Characteristics of microelementosis as a risk factor of chronic gastroduodenal diseases in HIV-infected population

Received: 2025-12-13 17:01:09

Published: 2026-02-27

Abstract

Chronic gastroduodenal diseases (CGD), including peptic ulcers, chronic gastritis, and gastroduodenitis, are common among people living with HIV. One of the major risk factors associated with these conditions is microelementosis (MTOS), characterized by imbalances in essential trace elements. This study investigates the prevalence and impact of MTOS in the HIV-infected population.\\


Aim. To evaluate the prevalence, severity, and specific biochemical deficiencies associated with MTOS and its potential role as a risk factor for CGD in HIV-infected individuals.


Materials and methods. This study involved 507 HIV-infected adults, aged 20–69, residing in Andijan, Uzbekistan. Participants were assessed for levels of key electrolytes, including potassium, calcium, and sodium, using fasting blood samples. Participants were categorized by age and gender to explore demographic variations in MTOS prevalence and severity.
Results. The study found high rates of electrolyte deficiencies among participants, with 89.2% experiencing hyponatremia, 72.2% hypokalemia, and 28.8% hypocalcemia. Significant gender-based differences were observed, with HIV-infected women displaying higher prevalence rates of hyponatremia and hypokalemia. The data also indicated a progressive increase in the prevalence of severe MTOS with age (P < 0.05), suggesting an age-related risk for CGD.


Conclusion. Microelementosis represents a significant risk factor for CGD in HIV-infected individuals, and this study underscores the need for targeted nutritional support and regular electrolyte monitoring in this population. Preventative strategies, including diet modifications and micronutrient supplementation, may help mitigate CGD progression in HIV-infected patients.

List of references

  1. Sim, J.H., Mukerji, Sh.S., Russo, S.C., Lo, J. 2021. Gastrointestinal dysfunction and HIV comorbidities. Current HIV/AIDS Reports, 18(1), 57-62.

  2. Wang, H., Kotler, D. P. 2014. HIV enteropathy and aging: Gastrointestinal immunity, mucosal epithelial barrier, and microbial translocation. Current Opinion in HIV and AIDS, 9(4), 309-316.

  3. Visser, M.E., Durao, S., Sinclair, D., Irlam, J.H., Siegfried, N. 2017. Micronutrient supplementation in adults with HIV infection. Cochrane Database of Systematic Reviews, 5(5), CD003650.

  4. Agócs, R.I., Sugár, D., Pap, D., Szabó, A.J. 2019. The immunomodulatory role of sodium. Orvosi Hetilap, 160(17), 646-653.

  5. Willebrand, R., Kleinewietfeld, M. 2018. The role of salt for immune cell function and disease. Immunology, 154(3), 346-353.

  6. Zhao, F., Feng, X.L., Xu, W., Ma, Y.M., Wang, Z., Li, W.J. 2010. Effect of micronutrients on the immune status of human immunodeficiency virus-positive individuals. Acta Academiae Medicinae Sinicae, 32(3), 340-342.

  7. Wobeser, W.L., McBane, J.E., Balfour, L., Conway, B., Gill, M.J., Huff, H., Kilby, D.L.P., Fergusson, D.A., Mallick, R., Mills, E.J., Muldoon, K.A., Rachlis, A., Ralph, E.D., Rosenes, R., Singer, J., Singhal, N., Tan, D., Tremblay, N., Vo, D., Walmsley, S.L., Cameron, D.W. 2022. A randomized control trial of high-dose micronutrient-antioxidant supplementation in healthy persons with untreated HIV infection. PLoS One, 17(7), 1-20.

  8. Fabusoro, O.K., Mejia, L.A. 2021. Nutrition in HIV-Infected infants and children: current knowledge, existing challenges, and new dietary management opportunities. Advances in Nutrition, 12(4), 1424-1437.

  9. Tugume, L., Fieberg, A., Ssebambulidde, K., Nuwagira, E., Williams, D.A., Mpoza, E., Rutakingirwa, M.K., Kagimu, E., Kasibante, J., Nsangi, L., Jjunju, S., Musubire, A.K., Muzoora, C., Lawrence, D.S., Rhein, J., Meya, D.B., Hullsiek, K.H., Boulware, D.R., Abassi, M. 2022. Association of hyponatremia on mortality in cryptococcal meningitis: A prospective cohort. Open Forum Infectious Diseases, 9(7), 1-7.

  10. Lee, S., Collado, A., Singla, M., Carbajal, R., Chaudhari, A., Baumstein, D. 2016. Diagnosis and treatment of Cerebral Salt Wasting Syndrome with cryptococcal meningitis in HIV patient. American Journal of Therapeutics, 23(2), 579-582.

  11. Nyende, L., Kalyesubula, R., Sekasanvu, E., Byakika-Kibwika, P. 2020. Prevalence of renal dysfunction among HIV infected patients receiving Tenofovir at Mulago: A cross-sectional study. BMC Nephrology, 21, 1-6.

  12. Fioroti, C.E.A., Distenhreft, J.I.Q., Paulino, B.B., Lacchine, K., Ramos, D.R., Seguro, A.C., Luchi, W.M. 2022. Tenofovir-induced renal and bone toxicity: Report of two cases and literature review. Revista do Instituto de Medicina Tropical de São Paulo, 64, 1-7.

  13. Tai, C.C., Chou, R.Y., Guo, J.Y., Chen, H.P. 2020. Severe acute hypokalaemia associated with piperacillin/tazobactam in an HIV-infected patient under antiretroviral therapy with tenofovir alafenamide: case report and literature review. Sexual Health, 17(2), 194-197.

  14. Kuehn, E.W., Anders, H.J., Bogner, J.R., Obermaier, J., Goebel, F.D., Schlöndorff, D. 1999. Hypocalcaemia in HIV infection and AIDS. Journal of Internal Medicine, 245(1), 69-73.

  15. Gulden, T., Yahyavi, S.K., Lodding, I.P., Jensen, J.B., Blomberg Jensen, M. 2021. Severe hypocalcemia due to hypoparathyroidism associated with HIV: A case report. Bone Reports, 15, 1-4.

  16. Noe, S., Jonsson-Oldenbuettel, C., Jaeger, H., Schoenitzer, V., Balogh, A., Wolf, E. 2022. Inadequate PTH response to hypocalcemia in people living with HIV. Current HIV Research, 20(3), 200-203.

  17. Pillay, P., Pillay, S., Mchunu, N. 2020. The spectrum of electrolyte abnormalities in black African people living with human immunodeficiency virus and diabetes mellitus at Edendale Hospital, Pietermaritzburg, South Africa. Southern African Journal of HIV Medicine, 21(1), 1-8.

  18. Nabavi-Rad, A., Azizi, M., Jamshidizadeh, S., Sadeghi, A., Aghdaei, H.A., Yadegar, A., Zali, M.R. 2022. The effects of vitamins and micronutrients on Helicobacter pylori pathogenicity, survival, and eradication: A crosstalk between micronutrients and immune system. Journal of Immunology Research, 2022, 1-22.

  19. Lahner, E., Persechino, S., Annibale, B. 2012. Micronutrients (Other than iron) and Helicobacter pylori infection: A systematic review. Helicobacter, 17(1), 1-15.

About the Authors

Donokhon K.Makhsumova
Andijan State Medical Institute
Sherzodbek O.Alibekov
Andijan State Medical Institute
Zukhriddin Salokhiddinov
Andijan State Medical Institute
Ne’matjon S.Mamasoliev
Andijan State Medical Institute

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How to Cite

1.
Characteristics of microelementosis as a risk factor of chronic gastroduodenal diseases in HIV-infected population. MSU [Internet]. 2026 Feb. 27 [cited 2026 May 6];5(1):32-7. Available from: https://fdoctors.uz/index.php/journal/article/view/258

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