Abstract #88 - Co-infection
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Session: 8.4: Co-infection (Parallel) on Monday @ 11.00-13.00 in Mirador Chaired by
Authors: Presenting Author: mrs caroline lions - ORS PACA- Inserm, France, Metropolitan
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Additional Authors:
Dr Jordi Casabona,
Sra Cristina Sanclemente,
Dra Anna Esteve,
Dra Victoria Gonzalez,
y Grupo HIVITS-TS,
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Aim: We used longitudinal data from the ANRS CO13 HEPAVIH cohort study to investigate whether polyphenol intake through coffee and/or daily chocolate consumption could play a role in reducing liver enzymes levels.
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Method / Issue: Longitudinal data collection included self-administered questionnaires and medical data (AST and ALT liver enzymes). Two analyses were performed to assess the association between coffee (>3 cups a day) and daily chocolate intake and abnormal values of AST and ALT (AST or ALT >2.5x upper normal limit (UNL)) (N=990) over time, after adjustment for known correlates. Logistic regression models based on Generalised Estimating Equations were used to take into account the correlations between repeated measures.
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Results / Comments: Individuals reporting elevated coffee consumption or daily intake of chocolate had a 40-50% reduced risk of abnormal liver enzymes. After multiple adjustments, both associations were confirmed when using abnormal ALT values as the outcome, while only a combined indicator of coffee and chocolate intake remained inversely associated with abnormal AST values.
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Discussion: Elevated coffee consumption and daily chocolate intake appear to be associated with reduced level of liver enzymes in HIV-HCV co-infected patients. Further experimental and observational research is needed to better understand the role that polyphenol intake or supplementation can play on liver disease and liver injury.
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