Artikel ; Online: Prevalence and risk factors of metabolic syndrome in Ethiopia: describing an emerging outbreak in HIV clinics of the sub-Saharan Africa - a cross-sectional study.
2023 Band 13, Heft 12, Seite(n) e069637
Abstract: Objectives: HIV-induced chronic inflammation, immune activation and combination antiretroviral therapy (cART) are linked with adverse metabolic changes known to cause cardiovascular adversities. This study evaluates the prevalence of lipodystrophy, and ... ...
Abstract | Objectives: HIV-induced chronic inflammation, immune activation and combination antiretroviral therapy (cART) are linked with adverse metabolic changes known to cause cardiovascular adversities. This study evaluates the prevalence of lipodystrophy, and metabolic syndrome (MetS), and analyses risk factors in HIV-infected Ethiopians taking cART. Methods: A multicentre cross-sectional study was conducted at tertiary-level hospitals. Eligible participants attending the HIV clinics were enrolled. Sociodemographic, anthropometric, clinical, HIV treatment variables, lipid profile, fasting blood glucose level, risk factors and components of MetS, also lipodystrophy, were studied. Data were analysed by SPSS statistical package V.25 with descriptive and analytical statistics. For multivariable analysis of risk factors, a logistic regression model was used. Results were presented in frequency and percentages, mean±SD, or median+IQR. Statistical significance was taken as p<0.05. Results: Among 518 studied participants, two-thirds were females, and the mean age of the study population was 45 years (SD=11). The mean duration of cART was 10 years (SD=4). Median CD4 count was 460 cells/mm Conclusion: Our study revealed 38% of the participants had MetS indicating considerable cardiovascular disease (CVD) risks. Independent risk factors for MetS were BMI≥25 kg/m |
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Mesh-Begriff(e) | Adult ; Humans ; Female ; Middle Aged ; Male ; HIV Infections/complications ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; Metabolic Syndrome/epidemiology ; Metabolic Syndrome/complications ; Lopinavir/therapeutic use ; Ritonavir/adverse effects ; Cross-Sectional Studies ; Prevalence ; Ethiopia/epidemiology ; Risk Factors ; Lipodystrophy/complications ; Lipodystrophy/drug therapy ; Lipodystrophy/epidemiology ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/complications |
Chemische Substanzen | efavirenz (JE6H2O27P8) ; Lopinavir (2494G1JF75) ; Ritonavir (O3J8G9O825) |
Sprache | Englisch |
Erscheinungsdatum | 2023-12-09 |
Erscheinungsland | England |
Dokumenttyp | Journal Article ; Research Support, N.I.H., Extramural |
ZDB-ID | 2599832-8 |
ISSN | 2044-6055 ; 2044-6055 |
ISSN (online) | 2044-6055 |
ISSN | 2044-6055 |
DOI | 10.1136/bmjopen-2022-069637 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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