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<title xml:lang="en">Age- and sex-specific weight gain norms to monitor antiretroviral treatment in children in low- and middle-income countries</title>
<author>
<name sortKey="Yotebieng, Marcel" sort="Yotebieng, Marcel" uniqKey="Yotebieng M" first="Marcel" last="Yotebieng">Marcel Yotebieng</name>
<affiliation>
<nlm:aff id="A1">The Ohio State University, College of Public Health, Division of Epidemiology, Columbus, OH</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">The University of North Carolina at Chapel Hill, Department of Epidemiology, Chapel Hill, NC</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Meyers, Tammy" sort="Meyers, Tammy" uniqKey="Meyers T" first="Tammy" last="Meyers">Tammy Meyers</name>
<affiliation>
<nlm:aff id="A3">Department of Pediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Behets, Frieda" sort="Behets, Frieda" uniqKey="Behets F" first="Frieda" last="Behets">Frieda Behets</name>
<affiliation>
<nlm:aff id="A4">The University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, NC</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Davies, Mary Ann" sort="Davies, Mary Ann" uniqKey="Davies M" first="Mary-Ann" last="Davies">Mary-Ann Davies</name>
<affiliation>
<nlm:aff id="A5">University of Cape Town, School of Public Health and Family Medicine, Cape Town, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Keiser, Olivia" sort="Keiser, Olivia" uniqKey="Keiser O" first="Olivia" last="Keiser">Olivia Keiser</name>
<affiliation>
<nlm:aff id="A6">Institute of Social and Preventive Medicine, University of Bern, Switzerland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ngonyani, Kapella Zacharia" sort="Ngonyani, Kapella Zacharia" uniqKey="Ngonyani K" first="Kapella Zacharia" last="Ngonyani">Kapella Zacharia Ngonyani</name>
<affiliation>
<nlm:aff id="A7">Tumbi Regional Referral Hospital, Kibaha, Tanzania</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lyamuya, Rita E" sort="Lyamuya, Rita E" uniqKey="Lyamuya R" first="Rita E." last="Lyamuya">Rita E. Lyamuya</name>
<affiliation>
<nlm:aff id="A8">Morogoro Regional Hospital, Morogoro, Tanzania</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kariminia, Azar" sort="Kariminia, Azar" uniqKey="Kariminia A" first="Azar" last="Kariminia">Azar Kariminia</name>
<affiliation>
<nlm:aff id="A9">University of New South Wales, The Kirby Institute for infection and immunity in Society, Darlinghurst, NSW, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hansudewechakul, Rawiwan" sort="Hansudewechakul, Rawiwan" uniqKey="Hansudewechakul R" first="Rawiwan" last="Hansudewechakul">Rawiwan Hansudewechakul</name>
<affiliation>
<nlm:aff id="A10">Chiangrai Prachanukroh Hospital, Chiang Rai, Thailand</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Leroy, Valeriane" sort="Leroy, Valeriane" uniqKey="Leroy V" first="Valeriane" last="Leroy">Valeriane Leroy</name>
<affiliation>
<nlm:aff id="A11">Université Bordeaux, Institut de Santé Publique Epidémiologie et Développement, Bordeaux, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A12">Inserm, Centre Inserm U897 “Epidémiologie et Biostatistique”, Bordeaux, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Koumakpai, Sikiratou" sort="Koumakpai, Sikiratou" uniqKey="Koumakpai S" first="Sikiratou" last="Koumakpai">Sikiratou Koumakpai</name>
<affiliation>
<nlm:aff id="A13">Centre National Hospitalier Universitaire Hubert K. Maga, Cotonou, Bénin</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Newman, Jamie" sort="Newman, Jamie" uniqKey="Newman J" first="Jamie" last="Newman">Jamie Newman</name>
<affiliation>
<nlm:aff id="A14">RTI International, Biostatistics and Epidemiology, Research Triangle Park, NC</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Rie, Annelies" sort="Van Rie, Annelies" uniqKey="Van Rie A" first="Annelies" last="Van Rie">Annelies Van Rie</name>
<affiliation>
<nlm:aff id="A2">The University of North Carolina at Chapel Hill, Department of Epidemiology, Chapel Hill, NC</nlm:aff>
</affiliation>
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<idno type="pmid">25562494</idno>
<idno type="pmc">4383257</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383257</idno>
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<idno type="doi">10.1097/QAD.0000000000000506</idno>
<date when="2015">2015</date>
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<title xml:lang="en" level="a" type="main">Age- and sex-specific weight gain norms to monitor antiretroviral treatment in children in low- and middle-income countries</title>
<author>
<name sortKey="Yotebieng, Marcel" sort="Yotebieng, Marcel" uniqKey="Yotebieng M" first="Marcel" last="Yotebieng">Marcel Yotebieng</name>
<affiliation>
<nlm:aff id="A1">The Ohio State University, College of Public Health, Division of Epidemiology, Columbus, OH</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">The University of North Carolina at Chapel Hill, Department of Epidemiology, Chapel Hill, NC</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Meyers, Tammy" sort="Meyers, Tammy" uniqKey="Meyers T" first="Tammy" last="Meyers">Tammy Meyers</name>
<affiliation>
<nlm:aff id="A3">Department of Pediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Behets, Frieda" sort="Behets, Frieda" uniqKey="Behets F" first="Frieda" last="Behets">Frieda Behets</name>
<affiliation>
<nlm:aff id="A4">The University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, NC</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Davies, Mary Ann" sort="Davies, Mary Ann" uniqKey="Davies M" first="Mary-Ann" last="Davies">Mary-Ann Davies</name>
<affiliation>
<nlm:aff id="A5">University of Cape Town, School of Public Health and Family Medicine, Cape Town, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Keiser, Olivia" sort="Keiser, Olivia" uniqKey="Keiser O" first="Olivia" last="Keiser">Olivia Keiser</name>
<affiliation>
<nlm:aff id="A6">Institute of Social and Preventive Medicine, University of Bern, Switzerland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ngonyani, Kapella Zacharia" sort="Ngonyani, Kapella Zacharia" uniqKey="Ngonyani K" first="Kapella Zacharia" last="Ngonyani">Kapella Zacharia Ngonyani</name>
<affiliation>
<nlm:aff id="A7">Tumbi Regional Referral Hospital, Kibaha, Tanzania</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lyamuya, Rita E" sort="Lyamuya, Rita E" uniqKey="Lyamuya R" first="Rita E." last="Lyamuya">Rita E. Lyamuya</name>
<affiliation>
<nlm:aff id="A8">Morogoro Regional Hospital, Morogoro, Tanzania</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kariminia, Azar" sort="Kariminia, Azar" uniqKey="Kariminia A" first="Azar" last="Kariminia">Azar Kariminia</name>
<affiliation>
<nlm:aff id="A9">University of New South Wales, The Kirby Institute for infection and immunity in Society, Darlinghurst, NSW, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hansudewechakul, Rawiwan" sort="Hansudewechakul, Rawiwan" uniqKey="Hansudewechakul R" first="Rawiwan" last="Hansudewechakul">Rawiwan Hansudewechakul</name>
<affiliation>
<nlm:aff id="A10">Chiangrai Prachanukroh Hospital, Chiang Rai, Thailand</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Leroy, Valeriane" sort="Leroy, Valeriane" uniqKey="Leroy V" first="Valeriane" last="Leroy">Valeriane Leroy</name>
<affiliation>
<nlm:aff id="A11">Université Bordeaux, Institut de Santé Publique Epidémiologie et Développement, Bordeaux, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A12">Inserm, Centre Inserm U897 “Epidémiologie et Biostatistique”, Bordeaux, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Koumakpai, Sikiratou" sort="Koumakpai, Sikiratou" uniqKey="Koumakpai S" first="Sikiratou" last="Koumakpai">Sikiratou Koumakpai</name>
<affiliation>
<nlm:aff id="A13">Centre National Hospitalier Universitaire Hubert K. Maga, Cotonou, Bénin</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Newman, Jamie" sort="Newman, Jamie" uniqKey="Newman J" first="Jamie" last="Newman">Jamie Newman</name>
<affiliation>
<nlm:aff id="A14">RTI International, Biostatistics and Epidemiology, Research Triangle Park, NC</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Rie, Annelies" sort="Van Rie, Annelies" uniqKey="Van Rie A" first="Annelies" last="Van Rie">Annelies Van Rie</name>
<affiliation>
<nlm:aff id="A2">The University of North Carolina at Chapel Hill, Department of Epidemiology, Chapel Hill, NC</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">AIDS (London, England)</title>
<idno type="ISSN">0269-9370</idno>
<idno type="eISSN">1473-5571</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
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<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Background</title>
<p id="P1">Viral load and CD4% are often not available in resource-limited settings for monitoring children's responses to antiretroviral treatment (ART). We aimed to construct normative curves for weight gain at six-, twelve-, eighteen-, and twenty-four-month post initiation of ART in children, and to assess the association between poor weight gain and subsequent responses to ART.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P2">Analysis of data from HIV-infected children <10 years old from African and Asian clinics participating in the International epidemiologic Databases to Evaluate AIDS (IeDEA).</p>
</sec>
<sec id="S3">
<title>Methods</title>
<p id="P3">The generalized additive model for location, scale and shape was used to construct normative percentile curves for weight gain at six, twelve, eighteen, and twenty-four months following ART initiation. Cox proportional models were used to assess the association between lower percentiles (<50
<sup>th</sup>
) of weight gain distribution at the different time points and subsequent death, virological suppression, and virological failure.</p>
</sec>
<sec id="S4">
<title>Results</title>
<p id="P4">Among 7173 children from five regions of the world, 45% were underweight at baseline. Weight gain below the 50
<sup>th</sup>
percentile at six-, twelve-, eighteen-, and twenty-four months of ART was associated with increased risk of death, independent of baseline characteristics. Poor weight gain was not associated with increased hazards of virological suppression or virological failure.</p>
</sec>
<sec id="S5">
<title>Conclusions</title>
<p id="P5">Monitoring weight gain on ART using age- and sex-specific normative curves specifically developed for HIV-infected children on ART is a simple, rapid, sustainable tool that can aid in the identification of children who are at increased risk of death in the first year of ART.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<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">8710219</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1493</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS</journal-id>
<journal-title-group>
<journal-title>AIDS (London, England)</journal-title>
</journal-title-group>
<issn pub-type="ppub">0269-9370</issn>
<issn pub-type="epub">1473-5571</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25562494</article-id>
<article-id pub-id-type="pmc">4383257</article-id>
<article-id pub-id-type="doi">10.1097/QAD.0000000000000506</article-id>
<article-id pub-id-type="manuscript">NIHMS674926</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Age- and sex-specific weight gain norms to monitor antiretroviral treatment in children in low- and middle-income countries</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Yotebieng</surname>
<given-names>Marcel</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Meyers</surname>
<given-names>Tammy</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Behets</surname>
<given-names>Frieda</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Davies</surname>
<given-names>Mary-Ann</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Keiser</surname>
<given-names>Olivia</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ngonyani</surname>
<given-names>Kapella Zacharia</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lyamuya</surname>
<given-names>Rita E.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kariminia</surname>
<given-names>Azar</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hansudewechakul</surname>
<given-names>Rawiwan</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Leroy</surname>
<given-names>Valeriane</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A11">11</xref>
<xref ref-type="aff" rid="A12">12</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Koumakpai</surname>
<given-names>Sikiratou</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A13">13</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Newman</surname>
<given-names>Jamie</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A14">14</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Van Rie</surname>
<given-names>Annelies</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
The Ohio State University, College of Public Health, Division of Epidemiology, Columbus, OH</aff>
<aff id="A2">
<label>2</label>
The University of North Carolina at Chapel Hill, Department of Epidemiology, Chapel Hill, NC</aff>
<aff id="A3">
<label>3</label>
Department of Pediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</aff>
<aff id="A4">
<label>4</label>
The University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, NC</aff>
<aff id="A5">
<label>5</label>
University of Cape Town, School of Public Health and Family Medicine, Cape Town, South Africa</aff>
<aff id="A6">
<label>6</label>
Institute of Social and Preventive Medicine, University of Bern, Switzerland</aff>
<aff id="A7">
<label>7</label>
Tumbi Regional Referral Hospital, Kibaha, Tanzania</aff>
<aff id="A8">
<label>8</label>
Morogoro Regional Hospital, Morogoro, Tanzania</aff>
<aff id="A9">
<label>9</label>
University of New South Wales, The Kirby Institute for infection and immunity in Society, Darlinghurst, NSW, Australia</aff>
<aff id="A10">
<label>10</label>
Chiangrai Prachanukroh Hospital, Chiang Rai, Thailand</aff>
<aff id="A11">
<label>11</label>
Université Bordeaux, Institut de Santé Publique Epidémiologie et Développement, Bordeaux, France</aff>
<aff id="A12">
<label>12</label>
Inserm, Centre Inserm U897 “Epidémiologie et Biostatistique”, Bordeaux, France</aff>
<aff id="A13">
<label>13</label>
Centre National Hospitalier Universitaire Hubert K. Maga, Cotonou, Bénin</aff>
<aff id="A14">
<label>14</label>
RTI International, Biostatistics and Epidemiology, Research Triangle Park, NC</aff>
<author-notes>
<corresp id="CR1">
<bold>Corresponding author and requests for reprints:</bold>
Marcel Yotebieng, MD, PhD, MPH Division of Epidemiology| College of Public Health The Ohio State University 304 Cunz Hall | 1841 Neil Avenue, Columbus, OH 43210 Phone #: 614 688 2133; Fax 614 688 3533
<email>myotebieng@cph.osu.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>25</day>
<month>3</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<day>2</day>
<month>1</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>02</day>
<month>1</month>
<year>2016</year>
</pub-date>
<volume>29</volume>
<issue>1</issue>
<fpage>101</fpage>
<lpage>109</lpage>
<pmc-comment>elocation-id from pubmed: 10.1097/QAD.0000000000000506</pmc-comment>
<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">Viral load and CD4% are often not available in resource-limited settings for monitoring children's responses to antiretroviral treatment (ART). We aimed to construct normative curves for weight gain at six-, twelve-, eighteen-, and twenty-four-month post initiation of ART in children, and to assess the association between poor weight gain and subsequent responses to ART.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P2">Analysis of data from HIV-infected children <10 years old from African and Asian clinics participating in the International epidemiologic Databases to Evaluate AIDS (IeDEA).</p>
</sec>
<sec id="S3">
<title>Methods</title>
<p id="P3">The generalized additive model for location, scale and shape was used to construct normative percentile curves for weight gain at six, twelve, eighteen, and twenty-four months following ART initiation. Cox proportional models were used to assess the association between lower percentiles (<50
<sup>th</sup>
) of weight gain distribution at the different time points and subsequent death, virological suppression, and virological failure.</p>
</sec>
<sec id="S4">
<title>Results</title>
<p id="P4">Among 7173 children from five regions of the world, 45% were underweight at baseline. Weight gain below the 50
<sup>th</sup>
percentile at six-, twelve-, eighteen-, and twenty-four months of ART was associated with increased risk of death, independent of baseline characteristics. Poor weight gain was not associated with increased hazards of virological suppression or virological failure.</p>
</sec>
<sec id="S5">
<title>Conclusions</title>
<p id="P5">Monitoring weight gain on ART using age- and sex-specific normative curves specifically developed for HIV-infected children on ART is a simple, rapid, sustainable tool that can aid in the identification of children who are at increased risk of death in the first year of ART.</p>
</sec>
</abstract>
<kwd-group>
<kwd>ART monitoring</kwd>
<kwd>children</kwd>
<kwd>weight</kwd>
<kwd>CD4</kwd>
<kwd>viral load</kwd>
<kwd>HIV</kwd>
<kwd>low/middle income countries</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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