Overweight and abdominal obesity in adults living with HIV/AIDS

Castro, Aline de Cássia Oliveira; Silveira, Érika Aparecida; Falco, Marianne de Oliveira; Nery, Max Weyler; Turchi, Marília Dalva

doi:10.1590/1806-9282.62.04.353

Cited by 27 publications

(23 citation statements)

References 25 publications

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“…Relative to patients aged greater than 50, patients aged between 18-30, are 60% times less likely to develop the risk of being overweight (AOR=0.4,95% CI (0.2,0.9). This is in line with the finding that observed in Tanzania and brazil that showed overweight and obesity were more prevalent in older patients, with the oldest age-group (>50 years) having the highest burden (18,19). This might be due to the relative risk curves of overweight and obesity reach maximum point in the mid-50s and then declines.…”

Section: Discussionsupporting

confidence: 91%

Magnitude of obesity/overweight and its associated factors among HIV/AIDS patients on antiretroviral therapy in Jimma University Specialized and Teaching hospital, south west Ethiopia: Hospital based Crossectional study

Yitbarek

Engidaw

Ayele³

et al. 2019

Preprint

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Background: Obesity is on the rise worldwide, not only in the general population but also in PLWHA. Being overweight and obese are themselves a risk factors for cardiovascular and other diseases. Despite this few studies have been conducted to determine the magnitude of obesity/overweight and its associated factors among HIV/AIDS patients in Ethiopia. This study aimed at determining the magnitude of obesity/overweight and its associated factors among HIV/AIDS patients on HAART at JUSTH, Ethiopia 2019. Method: hospital based cross-sectional study was conducted from January to February in 2019 at JUSTH. WHO STEP wise approach to chronic disease risk factor surveillance (STEPS) questionnaire and document review for HIV related clinical factors was applied. Weight, height and waist circumference and hip circumference were measured. BMI ≥25 kg/m2 was considered overweight, while abdominal obesity was referred to males with waist to hip ratio of greater than 0.95 and greater than 0.85 for females. Data was analyzed using SPSS version 20. Results: A total of 252 participants with a response rate of 95.8% were included. The prevalence of obesity/overweight was 21%. After adjusting for these variables, age category of greater than 50 years [AOR = 0.4, 95%CI (0.2, 0.9), p = 0.03],WHO clinical stage III and above [AOR = 0.04,95% CI (0.002,0.6) ), p = 0.02], presence of mild to moderate physical activity [AOR = 1.3,95% CI,(5.5,33.3)),p=0.00), plasma CD4 count between 351-500 copies/ml [AOR=0.15,95% CI, (0.04,0.6) p=0.024], female sex [AOR = 2.6,95% CI,(1.25,10)p=0.03)] were significantly associated with obesity/overweight Conclusion: There was a high prevalence of obesity/overweight among HIV/AIDS patients. It was found that older age , female sex , early stage of the disease, lower CD4 cunt and absence of mild to moderate physical activity were significant predictor of obesity/overweight. Clinicians should be aware of the health consequence of obesity and consider instituting targeted weight management programs as part of routine HIV care. It is, therefore, vital to encourage intervention strategies that focus on promotion of physical activity among people living with HIV/AIDS.

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Section: Discussionsupporting

confidence: 91%

Magnitude of obesity/overweight and its associated factors among HIV/AIDS patients on antiretroviral therapy in Jimma University Specialized and Teaching hospital, south west Ethiopia: Hospital based Crossectional study

Yitbarek

Engidaw

Ayele³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…A predominance of HIV cases was found in men (51.4%), a result corroborated with data from the Ministry of Health 17 and other national surveys 18,19 .…”

Section: Discussionsupporting

confidence: 87%

“…As in other studies 18,20,25 it was observed that most of the men (61.1%) were classified with adequate nutritional status, while most women (47.1%) were overweight or obese. In the present study, women had a significantly lower education level compared to men, indicating an inverse relationship between schooling and overweight.…”

Section: Discussionsupporting

confidence: 79%

Anthropometric measures as indicators of the nutritional status of people living with HIV

et al. 2019

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Several studies have noted the increased survival time of people living with HIV (PLH) after the use of antiretroviral therapy. However, impacts on nutritional status (NS) have not been reported. The aim of this study was to evaluate the association between anthropometric measures as indicators of the NS of PLH. A cross-sectional study was conducted with 35 PLH receiving care at a Brazilian public service specialized in HIV/AIDS (2017-2018) was recruited by convenience. Data were analyzed using SPSS 18.0. The anthropometric variables measured were: weight, height, body mass index (BMI), triceps skinfold (TSF), mid-arm circumference (MAC), mid-arm muscle circunference (MAMC), waist circunference (WC) and neck circumference (NC). According to BMI, 48.6% (n= 17) of patients were eutrophic, using criteria based on TSF, MAC and MAMC resulted in 57.1% (n= 20), 48.6 (n= 17) and 48.6%(n= 17) being classified as underweight, respectively. Prevalence of WC-defined central obesity and NC defined central obesity were 42.9% and 37.1%, respectively.

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“…This is in line with the finding that observed in Tanzania and brazil that showed overweight and obesity were more prevalent in older patients, with the oldest age-group (>50 years) having the highest burden. 17,18 This might be due to the relative risk curves of overweight and obesity reach maximum point in the mid-50s and then declines.…”

Section: Discussionmentioning

confidence: 99%

<p>Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study</p>

Yitbarek¹,

Engidaw²,

Ayele³

et al. 2020

DMSO

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Purpose: Obesity is on the rise worldwide, not only in the general population but also in PLWHA. Being overweight and obese are themselves risk factors for cardiovascular and other diseases. Despite this, few studies have been conducted to determine the magnitude of obesity/overweight and its associated factors among HIV/AIDS patients in Ethiopia, which necessitates this study. Methods: Hospital-based cross-sectional study was conducted from December to January 2019 at selected Jimma zone hospitals. WHO STEP-wise approach to chronic disease risk factor surveillance (STEPS) questionnaire and document review for HIV-related clinical factors was applied. Weight, height and waist circumference and hip circumference were measured. Data were analyzed using SPSS version 20. Results: A total of 252 participants with a response rate of 95.8% were included. The prevalence of obesity/overweight was 21%. After adjusting for these variables, age category of greater than 50 years [AOR = 0.4, 95% CI (0.2, 0.9), p = 0.03], WHO clinical stage III and above [AOR = 0.04, 95% CI (0.002, 0.6), p = 0.02], presence of mild to moderate physical activity [AOR = 1.3, 95% CI (5.5, 33.3), p ≤ 0.001)], plasma CD4 count between 351 and 500 copies/mL [AOR=0.15, 95% CI (0.04, 0.6) p=0.024], and female sex [AOR = 2.6, 95% CI (1.25, 10) p=0.03)] were significantly associated with obesity/overweight. Conclusion: There was a high prevalence of obesity/overweight among HIV/AIDS patients. It was found that older age, female sex, early stage of the disease, lower CD4 count and presence of mild to moderate physical activity were significant predictors of obesity/overweight. Clinicians should be aware of the health consequence of obesity and consider instituting targeted weight management programs as a part of routine HIV care.

show abstract

Overweight and abdominal obesity in adults living with HIV/AIDS

Cited by 27 publications

References 25 publications

Magnitude of obesity/overweight and its associated factors among HIV/AIDS patients on antiretroviral therapy in Jimma University Specialized and Teaching hospital, south west Ethiopia: Hospital based Crossectional study

Magnitude of obesity/overweight and its associated factors among HIV/AIDS patients on antiretroviral therapy in Jimma University Specialized and Teaching hospital, south west Ethiopia: Hospital based Crossectional study

Anthropometric measures as indicators of the nutritional status of people living with HIV

<p>Magnitude of Obesity/Overweight and Its Associated Factors Among HIV/AIDS Patients on Antiretroviral Therapy in Jimma Zone Hospitals, South West Ethiopia: Hospital-Based Cross-Sectional Study</p>

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