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We estimated the citywide prevalence of hypertension, type 2 diabetes, dyslipidaemia, and obesity; examined differences by demographic subgroups; and assessed clinical correlates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Utilizing an electronic medical record (<jats:styled-content style=\"fixed-case\">EMR<\/jats:styled-content>) database from the <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content> Cohort study \u2013 a multicentre prospective cohort study of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected outpatients \u2013 we assessed the period prevalence of metabolic comorbidities between 2011 and 2015 using composite definitions that incorporated diagnoses, pharmacy records, and clinical\/laboratory results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 7018 adult patients (median age 50 years; 77% black), 50% [95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 49\u201351] had hypertension, 13% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 12\u201314) had diabetes, 48% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 47\u201349) had dyslipidaemia, and 35% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 34\u201336) had obesity. Hypertension was more prevalent among black patients, diabetes and obesity were more prevalent among female and black patients, dyslipidaemia was more prevalent among male and white patients, and comorbidities were more prevalent among older patients (all <jats:italic>P<\/jats:italic> &lt; 0.001). For many patients, evidence of treatment for these comorbidities was not available in the EMR. Longer time since <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> diagnosis, greater duration of antiretroviral treatment, and having controlled immunovirological parameters were associated with metabolic comorbidities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings underscore the pervasive burden of metabolic comorbidities among <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected persons, serve as the basis for future analyses characterizing their impact on subsequent adverse cardiovascular outcomes, and highlight the need for an increased focus on the prevention and control of comorbid complications in this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12516","type":"journal-article","created":{"date-parts":[[2017,5,15]],"date-time":"2017-05-15T07:32:40Z","timestamp":1494833560000},"page":"724-735","source":"Crossref","is-referenced-by-count":52,"title":["High burden of metabolic 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