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Background:   Obesity is common among patients with HIV. The objective of this study was to characterize response to antiretroviral therapy (ART) in a cohort of obese incarcerated adults compared to a nonobese cohort.Methods:   A retrospective matched cohort study was conducted in an HIV telemedicine clinic. Patients with body mass index (BMI) &gt;30 kg/m 2  who received the same ART with &gt;95% adherence for at least 6 months were matched to nonobese patients by age, gender, ART, CD4 count, and viral load at baseline.Results:   Twenty pairs were included, with an average BMI of 24 kg/m 2  in the nonobese cohort and 35 kg/m 2  in the obese cohort. No difference was observed in the proportion of patients who achieved virologic suppression or the change in CD4 count from baseline to 6 to 12 months.Conclusion:   This study revealed no differences in immunologic recovery or virologic suppression between obese and nonobese patients in an adult correctional population.

Immunologic and Virologic Outcomes of Obese and Nonobese Incarcerated Adults on Antiretroviral Therapy for HIV Infection