BONE COMPLICATIONS IN HIV: Edited by Patrick W.G. Mallon and Todd T. BrownDo people with HIV infection have a higher risk of fracture compared with those without HIV infection?Hoy, Jennifera; Young, BenjaminbAuthor Information aDepartment of Infectious Diseases, The Alfred Hospital and Monash University, Melbourne, Victoria, Australia bInternational Association of Providers of AIDS Care, Washington, District of Columbia, USA Correspondence to Jennifer Hoy, Department of Infectious Diseases, Alfred Hospital and Monash University, 85 Commercial Rd, Melbourne, VIC 3004, Australia. Tel: +61 3 9076 6900; e-mail: [email protected] Current Opinion in HIV and AIDS: May 2016 - Volume 11 - Issue 3 - p 301-305 doi: 10.1097/COH.0000000000000249 Buy Metrics Abstract Purpose of review This review details recent findings that inform the prevalence and incidence of fractures in people living with HIV (PLWH) and examines the effects of HIV infection and antiretroviral therapy (ART), as well as demographics and traditional risk factors on fractures. As antiretroviral guidelines have recently changed to recommend the introduction of ART at diagnosis of HIV infection, the long-term effects of ART on bone health and fracture risk need to be better understood. Recent findings It is apparent that both the effects of HIV infection alone and initiation of ART are associated with significant bone loss in individuals with HIV infection, resulting in osteopenia and osteoporosis. The clinical consequence of low bone mineral density is a greater risk of fragility fractures that are more common in older HIV patients, and those on ART. Frailty occurs at a prevalence of about 10% (about twice that of the general population), and the increased propensity of falls results in greater fracture prevalence, morbidity and mortality. Summary This review examines data from recent cohort studies and clinical trials to inform a better understanding of the complex relationship between the effects of HIV infection, ART and demographics on fractures in PLWH. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.