infected Patients, with a Focus on Lipodystrophy

Original Paper


Low bone mineral density and osteoporosis are prevalent in cohorts of HIV-positive patients, with increased fracture rates also described. HIV is a disease characterised by abnormalities in body fat metabolism, particularly HIV-associated lipodystrophy, a common long-term side effect of antiretroviral therapy for HIV infection. Given the close metabolic relationships between bone and fat, the presence of these two conditions raises questions as to potential pathogenic links between the two. This review discusses both conditions and identifies potential factors that may link abnormalities in fat distribution with decreased bone mineral density.


Adipose tissue Fat Bone mineral density Body composition Adipokines 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.HIV Molecular Research Group, School of Medicine and Medical ScienceUniversity College DublinDublinIreland
  2. 2.Department of Infectious DiseasesMater Misericordiae University HospitalDublinIreland
  3. 3.Catherine McAuley Education and Research CentreMater Misericordiae University HospitalDublin 7Ireland

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