Weight status and associated factors among HIV-infected people on antiretroviral therapy in rural Dikgale, Limpopo, South Africa
Identifieur interne : 000C96 ( Main/Exploration ); précédent : 000C95; suivant : 000C97Weight status and associated factors among HIV-infected people on antiretroviral therapy in rural Dikgale, Limpopo, South Africa
Auteurs : Felistas Mashinya [Afrique du Sud] ; Marianne Alberts [Afrique du Sud] ; Robert Colebunders ; Jean-Pierre Van GeertruydenSource :
- African Journal of Primary Health Care & Family Medicine [ 2071-2928 ] ; 2016.
Abstract
Underweight in human immunodeficiency virus (HIV)-infected people on antiretroviral therapy (ART) complicates the management of HIV infection and contributes to mortality, whereas overweight increases the risk of cardiovascular disease (CVD).
The study determined weight status and associated factors in people with HIV infection receiving ART.
Rural primary health care clinics in Dikgale, Limpopo province, South Africa.
A cross-sectional study in which data were collected using the World Health Organization (WHO) stepwise approach to surveillance (STEPS) questionnaire and calculated using WHO analysis programmes guide. Weight and height were measured using standard WHO procedures, and body mass index was calculated as weight (kg)/height (m2). Data on ART duration were extracted from patients’ files. CD4 lymphocyte counts and viral load were determined using standard laboratory techniques.
Of the 214 participants, 8.9%, 54.7% and 36.4% were underweight, normal weight and overweight, respectively. Physical activity (OR: 0.99,
A high proportion of people on ART were overweight and a smaller proportion underweight. There is a need to simultaneously address the two extreme weight problems in this vulnerable population through educating them on benefits of avoiding tobacco, engaging in physical activity and raising awareness of CVD risk.
Url:
DOI: 10.4102/phcfm.v8i1.1230
PubMed: 28155318
PubMed Central: 5153409
Affiliations:
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Science, Faculty of Health Sciences, University of Limpopo, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Pathology and Medical Science, Faculty of Health Sciences, University of Limpopo</wicri:regionArea><wicri:noRegion>University of Limpopo</wicri:noRegion></affiliation></author><author><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><affiliation><nlm:aff id="AF0002">Global Health Institute, Faculty of Medicine, Antwerp University, Belguim</nlm:aff><wicri:noCountry code="subfield">Belguim</wicri:noCountry></affiliation></author><author><name sortKey="Van Geertruyden, Jean Pierre" sort="Van Geertruyden, Jean Pierre" uniqKey="Van Geertruyden J" first="Jean-Pierre" last="Van Geertruyden">Jean-Pierre Van Geertruyden</name><affiliation><nlm:aff id="AF0002">Global Health Institute, Faculty of Medicine, Antwerp University, Belguim</nlm:aff><wicri:noCountry code="subfield">Belguim</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28155318</idno><idno type="pmc">5153409</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5153409</idno><idno type="RBID">PMC:5153409</idno><idno type="doi">10.4102/phcfm.v8i1.1230</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002129</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002129</idno><idno type="wicri:Area/Pmc/Curation">002128</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002128</idno><idno type="wicri:Area/Pmc/Checkpoint">000383</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000383</idno><idno type="wicri:Area/Ncbi/Merge">003D62</idno><idno type="wicri:Area/Ncbi/Curation">003D62</idno><idno type="wicri:Area/Ncbi/Checkpoint">003D62</idno><idno type="wicri:doubleKey">2071-2928:2016:Mashinya F:weight:status:and</idno><idno type="wicri:Area/Main/Merge">000C96</idno><idno type="wicri:Area/Main/Curation">000C96</idno><idno type="wicri:Area/Main/Exploration">000C96</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Weight status and associated factors among HIV-infected people on antiretroviral therapy in rural Dikgale, Limpopo, South Africa</title><author><name sortKey="Mashinya, Felistas" sort="Mashinya, Felistas" uniqKey="Mashinya F" first="Felistas" last="Mashinya">Felistas Mashinya</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Pathology and Medical Science, Faculty of Health Sciences, University of Limpopo, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Pathology and Medical Science, Faculty of Health Sciences, University of Limpopo</wicri:regionArea><wicri:noRegion>University of Limpopo</wicri:noRegion></affiliation></author><author><name sortKey="Alberts, Marianne" sort="Alberts, Marianne" uniqKey="Alberts M" first="Marianne" last="Alberts">Marianne Alberts</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Pathology and Medical Science, Faculty of Health Sciences, University of Limpopo, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Pathology and Medical Science, Faculty of Health Sciences, University of Limpopo</wicri:regionArea><wicri:noRegion>University of Limpopo</wicri:noRegion></affiliation></author><author><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><affiliation><nlm:aff id="AF0002">Global Health Institute, Faculty of Medicine, Antwerp University, Belguim</nlm:aff><wicri:noCountry code="subfield">Belguim</wicri:noCountry></affiliation></author><author><name sortKey="Van Geertruyden, Jean Pierre" sort="Van Geertruyden, Jean Pierre" uniqKey="Van Geertruyden J" first="Jean-Pierre" last="Van Geertruyden">Jean-Pierre Van Geertruyden</name><affiliation><nlm:aff id="AF0002">Global Health Institute, Faculty of Medicine, Antwerp University, Belguim</nlm:aff><wicri:noCountry code="subfield">Belguim</wicri:noCountry></affiliation></author></analytic><series><title level="j">African Journal of Primary Health Care & Family Medicine</title><idno type="ISSN">2071-2928</idno><idno type="eISSN">2071-2936</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>Underweight in human immunodeficiency virus (HIV)-infected people on antiretroviral therapy (ART) complicates the management of HIV infection and contributes to mortality, whereas overweight increases the risk of cardiovascular disease (CVD).</p></sec><sec id="st2"><title>Aim</title><p>The study determined weight status and associated factors in people with HIV infection receiving ART.</p></sec><sec id="st3"><title>Setting</title><p>Rural primary health care clinics in Dikgale, Limpopo province, South Africa.</p></sec><sec id="st4"><title>Methods</title><p>A cross-sectional study in which data were collected using the World Health Organization (WHO) stepwise approach to surveillance (STEPS) questionnaire and calculated using WHO analysis programmes guide. Weight and height were measured using standard WHO procedures, and body mass index was calculated as weight (kg)/height (m<sup>2</sup>). Data on ART duration were extracted from patients’ files. CD4 lymphocyte counts and viral load were determined using standard laboratory techniques.</p></sec><sec id="st5"><title>Results</title><p>Of the 214 participants, 8.9%, 54.7% and 36.4% were underweight, normal weight and overweight, respectively. Physical activity (OR: 0.99, <italic>p</italic> = 0.001) and male gender (OR: 0.29, <italic>p</italic> = 0.04) were negatively associated with overweight. Men who used tobacco were more likely to be underweight than non-tobacco users (OR: 10.87, <italic>p</italic> = 0.02). Neither ART duration nor viral load or CD4 count was independently associated with underweight or overweight in multivariate analysis.</p></sec><sec id="st6"><title>Conclusion</title><p>A high proportion of people on ART were overweight and a smaller proportion underweight. 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Peltzer</name></author><author><name sortKey="Phaswana Mafuya, N" uniqKey="Phaswana Mafuya N">N Phaswana-Mafuya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nkengfack, Gn" uniqKey="Nkengfack G">GN Nkengfack</name></author><author><name sortKey="Ngogang, J" uniqKey="Ngogang J">J Ngogang</name></author><author><name sortKey="Englert, H" uniqKey="Englert H">H Englert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alberts, M" uniqKey="Alberts M">M Alberts</name></author><author><name sortKey="Dikotope, Sa" uniqKey="Dikotope S">SA Dikotope</name></author><author><name sortKey="Choma, Sr" uniqKey="Choma S">SR Choma</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li></country></list><tree><noCountry><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><name sortKey="Van Geertruyden, Jean Pierre" sort="Van Geertruyden, Jean Pierre" uniqKey="Van Geertruyden J" first="Jean-Pierre" last="Van Geertruyden">Jean-Pierre Van Geertruyden</name></noCountry><country name="Afrique du Sud"><noRegion><name sortKey="Mashinya, Felistas" sort="Mashinya, Felistas" uniqKey="Mashinya F" first="Felistas" last="Mashinya">Felistas Mashinya</name></noRegion><name sortKey="Alberts, Marianne" sort="Alberts, Marianne" uniqKey="Alberts M" first="Marianne" last="Alberts">Marianne Alberts</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:28155318" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |