Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994
Identifieur interne : 001F90 ( Istex/Corpus ); précédent : 001F89; suivant : 001F91Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994
Auteurs : Joël Ladner ; Katia Castetbon ; Valériane Leroy ; Marie Nyiraziraje ; Michel Chauliac ; Etienne Karita ; André De Clercq ; Philippe Van De Perre ; François DabisSource :
- International Journal of Epidemiology [ 0300-5771 ] ; 1998-12.
Abstract
Objective To study the relationship between human immunodeficiency virus (REV) infection and body weight in African women during and after pregnancy. Methods A prospective cohort study was initiated at the Centre Hospitalier de Kigali in July 1992. Every woman seen at the antenatal clinic and with a gestational age of <28 weeks was offered HIV-1 antibody testing. Comparable numbers of HIV-infected (HIV+) and uninfected (HIV−) women were recruited. At inclusion, socio-demographic characteristics and self-reported pre-pregnancy weight were recorded; height and weight were measured. Each woman enrolled had a monthly follow-up until 9 months after delivery, with a clinical examination including weighing. Three anthropometric indices were used to answer the study objectives: weight, body mass index (BMI), and pregnancy balance. Results As of April 1994, 101 HIV+ and 106 HIV− women were followed until 5 months after delivery. Weight and BMI during pregnancy were lower in HIV+ women than in HIV− women. After delivery, weight and BMI gains were significantly lower in HIV+ women. Until 5 months after delivery, the mean weight variation was −2.2 kg (standard deviation [SD] = 5.9 kg) in HIV+ women and +0.2 kg (SD = 6.6 kg) in HIV− women (P − 0.007) in comparison to pre-pregnancy weight. Comparisons of the slopes of the weight curves did not show statistical differences throughout the pregnancy, but it did during the post-partum period (P − 0.02). Conclusions Our study suggests that HIV infection could impair nutritional status in pregnant women, especially during the post-partum period. Family planning and maternal and child health services including HIV testing and counselling, should consider a nutritional assessment and intervention programme targeted to HIV+ pregnant women.
Url:
DOI: 10.1093/ije/27.6.1072
Links to Exploration step
ISTEX:620C5AA9ED25F6FAF368D12B0CF977899BFBA44ALe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994</title><author><name sortKey="Ladner, Joel" sort="Ladner, Joel" uniqKey="Ladner J" first="Joël" last="Ladner">Joël Ladner</name><affiliation><mods:affiliation>Medical Information Unit, Centre Hospitalier de Kigali (CHK) Kigali, Rwanda</mods:affiliation></affiliation><affiliation><mods:affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</mods:affiliation></affiliation><affiliation><mods:affiliation>Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</mods:affiliation></affiliation></author><author><name sortKey="Castetbon, Katia" sort="Castetbon, Katia" uniqKey="Castetbon K" first="Katia" last="Castetbon">Katia Castetbon</name><affiliation><mods:affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</mods:affiliation></affiliation><affiliation><mods:affiliation>ORSTOM Petit Bassam Abidjan, Cöte d'Ivoire</mods:affiliation></affiliation></author><author><name sortKey="Leroy, Valeriane" sort="Leroy, Valeriane" uniqKey="Leroy V" first="Valériane" last="Leroy">Valériane Leroy</name><affiliation><mods:affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</mods:affiliation></affiliation></author><author><name sortKey="Nyiraziraje, Marie" sort="Nyiraziraje, Marie" uniqKey="Nyiraziraje M" first="Marie" last="Nyiraziraje">Marie Nyiraziraje</name><affiliation><mods:affiliation>Department of Gynaecology and Obstetrics CHK</mods:affiliation></affiliation></author><author><name sortKey="Chauliac, Michel" sort="Chauliac, Michel" uniqKey="Chauliac M" first="Michel" last="Chauliac">Michel Chauliac</name><affiliation><mods:affiliation>Centre International de l'Enfance et de la Famille Paris, France</mods:affiliation></affiliation></author><author><name sortKey="Karita, Etienne" sort="Karita, Etienne" uniqKey="Karita E" first="Etienne" last="Karita">Etienne Karita</name><affiliation><mods:affiliation>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</mods:affiliation></affiliation></author><author><name sortKey="De Clercq, Andre" sort="De Clercq, Andre" uniqKey="De Clercq A" first="André" last="De Clercq">André De Clercq</name><affiliation><mods:affiliation>Department of Gynaecology and Obstetrics CHK</mods:affiliation></affiliation></author><author><name sortKey="Van De Perre, Philippe" sort="Van De Perre, Philippe" uniqKey="Van De Perre P" first="Philippe" last="Van De Perre">Philippe Van De Perre</name><affiliation><mods:affiliation>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</mods:affiliation></affiliation></author><author><name sortKey="Dabis, Francois" sort="Dabis, Francois" uniqKey="Dabis F" first="François" last="Dabis">François Dabis</name><affiliation><mods:affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:620C5AA9ED25F6FAF368D12B0CF977899BFBA44A</idno><date when="1998" year="1998">1998</date><idno type="doi">10.1093/ije/27.6.1072</idno><idno type="url">https://api.istex.fr/document/620C5AA9ED25F6FAF368D12B0CF977899BFBA44A/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001F90</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001F90</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994</title><author><name sortKey="Ladner, Joel" sort="Ladner, Joel" uniqKey="Ladner J" first="Joël" last="Ladner">Joël Ladner</name><affiliation><mods:affiliation>Medical Information Unit, Centre Hospitalier de Kigali (CHK) Kigali, Rwanda</mods:affiliation></affiliation><affiliation><mods:affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</mods:affiliation></affiliation><affiliation><mods:affiliation>Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</mods:affiliation></affiliation></author><author><name sortKey="Castetbon, Katia" sort="Castetbon, Katia" uniqKey="Castetbon K" first="Katia" last="Castetbon">Katia Castetbon</name><affiliation><mods:affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</mods:affiliation></affiliation><affiliation><mods:affiliation>ORSTOM Petit Bassam Abidjan, Cöte d'Ivoire</mods:affiliation></affiliation></author><author><name sortKey="Leroy, Valeriane" sort="Leroy, Valeriane" uniqKey="Leroy V" first="Valériane" last="Leroy">Valériane Leroy</name><affiliation><mods:affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</mods:affiliation></affiliation></author><author><name sortKey="Nyiraziraje, Marie" sort="Nyiraziraje, Marie" uniqKey="Nyiraziraje M" first="Marie" last="Nyiraziraje">Marie Nyiraziraje</name><affiliation><mods:affiliation>Department of Gynaecology and Obstetrics CHK</mods:affiliation></affiliation></author><author><name sortKey="Chauliac, Michel" sort="Chauliac, Michel" uniqKey="Chauliac M" first="Michel" last="Chauliac">Michel Chauliac</name><affiliation><mods:affiliation>Centre International de l'Enfance et de la Famille Paris, France</mods:affiliation></affiliation></author><author><name sortKey="Karita, Etienne" sort="Karita, Etienne" uniqKey="Karita E" first="Etienne" last="Karita">Etienne Karita</name><affiliation><mods:affiliation>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</mods:affiliation></affiliation></author><author><name sortKey="De Clercq, Andre" sort="De Clercq, Andre" uniqKey="De Clercq A" first="André" last="De Clercq">André De Clercq</name><affiliation><mods:affiliation>Department of Gynaecology and Obstetrics CHK</mods:affiliation></affiliation></author><author><name sortKey="Van De Perre, Philippe" sort="Van De Perre, Philippe" uniqKey="Van De Perre P" first="Philippe" last="Van De Perre">Philippe Van De Perre</name><affiliation><mods:affiliation>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</mods:affiliation></affiliation></author><author><name sortKey="Dabis, Francois" sort="Dabis, Francois" uniqKey="Dabis F" first="François" last="Dabis">François Dabis</name><affiliation><mods:affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Epidemiology</title><idno type="ISSN">0300-5771</idno><idno type="eISSN">1464-3685</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="1998-12">1998-12</date><biblScope unit="volume">27</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1072">1072</biblScope><biblScope unit="page" to="1077">1077</biblScope></imprint><idno type="ISSN">0300-5771</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0300-5771</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Objective To study the relationship between human immunodeficiency virus (REV) infection and body weight in African women during and after pregnancy. Methods A prospective cohort study was initiated at the Centre Hospitalier de Kigali in July 1992. Every woman seen at the antenatal clinic and with a gestational age of <28 weeks was offered HIV-1 antibody testing. Comparable numbers of HIV-infected (HIV+) and uninfected (HIV−) women were recruited. At inclusion, socio-demographic characteristics and self-reported pre-pregnancy weight were recorded; height and weight were measured. Each woman enrolled had a monthly follow-up until 9 months after delivery, with a clinical examination including weighing. Three anthropometric indices were used to answer the study objectives: weight, body mass index (BMI), and pregnancy balance. Results As of April 1994, 101 HIV+ and 106 HIV− women were followed until 5 months after delivery. Weight and BMI during pregnancy were lower in HIV+ women than in HIV− women. After delivery, weight and BMI gains were significantly lower in HIV+ women. Until 5 months after delivery, the mean weight variation was −2.2 kg (standard deviation [SD] = 5.9 kg) in HIV+ women and +0.2 kg (SD = 6.6 kg) in HIV− women (P − 0.007) in comparison to pre-pregnancy weight. Comparisons of the slopes of the weight curves did not show statistical differences throughout the pregnancy, but it did during the post-partum period (P − 0.02). Conclusions Our study suggests that HIV infection could impair nutritional status in pregnant women, especially during the post-partum period. Family planning and maternal and child health services including HIV testing and counselling, should consider a nutritional assessment and intervention programme targeted to HIV+ pregnant women.</div></front></TEI><istex><corpusName>oup</corpusName><author><json:item><name>Joël Ladner</name><affiliations><json:string>Medical Information Unit, Centre Hospitalier de Kigali (CHK) Kigali, Rwanda</json:string><json:string>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</json:string><json:string>Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</json:string></affiliations></json:item><json:item><name>Katia Castetbon</name><affiliations><json:string>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</json:string><json:string>ORSTOM Petit Bassam Abidjan, Cöte d'Ivoire</json:string></affiliations></json:item><json:item><name>Valériane Leroy</name><affiliations><json:string>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</json:string></affiliations></json:item><json:item><name>Marie Nyiraziraje</name><affiliations><json:string>Department of Gynaecology and Obstetrics CHK</json:string></affiliations></json:item><json:item><name>Michel Chauliac</name><affiliations><json:string>Centre International de l'Enfance et de la Famille Paris, France</json:string></affiliations></json:item><json:item><name>Etienne Karita</name><affiliations><json:string>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</json:string></affiliations></json:item><json:item><name>André De clercq</name><affiliations><json:string>Department of Gynaecology and Obstetrics CHK</json:string></affiliations></json:item><json:item><name>Philippe Van de perre</name><affiliations><json:string>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</json:string></affiliations></json:item><json:item><name>François Dabis</name><affiliations><json:string>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</json:string></affiliations></json:item></author><subject><json:item><value>Original Articles</value></json:item><json:item><value>HIV-1</value></json:item><json:item><value>pregnancy</value></json:item><json:item><value>body weight</value></json:item><json:item><value>Africa</value></json:item></subject><articleId><json:string>27.6.1072</json:string></articleId><language><json:string>unknown</json:string></language><originalGenre><json:string>research-article</json:string></originalGenre><abstract>Objective To study the relationship between human immunodeficiency virus (REV) infection and body weight in African women during and after pregnancy. Methods A prospective cohort study was initiated at the Centre Hospitalier de Kigali in July 1992. Every woman seen at the antenatal clinic and with a gestational age of >28 weeks was offered HIV-1 antibody testing. Comparable numbers of HIV-infected (HIV+) and uninfected (HIV−) women were recruited. At inclusion, socio-demographic characteristics and self-reported pre-pregnancy weight were recorded; height and weight were measured. Each woman enrolled had a monthly follow-up until 9 months after delivery, with a clinical examination including weighing. Three anthropometric indices were used to answer the study objectives: weight, body mass index (BMI), and pregnancy balance. Results As of April 1994, 101 HIV+ and 106 HIV− women were followed until 5 months after delivery. Weight and BMI during pregnancy were lower in HIV+ women than in HIV− women. After delivery, weight and BMI gains were significantly lower in HIV+ women. Until 5 months after delivery, the mean weight variation was −2.2 kg (standard deviation [SD] = 5.9 kg) in HIV+ women and +0.2 kg (SD = 6.6 kg) in HIV− women (P − 0.007) in comparison to pre-pregnancy weight. Comparisons of the slopes of the weight curves did not show statistical differences throughout the pregnancy, but it did during the post-partum period (P − 0.02). Conclusions Our study suggests that HIV infection could impair nutritional status in pregnant women, especially during the post-partum period. Family planning and maternal and child health services including HIV testing and counselling, should consider a nutritional assessment and intervention programme targeted to HIV+ pregnant women.</abstract><qualityIndicators><score>8.665</score><pdfWordCount>3665</pdfWordCount><pdfCharCount>22547</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>6</pdfPageCount><pdfPageSize>620 x 804 pts</pdfPageSize><refBibsNative>false</refBibsNative><abstractWordCount>273</abstractWordCount><abstractCharCount>1797</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994</title><corporate><json:item><name>Pregnancy and HIV Study Group (EGE)</name></json:item></corporate><genre><json:string>research-article</json:string></genre><host><title>International Journal of Epidemiology</title><language><json:string>unknown</json:string></language><issn><json:string>0300-5771</json:string></issn><eissn><json:string>1464-3685</json:string></eissn><publisherId><json:string>ije</json:string></publisherId><volume>27</volume><issue>6</issue><pages><first>1072</first><last>1077</last></pages><genre><json:string>journal</json:string></genre></host><categories><wos><json:string>social science</json:string><json:string>public, environmental & occupational health</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>public health & health services</json:string><json:string>epidemiology</json:string></scienceMetrix></categories><publicationDate>1998</publicationDate><copyrightDate>1998</copyrightDate><doi><json:string>10.1093/ije/27.6.1072</json:string></doi><id>620C5AA9ED25F6FAF368D12B0CF977899BFBA44A</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/620C5AA9ED25F6FAF368D12B0CF977899BFBA44A/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/620C5AA9ED25F6FAF368D12B0CF977899BFBA44A/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/620C5AA9ED25F6FAF368D12B0CF977899BFBA44A/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994</title><respStmt><resp>Références bibliographiques récupérées via GROBID</resp><name resp="ISTEX-API">ISTEX-API (INIST-CNRS)</name></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher scheme="https://publisher-list.data.istex.fr">Oxford University Press</publisher><availability><licence><p>© International Epidemiological Association</p></licence><p scheme="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-GTWS0RDP-M">oup</p></availability><date>1998</date></publicationStmt><notesStmt><note type="research-article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</note><note type="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note><note>gThe EGE Study Group. Gynaecology and Obstetrics. André De Clercq (principal investigator),d Augustin Cyamana.d Mathieu Mudaheranwa,d Camille Munyangabe,d Juvénal Ntawuruhunga,d* Benoît Ntezayabo,d Marie Nyiraziraje,d* Charles Zilimwagabod. Paediatrics: Anatholie Bazubagira,h* François Xavier Nsengumuremyi)h Christiaan Van Goethem.h Microbiology: Joseph Bogaerts,i Etienne Karita,f Ariette Simonon,f Philippe Van de Perre.f Epidemiology: François Dabis,b Claire Gazille,b Joël Ladner,a,b Valériane Leroy,b Philippe Mseati,b,c Roger Salamon.b</note><note>Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994</title><author role="org"><orgName>Pregnancy and HIV Study Group (EGE)</orgName><affiliation>Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</affiliation></author><author xml:id="author-0000"><persName><forename type="first">Joël</forename><surname>Ladner</surname></persName><affiliation>Medical Information Unit, Centre Hospitalier de Kigali (CHK) Kigali, Rwanda</affiliation><affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</affiliation><affiliation>Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Katia</forename><surname>Castetbon</surname></persName><affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</affiliation><affiliation>ORSTOM Petit Bassam Abidjan, Cöte d'Ivoire</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Valériane</forename><surname>Leroy</surname></persName><affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Marie</forename><surname>Nyiraziraje</surname></persName><affiliation>Department of Gynaecology and Obstetrics CHK</affiliation></author><author xml:id="author-0004"><persName><forename type="first">Michel</forename><surname>Chauliac</surname></persName><affiliation>Centre International de l'Enfance et de la Famille Paris, France</affiliation></author><author xml:id="author-0005"><persName><forename type="first">Etienne</forename><surname>Karita</surname></persName><affiliation>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</affiliation></author><author xml:id="author-0006"><persName><forename type="first">André</forename><surname>De clercq</surname></persName><affiliation>Department of Gynaecology and Obstetrics CHK</affiliation></author><author xml:id="author-0007"><persName><forename type="first">Philippe</forename><surname>Van de perre</surname></persName><affiliation>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</affiliation></author><author xml:id="author-0008"><persName><forename type="first">François</forename><surname>Dabis</surname></persName><affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</affiliation></author><idno type="istex">620C5AA9ED25F6FAF368D12B0CF977899BFBA44A</idno><idno type="ark">ark:/67375/HXZ-CZP1QFRT-H</idno><idno type="DOI">10.1093/ije/27.6.1072</idno><idno type="article-id">27.6.1072</idno></analytic><monogr><title level="j">International Journal of Epidemiology</title><idno type="pISSN">0300-5771</idno><idno type="eISSN">1464-3685</idno><idno type="publisher-id">ije</idno><idno type="PublisherID-hwp">intjepid</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="1998-12"></date><biblScope unit="volume">27</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1072">1072</biblScope><biblScope unit="page" to="1077">1077</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1998</date></creation><abstract><p>Objective To study the relationship between human immunodeficiency virus (REV) infection and body weight in African women during and after pregnancy. Methods A prospective cohort study was initiated at the Centre Hospitalier de Kigali in July 1992. Every woman seen at the antenatal clinic and with a gestational age of <28 weeks was offered HIV-1 antibody testing. Comparable numbers of HIV-infected (HIV+) and uninfected (HIV−) women were recruited. At inclusion, socio-demographic characteristics and self-reported pre-pregnancy weight were recorded; height and weight were measured. Each woman enrolled had a monthly follow-up until 9 months after delivery, with a clinical examination including weighing. Three anthropometric indices were used to answer the study objectives: weight, body mass index (BMI), and pregnancy balance. Results As of April 1994, 101 HIV+ and 106 HIV− women were followed until 5 months after delivery. Weight and BMI during pregnancy were lower in HIV+ women than in HIV− women. After delivery, weight and BMI gains were significantly lower in HIV+ women. Until 5 months after delivery, the mean weight variation was −2.2 kg (standard deviation [SD] = 5.9 kg) in HIV+ women and +0.2 kg (SD = 6.6 kg) in HIV− women (P − 0.007) in comparison to pre-pregnancy weight. Comparisons of the slopes of the weight curves did not show statistical differences throughout the pregnancy, but it did during the post-partum period (P − 0.02). Conclusions Our study suggests that HIV infection could impair nutritional status in pregnant women, especially during the post-partum period. Family planning and maternal and child health services including HIV testing and counselling, should consider a nutritional assessment and intervention programme targeted to HIV+ pregnant women.</p></abstract><textClass><keywords scheme="keyword"><list><head>keywords</head><item><term>HIV-1</term></item><item><term>pregnancy</term></item><item><term>body weight</term></item><item><term>Africa</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head></head><item><term>Original Articles</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1998-12">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-10-5">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/620C5AA9ED25F6FAF368D12B0CF977899BFBA44A/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus oup, element #text not found" wicri:toSee="no header"><istex:docType PUBLIC="-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" URI="journalpublishing.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="hwp">intjepid</journal-id>
<journal-id journal-id-type="publisher-id">ije</journal-id>
<journal-id journal-id-type="pmc">intjepid</journal-id>
<journal-title>International Journal of Epidemiology</journal-title>
<issn pub-type="epub">1464-3685</issn>
<issn pub-type="ppub">0300-5771</issn>
<publisher>
<publisher-name>Oxford University Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">27.6.1072</article-id>
<article-id pub-id-type="doi">10.1093/ije/27.6.1072</article-id>
<article-categories>
<subj-group>
<subject>Original Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Ladner</surname><given-names>Joël</given-names></name><xref ref-type="aff" rid="au1"><sup>a</sup></xref><xref ref-type="aff" rid="au2"><sup>b</sup></xref><xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Castetbon</surname><given-names>Katia</given-names></name><xref ref-type="aff" rid="au2"><sup>b</sup></xref><xref ref-type="aff" rid="au3"><sup>c</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Leroy</surname><given-names>Valériane</given-names></name><xref ref-type="aff" rid="au2"><sup>b</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Nyiraziraje</surname><given-names>Marie</given-names></name><xref ref-type="aff" rid="au4"><sup>d</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Chauliac</surname><given-names>Michel</given-names></name><xref ref-type="aff" rid="au5"><sup>e</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Karita</surname><given-names>Etienne</given-names></name><xref ref-type="aff" rid="au6"><sup>f</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>De clercq</surname><given-names>André</given-names></name><xref ref-type="aff" rid="au4"><sup>d</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Van de perre</surname><given-names>Philippe</given-names></name><xref ref-type="aff" rid="au6"><sup>f</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Dabis</surname><given-names>François</given-names></name><xref ref-type="aff" rid="au2"><sup>b</sup></xref>
</contrib>
<contrib contrib-type="author">
<collab>Pregnancy and HIV Study Group (EGE)</collab><xref ref-type="fn" rid="fn1"><sup>g</sup></xref>
</contrib>
<aff id="au1"><sup>a</sup><institution>Medical Information Unit, Centre Hospitalier de Kigali (CHK)</institution> <addr-line>Kigali, Rwanda</addr-line></aff>
<aff id="au2"><sup>b</sup><institution>INSERM U. 330, Université Victor Segalen Bordeaux 2</institution> <addr-line>Bordeaux, France</addr-line></aff>
<aff id="au3"><sup>c</sup><institution>ORSTOM Petit Bassam</institution> <addr-line>Abidjan, Cöte d'Ivoire</addr-line></aff>
<aff id="au4"><sup>d</sup><institution>Department of Gynaecology and Obstetrics</institution> <addr-line>CHK</addr-line></aff>
<aff id="au5"><sup>e</sup><institution>Centre International de l'Enfance et de la Famille</institution> <addr-line>Paris, France</addr-line></aff>
<aff id="au6"><sup>f</sup><institution>AIDS Reference Laboratory, National AIDS Control Programme</institution> <addr-line>Kigali, Rwanda</addr-line></aff>
</contrib-group>
<author-notes>
<fn id="fn1"><p><sup>g</sup>The EGE Study Group. Gynaecology and Obstetrics. André De Clercq (principal investigator),<sup>d</sup> Augustin Cyamana.<sup>d</sup> Mathieu Mudaheranwa,<sup>d</sup> Camille Munyangabe,<sup>d</sup> Juvénal Ntawuruhunga,<sup>d*</sup> Benoît Ntezayabo,<sup>d</sup> Marie Nyiraziraje,<sup>d*</sup> Charles Zilimwagabo<sup>d</sup>. Paediatrics: Anatholie Bazubagira,<sup>h*</sup> François Xavier Nsengumuremyi)<sup>h</sup> Christiaan Van Goethem.<sup>h</sup> Microbiology: Joseph Bogaerts,<sup>i</sup> Etienne Karita,<sup>f</sup> Ariette Simonon,<sup>f</sup> Philippe Van de Perre.<sup>f</sup> Epidemiology: François Dabis,<sup>b</sup> Claire Gazille,<sup>b</sup> Joël Ladner,<sup>a,b</sup> Valériane Leroy,<sup>b</sup> Philippe Mseati,<sup>b,c</sup> Roger Salamon.<sup>b</sup></p></fn>
<corresp id="cor1">Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>1998</year>
</pub-date>
<volume>27</volume>
<issue>6</issue>
<fpage>1072</fpage>
<lpage>1077</lpage>
<history>
<date date-type="accepted">
<day>06</day>
<month>4</month>
<year>1998</year>
</date>
</history>
<copyright-statement>© International Epidemiological Association</copyright-statement>
<copyright-year>1998</copyright-year>
<abstract>
<sec><title>Objective</title>
<p>To study the relationship between human immunodeficiency virus (REV) infection and body weight in African women during and after pregnancy.</p></sec>
<sec><title>Methods</title>
<p>A prospective cohort study was initiated at the Centre Hospitalier de Kigali in July 1992. Every woman seen at the antenatal clinic and with a gestational age of <28 weeks was offered HIV-1 antibody testing. Comparable numbers of HIV-infected (HIV+) and uninfected (HIV−) women were recruited. At inclusion, socio-demographic characteristics and self-reported pre-pregnancy weight were recorded; height and weight were measured. Each woman enrolled had a monthly follow-up until 9 months after delivery, with a clinical examination including weighing. Three anthropometric indices were used to answer the study objectives: weight, body mass index (BMI), and pregnancy balance.</p></sec>
<sec><title>Results</title>
<p>As of April 1994, 101 HIV+ and 106 HIV− women were followed until 5 months after delivery. Weight and BMI during pregnancy were lower in HIV+ women than in HIV− women. After delivery, weight and BMI gains were significantly lower in HIV+ women. Until 5 months after delivery, the mean weight variation was −2.2 kg (standard deviation [SD] = 5.9 kg) in HIV+ women and +0.2 kg (SD = 6.6 kg) in HIV− women (<italic>P</italic> − 0.007) in comparison to pre-pregnancy weight. Comparisons of the slopes of the weight curves did not show statistical differences throughout the pregnancy, but it did during the post-partum period (<italic>P</italic> − 0.02).</p></sec>
<sec><title>Conclusions</title>
<p>Our study suggests that HIV infection could impair nutritional status in pregnant women, especially during the post-partum period. Family planning and maternal and child health services including HIV testing and counselling, should consider a nutritional assessment and intervention programme targeted to HIV+ pregnant women.</p></sec>
</abstract>
<kwd-group>
<kwd>HIV-1</kwd>
<kwd>pregnancy</kwd>
<kwd>body weight</kwd>
<kwd>Africa</kwd>
</kwd-group>
</article-meta>
</front>
</article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994</title></titleInfo><name type="corporate"><namePart>Pregnancy and HIV Study Group (EGE)</namePart><affiliation>Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</affiliation></name><name type="personal"><namePart type="given">Joël</namePart><namePart type="family">Ladner</namePart><affiliation>Medical Information Unit, Centre Hospitalier de Kigali (CHK) Kigali, Rwanda</affiliation><affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</affiliation><affiliation>Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Katia</namePart><namePart type="family">Castetbon</namePart><affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</affiliation><affiliation>ORSTOM Petit Bassam Abidjan, Cöte d'Ivoire</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Valériane</namePart><namePart type="family">Leroy</namePart><affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marie</namePart><namePart type="family">Nyiraziraje</namePart><affiliation>Department of Gynaecology and Obstetrics CHK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michel</namePart><namePart type="family">Chauliac</namePart><affiliation>Centre International de l'Enfance et de la Famille Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Etienne</namePart><namePart type="family">Karita</namePart><affiliation>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">André</namePart><namePart type="family">De clercq</namePart><affiliation>Department of Gynaecology and Obstetrics CHK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Philippe</namePart><namePart type="family">Van de perre</namePart><affiliation>AIDS Reference Laboratory, National AIDS Control Programme Kigali, Rwanda</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">François</namePart><namePart type="family">Dabis</namePart><affiliation>INSERM U. 330, Université Victor Segalen Bordeaux 2 Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Oxford University Press</publisher><dateIssued encoding="w3cdtf">1998-12</dateIssued><copyrightDate encoding="w3cdtf">1998</copyrightDate></originInfo><abstract>Objective To study the relationship between human immunodeficiency virus (REV) infection and body weight in African women during and after pregnancy. Methods A prospective cohort study was initiated at the Centre Hospitalier de Kigali in July 1992. Every woman seen at the antenatal clinic and with a gestational age of <28 weeks was offered HIV-1 antibody testing. Comparable numbers of HIV-infected (HIV+) and uninfected (HIV−) women were recruited. At inclusion, socio-demographic characteristics and self-reported pre-pregnancy weight were recorded; height and weight were measured. Each woman enrolled had a monthly follow-up until 9 months after delivery, with a clinical examination including weighing. Three anthropometric indices were used to answer the study objectives: weight, body mass index (BMI), and pregnancy balance. Results As of April 1994, 101 HIV+ and 106 HIV− women were followed until 5 months after delivery. Weight and BMI during pregnancy were lower in HIV+ women than in HIV− women. After delivery, weight and BMI gains were significantly lower in HIV+ women. Until 5 months after delivery, the mean weight variation was −2.2 kg (standard deviation [SD] = 5.9 kg) in HIV+ women and +0.2 kg (SD = 6.6 kg) in HIV− women (P − 0.007) in comparison to pre-pregnancy weight. Comparisons of the slopes of the weight curves did not show statistical differences throughout the pregnancy, but it did during the post-partum period (P − 0.02). Conclusions Our study suggests that HIV infection could impair nutritional status in pregnant women, especially during the post-partum period. Family planning and maternal and child health services including HIV testing and counselling, should consider a nutritional assessment and intervention programme targeted to HIV+ pregnant women.</abstract><note type="footnotes">gThe EGE Study Group. Gynaecology and Obstetrics. André De Clercq (principal investigator),d Augustin Cyamana.d Mathieu Mudaheranwa,d Camille Munyangabe,d Juvénal Ntawuruhunga,d* Benoît Ntezayabo,d Marie Nyiraziraje,d* Charles Zilimwagabod. Paediatrics: Anatholie Bazubagira,h* François Xavier Nsengumuremyi)h Christiaan Van Goethem.h Microbiology: Joseph Bogaerts,i Etienne Karita,f Ariette Simonon,f Philippe Van de Perre.f Epidemiology: François Dabis,b Claire Gazille,b Joël Ladner,a,b Valériane Leroy,b Philippe Mseati,b,c Roger Salamon.b</note><note type="author-notes">Reprint requests to: Dr Joël Ladner, Mission Française de Coopération, 01 BP 1839 Abidjan 01, Côte d'Ivoire</note><subject><genre>keywords</genre><topic>HIV-1</topic><topic>pregnancy</topic><topic>body weight</topic><topic>Africa</topic></subject><relatedItem type="host"><titleInfo><title>International Journal of Epidemiology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><topic>Original Articles</topic></subject><identifier type="ISSN">0300-5771</identifier><identifier type="eISSN">1464-3685</identifier><identifier type="PublisherID">ije</identifier><identifier type="PublisherID-hwp">intjepid</identifier><part><date>1998</date><detail type="volume"><caption>vol.</caption><number>27</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>1072</start><end>1077</end></extent></part></relatedItem><identifier type="istex">620C5AA9ED25F6FAF368D12B0CF977899BFBA44A</identifier><identifier type="DOI">10.1093/ije/27.6.1072</identifier><identifier type="ArticleID">27.6.1072</identifier><accessCondition type="use and reproduction" contentType="copyright">© International Epidemiological Association</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-GTWS0RDP-M">oup</recordContentSource><recordOrigin>© International Epidemiological Association</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/620C5AA9ED25F6FAF368D12B0CF977899BFBA44A/metadata/json</uri></json:item></metadata><annexes><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/620C5AA9ED25F6FAF368D12B0CF977899BFBA44A/annexes/pdf</uri></json:item></annexes><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001F90 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 001F90 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:620C5AA9ED25F6FAF368D12B0CF977899BFBA44A
|texte= Pregnancy, body weight and human immunodeficiency virus infection in African women: a prospective cohort study in Kigali (Rwanda), 1992–1994
}}
| This area was generated with Dilib version V0.6.32. |  |