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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Body Composition among HIV-seropositive and HIV-seronegative Adult Patients with Pulmonary Tuberculosis in Uganda</title>
<author><name sortKey="Mupere, Ezekiel" sort="Mupere, Ezekiel" uniqKey="Mupere E" first="Ezekiel" last="Mupere">Ezekiel Mupere</name>
<affiliation><nlm:aff id="A1"> Department of Paediatrics and Child health School of Medicine, Makerere University, P O Box 7072 Kampala, Uganda</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3"> Department of Epidemiology and Biostatistics, Case Western Reserve University 10900 Euclid Avenue, 44106 Cleveland Ohio, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Zalwango, Sarah" sort="Zalwango, Sarah" uniqKey="Zalwango S" first="Sarah" last="Zalwango">Sarah Zalwango</name>
<affiliation><nlm:aff id="A2"> Uganda-Case Western Reserve University Research Collaboration P O Box 663 Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chiunda, Allan" sort="Chiunda, Allan" uniqKey="Chiunda A" first="Allan" last="Chiunda">Allan Chiunda</name>
<affiliation><nlm:aff id="A3"> Department of Epidemiology and Biostatistics, Case Western Reserve University 10900 Euclid Avenue, 44106 Cleveland Ohio, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Okwera, Alphonse" sort="Okwera, Alphonse" uniqKey="Okwera A" first="Alphonse" last="Okwera">Alphonse Okwera</name>
<affiliation><nlm:aff id="A2"> Uganda-Case Western Reserve University Research Collaboration P O Box 663 Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mugerwa, Roy" sort="Mugerwa, Roy" uniqKey="Mugerwa R" first="Roy" last="Mugerwa">Roy Mugerwa</name>
<affiliation><nlm:aff id="A2"> Uganda-Case Western Reserve University Research Collaboration P O Box 663 Kampala, Uganda</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4"> Department of Internal Medicine School of Medicine, Makerere University P O Box 7072 Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Whalen, Christopher" sort="Whalen, Christopher" uniqKey="Whalen C" first="Christopher" last="Whalen">Christopher Whalen</name>
<affiliation><nlm:aff id="A3"> Department of Epidemiology and Biostatistics, Case Western Reserve University 10900 Euclid Avenue, 44106 Cleveland Ohio, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5"> Department of Epidemiology and Biostatistics College of Public Health University of Geogia Coverdell Center for Biomedical and Health Sciences University of Georgia, Athens 30602, USA</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">20159491</idno>
<idno type="pmc">2824615</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824615</idno>
<idno type="RBID">PMC:2824615</idno>
<idno type="doi">10.1016/j.annepidem.2009.11.001</idno>
<date when="2010">2010</date>
<idno type="wicri:Area/Pmc/Corpus">001099</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001099</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Body Composition among HIV-seropositive and HIV-seronegative Adult Patients with Pulmonary Tuberculosis in Uganda</title>
<author><name sortKey="Mupere, Ezekiel" sort="Mupere, Ezekiel" uniqKey="Mupere E" first="Ezekiel" last="Mupere">Ezekiel Mupere</name>
<affiliation><nlm:aff id="A1"> Department of Paediatrics and Child health School of Medicine, Makerere University, P O Box 7072 Kampala, Uganda</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3"> Department of Epidemiology and Biostatistics, Case Western Reserve University 10900 Euclid Avenue, 44106 Cleveland Ohio, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Zalwango, Sarah" sort="Zalwango, Sarah" uniqKey="Zalwango S" first="Sarah" last="Zalwango">Sarah Zalwango</name>
<affiliation><nlm:aff id="A2"> Uganda-Case Western Reserve University Research Collaboration P O Box 663 Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chiunda, Allan" sort="Chiunda, Allan" uniqKey="Chiunda A" first="Allan" last="Chiunda">Allan Chiunda</name>
<affiliation><nlm:aff id="A3"> Department of Epidemiology and Biostatistics, Case Western Reserve University 10900 Euclid Avenue, 44106 Cleveland Ohio, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Okwera, Alphonse" sort="Okwera, Alphonse" uniqKey="Okwera A" first="Alphonse" last="Okwera">Alphonse Okwera</name>
<affiliation><nlm:aff id="A2"> Uganda-Case Western Reserve University Research Collaboration P O Box 663 Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mugerwa, Roy" sort="Mugerwa, Roy" uniqKey="Mugerwa R" first="Roy" last="Mugerwa">Roy Mugerwa</name>
<affiliation><nlm:aff id="A2"> Uganda-Case Western Reserve University Research Collaboration P O Box 663 Kampala, Uganda</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4"> Department of Internal Medicine School of Medicine, Makerere University P O Box 7072 Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Whalen, Christopher" sort="Whalen, Christopher" uniqKey="Whalen C" first="Christopher" last="Whalen">Christopher Whalen</name>
<affiliation><nlm:aff id="A3"> Department of Epidemiology and Biostatistics, Case Western Reserve University 10900 Euclid Avenue, 44106 Cleveland Ohio, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5"> Department of Epidemiology and Biostatistics College of Public Health University of Geogia Coverdell Center for Biomedical and Health Sciences University of Georgia, Athens 30602, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Annals of epidemiology</title>
<idno type="ISSN">1047-2797</idno>
<idno type="eISSN">1873-2585</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P2">We determined whether human immunodeficiency virus (HIV) infection affects body cell mass and fat mass wasting among adults with pulmonary tuberculosis (PTB).</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P3">We screened 967 Ugandan adults for PTB and HIV infection in a cross-sectional study. We compared anthropometric and bioelectric impedance analysis (BIA) body composition parameters among HIV-seropositive and HIV-seronegative men and women with or without PTB using a non-parametric test.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P4">We found that poor nutritional status associated with TB differed among men and women. Anthropometric and BIA body composition did not differ between HIV-seropositive and HIV-seronegative patients regardless of gender. Average weight group difference in men comprised of body cell mass and fat mass in equal proportions of 43%. In women, average weight group difference comprised predominantly of fat mass of 73% and body cell mass of 13%. Compared to individuals without TB, patients with TB had lower body mass index, weight, body cell mass, and fat mass regardless of gender and HIV status.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P5">Gender but not HIV status was associated with body composition changes in TB. Tuberculosis appears to be the dominant factor driving the wasting process among co-infected patients.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9100013</journal-id>
<journal-id journal-id-type="pubmed-jr-id">2576</journal-id>
<journal-id journal-id-type="nlm-ta">Ann Epidemiol</journal-id>
<journal-title>Annals of epidemiology</journal-title>
<issn pub-type="ppub">1047-2797</issn>
<issn pub-type="epub">1873-2585</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20159491</article-id>
<article-id pub-id-type="pmc">2824615</article-id>
<article-id pub-id-type="doi">10.1016/j.annepidem.2009.11.001</article-id>
<article-id pub-id-type="manuscript">NIHMS163356</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Body Composition among HIV-seropositive and HIV-seronegative Adult Patients with Pulmonary Tuberculosis in Uganda</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Mupere</surname>
<given-names>Ezekiel</given-names>
</name>
<degrees>MBChB, M.MED, MS</degrees>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zalwango</surname>
<given-names>Sarah</given-names>
</name>
<degrees>MBChB</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chiunda</surname>
<given-names>Allan</given-names>
</name>
<degrees>MPH</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Okwera</surname>
<given-names>Alphonse</given-names>
</name>
<degrees>MBChB</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mugerwa</surname>
<given-names>Roy</given-names>
</name>
<degrees>MBChB, MMED</degrees>
<xref rid="A2" ref-type="aff">2</xref>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Whalen</surname>
<given-names>Christopher</given-names>
</name>
<degrees>MD, MS</degrees>
<xref rid="A3" ref-type="aff">3</xref>
<xref rid="A5" ref-type="aff">5</xref>
<xref rid="FN1" ref-type="author-notes">*</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Paediatrics and Child health School of Medicine, Makerere University, P O Box 7072 Kampala, Uganda</aff>
<aff id="A2"><label>2</label>
Uganda-Case Western Reserve University Research Collaboration P O Box 663 Kampala, Uganda</aff>
<aff id="A3"><label>3</label>
Department of Epidemiology and Biostatistics, Case Western Reserve University 10900 Euclid Avenue, 44106 Cleveland Ohio, USA</aff>
<aff id="A4"><label>4</label>
Department of Internal Medicine School of Medicine, Makerere University P O Box 7072 Kampala, Uganda</aff>
<aff id="A5"><label>5</label>
Department of Epidemiology and Biostatistics College of Public Health University of Geogia Coverdell Center for Biomedical and Health Sciences University of Georgia, Athens 30602, USA</aff>
<author-notes><corresp id="FN1"><label>*</label>
To whom correspondence should be addressed: Tel: 7062274736, <email>ccwhalen@uga.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>24</day>
<month>12</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="ppub"><month>3</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>1</day>
<month>3</month>
<year>2011</year>
</pub-date>
<volume>20</volume>
<issue>3</issue>
<fpage>210</fpage>
<lpage>216</lpage>
<abstract><sec id="S1"><title>Purpose</title>
<p id="P2">We determined whether human immunodeficiency virus (HIV) infection affects body cell mass and fat mass wasting among adults with pulmonary tuberculosis (PTB).</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P3">We screened 967 Ugandan adults for PTB and HIV infection in a cross-sectional study. We compared anthropometric and bioelectric impedance analysis (BIA) body composition parameters among HIV-seropositive and HIV-seronegative men and women with or without PTB using a non-parametric test.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P4">We found that poor nutritional status associated with TB differed among men and women. Anthropometric and BIA body composition did not differ between HIV-seropositive and HIV-seronegative patients regardless of gender. Average weight group difference in men comprised of body cell mass and fat mass in equal proportions of 43%. In women, average weight group difference comprised predominantly of fat mass of 73% and body cell mass of 13%. Compared to individuals without TB, patients with TB had lower body mass index, weight, body cell mass, and fat mass regardless of gender and HIV status.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P5">Gender but not HIV status was associated with body composition changes in TB. Tuberculosis appears to be the dominant factor driving the wasting process among co-infected patients.</p>
</sec>
</abstract>
<kwd-group><kwd>Tuberculosis</kwd>
<kwd>HIV</kwd>
<kwd>bioelectrical impedance</kwd>
<kwd>gender</kwd>
<kwd>wasting</kwd>
<kwd>body composition</kwd>
</kwd-group>
<contract-num rid="AI1">R01 AI032414-11
||AI</contract-num>
<contract-num rid="TW1">D43 TW000011-22
||TW</contract-num>
<contract-sponsor id="AI1">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</contract-sponsor>
<contract-sponsor id="TW1">Fogarty International Center : FIC</contract-sponsor>
</article-meta>
</front>
</pmc>
</record>
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